Path final RA

Question 1

granulation tissue associated with RA

Answer 1

Pannus

Question 2

RA has both ______ and _____ degeneration

Answer 2

chemical, mechanical

Question 3

Female to male ratio

Answer 3

4:1

Question 4

RA etiology

Answer 4

unknown

Question 5

nonsuppurative proliferative synovitis which in time leads to destruction of the articular cartilage and progressive disabling arthritis

Answer 5

RA

Question 6

RAStarts as _____ arthritis in small joints in hands and feet.

Answer 6

symmetrical

Question 7

RA usually starts on 1rst___ and___ (first symptoms) usually no____

Answer 7

pip, mcp

DIP

Question 8

What kind of fluid is found inside the joints with RA

Answer 8

inflammatory exudate

Question 9

inflammatory pattern

Answer 9

bad in morning, better as day goes on

Question 10

Stiffness due to

Answer 10

accumulation of fluid

Question 11

may decrease pain and chances of the joints being fused

Answer 11

physical activity

Question 12

Rheumatoid hand

Answer 12

ulnar deviation of finders at MCP joints
Atrophy of intercostal and interossei muscles
inflammation of the wrist

Question 13

TENOSYNOVITIS aka

Answer 13

ganglion

Question 14

inflammation of tendon sheath-2 layers of fibrous tissue that surround tendons

Answer 14

TENOSYNOVITIS aka ganglion

Question 15

caused by excess fluid production and cured by hydrocortisol

Answer 15

TENOSYNOVITIS aka ganglion

Question 16

why should you never remove the ganglion that results from Tenosynovitis?

Answer 16

results in stenosing tendinitis

Question 17

long term soft tissue inflammation will cause what?

Answer 17

bones in vicinity to lose density (osteopenia)

Question 18

osteopenia:due to _____ that cause activation of_____

Answer 18

cytokines, osteoclasts

Question 19

Causes decrease in articular contact

Answer 19

periarticular osteopenia (typical for any chronic inflammatory joint disease)

Question 20

med term without nerve interference.

Answer 20

subluxation

Question 21

no articulating bones with no joint function

Answer 21

Luxation

Question 22

swan neck deformity

Answer 22

hyperextension of PIP and flexion of DIP

Question 23

calosities in the ____ can cause a deformity called _____

Answer 23

MTPs, Hammertoes

Question 24

only part of joint with blood supply

Answer 24

synovial membrane(also has lots of nociceptors)

Question 25

Cartilage allows for _____ of joints

Answer 25

congruency

Question 26

2 functions of synovial fluid

Answer 26

lubricates joint surfaces nourishes cartilage

Question 27

types of joint pathologies

Answer 27

inflammatory degeneration metabolic

Question 28

Genes associates with RA

Answer 28

HLA DR4, DR1 | human leukocyte antigen

Question 29

how does panes (granulation tissue) affect the joint?

Answer 29

requires more and more room, but space is limited

Question 30

periarticular osteopenia can lead to

Answer 30

subluxation:slipping of bone resulting to loss of joint.

Question 31

hyper extension of DIP and hyper flexion of PIP

Answer 31

boutonniere's deformity

Question 32

Hallux valgus

Answer 32

subluxation of first MTP joint in patients w/o joint pathology. MTP moves laterally due to ligament elasticity. (wearing high heels, female, overweight)

Question 33

Bunion is a protective factor for

Answer 33

hallux valgus

Question 34

normal amount of fluid in the knee

Answer 34

5ml

Question 35

more than normal(5ml) of fluid in knee can result in

Answer 35

hypomobility

Question 36

Never _____ knee joint that has too much fluid

Answer 36

move

Question 37

how do you treat a joint with excess fluit

Answer 37

remove fluid or take anti-inflammatory drug

Question 38

can't see hip or knee joint on X-ray

Answer 38

aseptic necrosis (due occlusion of blood supply)

Question 39

how do you treat aseptic necrosis of hip joint?

Answer 39

replacement

Question 40

Rheumatoid nodules in lungs with pneumonoconious

Answer 40

Kaplan's syndrome

Question 41

RA before age 16

Answer 41

juvenile arthritis

Question 42

possible complications of Juvenile RA

Answer 42

under developed jaw early closure of growth plates anatomical short leg destruction of dens (can kill them w/c1 adjustment)