OCTH 580: Week 2; Chapter 23 & 25, Rheumatic Diseases & Orthopedics

The spine.

Osteoarthritis can occur here whereas Rheumatoid arthritis will not.

a. Rheumatoid arthritis.

c. Lupus.

Which of the following are autoimmune diseases?

(choose all that apply)

a. Rheumatoid arthritis.

b. Osteoarthritis.

c. Lupus.

d. Gout.

e. Fibromyalgia.

Morning stiffness.

Why might someone with RA take longer to get out of bed in mornings?

Rheumatoid arthritis.

This type of arthritis is known for flare-ups.

a. Rheumatoid arthritis.

Synovitis is a clinical feature of this pathology:

a. Rheumatoid arthritis.

b. Osteoarthritis.

c. Lupus.

d. Gout.

e. Fibromyalgia.

To feel for warm temperature associated with a flare-up.

A practitioner asks to lightly touch a patient's arm who has RA. What is the purpose of this?

a. Wrist.

b. Hand.

c. Thumb.

d. LE.

The most affected joints associated with RA is/are:

(choose all that apply)

a. Wrist.

b. Hand.

c. Thumb.

d. LE.

e. Spine.

a. Joint laxity.

b. Subluxation.

e. Ulnar drift.

What are the commo joint deformities associated with RA?

(choose all that apply)

a. Joint laxity.

b. Subluxation.

c. Subluxation and dislocation.

d. Ulnar deviation @ MCP.

e. Ulnar drift @ MCP.

b. PIP is hyperextended & DIP is flexed.

The Swan-neck deformity is when the:

a. PIP is flexed & DIP is hyperextended.

b. PIP is hyperextended & DIP is flexed.

c. PIP & DIP are hyperextended.

d. PIP & DIP are flexed.

a. PIP is flexed & DIP is hyperextended.

The Boutonniere deformity is when the:

a. PIP is flexed & DIP is hyperextended.

b. PIP is hyperextended & DIP is flexed.

c. PIP & DIP are hyperextended.

d. PIP & DIP are flexed.

False.

It is safe to do MMT for patients with osteoporosis.

True or False.

Slide 8

Disuse, bed rest, & drug effects.

Why might someone with RA have muscle weakness?

False.

Treatment goals for RA is to cure.

True or False?

True.

Treatment goals for RA is to reduce pain, inflammation, and joint damage.

True or False?

c. Weight lifting.

Treatment for RA include all of the following except:

a. Medication.

b. Exercise.

c. Weight lifting.

d. Weight control.

e. Surgery.

f. Coping.

g. Heat & cold modality.

a. Aspirin.

b. NSAIDs.

c. Steroids.

Medication for RA includes:

(choose all that apply)

a. Aspirin.

b. NSAIDs.

c. Steroids.

d. None of the above.

b. NSAIDs.

Which of the following medication has side effects of stomach pain, dizziness, headache, and ringing in ears?

a. Aspirin.

b. NSAIDs.

c. Steroids.

d. None of the above.

c. Steroids.

Which of the following medication has side effects of bone erosion, diabetes, weight gain, and hypertension?

a. Aspirin.

b. NSAIDs.

c. Steroids.

d. None of the above.

To repair damaged soft tissue, replace destroyed joints, or to relieve symptoms and slow destructive process.

What are the purposes of surgery in treating RA by synovectomy and tenosynovectomy?

Arthroplasty.

Known as _______, is fusion to relieve pain, provide stability, correct deformity, and improve function.

Relocation, repair, and release.

Tendon surgery can include:

Depression.

Pain and unpredictability associated with RA may lead to this psychological condition:

a. Osteoarthritis

Degenerative joint disease is considered to be a form of:

a. Osteoarthritis

b. Rheumatoid arthritis.

c. Osteoporosis.

a. Osteoarthritis.

Is referred to as "wear and tear" type.

a. Osteoarthritis.

b. Rheumatoid arthritis.

c. Osteoporosis.

False.

Osteoarthritis is considered to be inflammatory and systemic.

True or False?

True.

Osteoarthritis is not considered to be inflammatory and systemic.

True or False?

Weightbearing joints (hips, knees, spine, big toe MTP).

What type of joints are affected the most by osteoarthritis?

Hip and knee joints.

What joints causes the most disability by osteoarthritis?

PIP, DIP, and Thumb CMC joints.

What type of joints in the hand are affected the most by osteoarthritis?

Osteophytes.

This condition is indicative of cartilage damage.

a. DIP (Heberden's nodes).

Where are Osteophytes most common in the hand joints?

a. DIP (Heberden's nodes).

b. PIP (Bouchard's nodes).

Thumb.

This digit forms 45% of hand function.

Thumb CMC.

Arthritis in this joint of the hand can cause subluxation.

Crepitation.

Grating, crunching, popping sensation during joint or tendon motion.

Osteoporosis.

Low bone density due to deterioration of the bone.

Osteopenia.

This is a reversible weakening of the bone that can lead to osteoporosis.

False.

It is completely okay to give your osteoporosis client a friendly jab into the arm after a good session.

True or False...?

Gout.

This is a metabolic disease where urate deposits in the joints or tissues causing acute pain onsets.

Big toe.

Where is gout most common on the body?

Fibromyalgia.

A condition that causes pain all over the body with unknown etiology and increases pain sensitivity.

g. All of the Above.

Which of these conditions are considered forms of arthritis?

a. RA.

b. OA.

c. Lupus.

d. Osteoporosis.

e. Fibromyalgia.

f. Gout.

g. All of the Above.

H. None of the Above.

Lupus.

Chronic, autoimmune disease that can damage any part of the body.

Women.

What gender is affected most by lupus?

a. RA.

c. Lupus.

Which of the follow conditions have very similar symptoms?

(choose 2)

a. RA.

b. OA.

c. Lupus.

d. Osteoporosis.

e. Fibromyalgia.

f. Gout.

c. Distal radius.

Falling on an outstretched arm will most likely fracture this part of the UE:

a. Scaphoid.

b. Humerus.

c. Distal radius.

d. Distal ulna.

c. Hip.

d. Pelvis.

Open retraction Internal Fixation (ORIF) surgery is typically used for what injury(ies)?

(choose all that apply)

a. Vertebral.

b. Distal radial.

c. Hip.

d. Pelvis.

e. Humeral.

f. Scaphoid.

c. Hip.

THR surgery is typically used for what injury(ies)?

(choose all that apply)

a. Vertebral.

b. Distal radial.

c. Hip.

d. Pelvis.

e. Humeral.

f. Scaphoid.

Complex Regional Pain Syndrome (CRPS).

This is the body's abnormal response to pain and autonomic dysfunction.

c. ORIF.

Which of the following surgeries will have weight bearing precautions?

a. Anterior THR.

b. Posterior THR.

c. ORIF.

d. a & b.

ROM and slow resumption of activities.

Precautions for UE following surgery include:

b. Posterior THR.

Precautions requiring no hip flexion below 90 degrees, no hip adduction, and no internal rotation of the LE are for following which surgical procedure?

a. Anterior THR.

b. Posterior THR.

c. ORIF.

d. a & b.

d. Fibromyalgia.

Tender, painful joints all over the body is associated with:

a. MS.

b. OA.

c. RA.

d. Fibromyalgia.