Week 2.05

Question 1

As regards deformities in osteoarthritis of the hands

Answer 1

Radial subluxation of the metacarpal at the base of the thumb is common

Question 2

As regards erosive osteoarthritis of the hands

Answer 2

Can lead to joint fusion

Question 3

The usual distribution of osteoarthritis in the hands

Answer 3

Is in the distal IP and basal joints

Question 4

X-rays of the hands in osteoarthritis can demonstrate

Answer 4

Osteophytosis

Question 5

When joint problems, such as osteoarthritis are being investigated the optimal imaging technique

Answer 5

Requires a technique which provides good spatial detail of the joint bony surfaces

Question 6

The terms degenerative of “wear and tear” are often used to describe osteoarthritis. Are they accurate descriptive terms for the disease process?

Answer 6

No

Question 7

Is the following statement true or false: The diagnosis of osteoarthritis is a clinical one: based upon presenting symptoms and signs. Radiology is used for confirmation in the context of uncertainty or to rule out other conditions.

Answer 7

True

Question 8

What percentage of adults have x-ray evidence of osteoarthritis

Answer 8

30%

Question 9

All of the following are names which refer to the same condition as osteoarthritis except:

Answer 9

Osteonecrosis

Question 10

The severity of symptoms in osteoarthritis is influenced greatly by:

Answer 10

The patient’s socioeconomic circumstances, muscle strength, depression, obesity

Question 11

All of the following can be important direct sources of pain in a person with osteoarthritis except:

Answer 11

Articulate cartilage

Question 12

Osteoarthritis may cause a person to develop grinding sensations and noises that are termed:

Answer 12

Crepitus

Question 13

Which of the following statements is true about osteoarthritis?

Answer 13

• The onset of osteoarthritisis usually gradual or slow.
• Osteoarthritis is common in weight-bearing joints (hips, knees, lower back)
• Osteoarthritis also affects the neck, small finger joints, base of the thumb and big toe.
• Osteoarthritis can affect joints other than those mentioned, but it is rare unless the joint has been injured

Question 14

All of the following statements correctly describe the pain and stiffness associated with osteoarthritis except:

Answer 14

Morning stiffness always lasts longer than 30 minutes

Question 15

Can osteoarthritis occur with other types of arthritis?

Answer 15

Yes

Question 16

To help diagnoses osteoarthritis, along with a physical examination, medical history, and x-rays sometimes blood tests are ordered. Why are blood tests ordered?

Answer 16

Blood tests are ordered to rule out other types of arthritis

Question 17

Which statement is correct about osteoarthritis?

Answer 17

• Osteoarthritis is the most common type of arthritis
• Osteoarthritis is a chronic disease and though it can affect people of all ages, it is most common in older people.
• Osteoarthritis is not an autoimmune disease
• Osteoarthritis affects not only the joints, and not the internal organs.

Question 18

Which of the following is not recognised as a risk factor for osteoarthritis?

Answer 18

Cold climate

Question 19

Before age 50, more men than women have osteoarthritis. After age 50, more women than men have osteoarthritis. Is this statement true or false?

Answer 19

True

Question 20

Most treatment plans for osteoarthritis should include

Answer 20

Exercise, weight control, joint protection and physiotherapy.
Combination of all these?q

Question 21

Medication most commonly used to treat osteoarthritis include all of the following except:

Answer 21

Oral corticosteroids

Question 22

In the treatment of osteoarthritis of the knee

Answer 22

A high osteoporosis may be indicated when it affects mainly the medial compartment, providing deformity is not severe.

Question 23

Which of the following are available joint surgery options to treat osteoarthritis?

Answer 23

Osteotomy, joint replacement, resurface joint using autologous chondrocyte implantation, arthroscopically remove loose pieces of bone or cartilage.

Question 24

Paracetamol is often used as an analgesic. What is it’s mechanism of action?

Answer 24

Direct inhibition of peroxidase function of cyclo-oxygenase enzyme.

Question 25

The most significant adverse effect of paracetamol is

Answer 25

Liver toxicity.