Osteoarthritis (Msq Drill 158)


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Questions and Answers
  • 1. 

    Synovitis is associated with osteoarthritis. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Osteoarthritis is non-inflammatory.

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  • 2. 

    Osteoarthritis is the most common joint disorder in thw US and throughout the world. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 3. 

    Which of the following occur due to osteoarthritis?

    • A.

      Softening and ulceration of articular cartillage

    • B.

      Loss of articular cartillage

    • C.

      Sclerosis of subchondral bone

    • D.

      Osteophytes

    • E.

      Subchondral cysts

    Correct Answer(s)
    A. Softening and ulceration of articular cartillage
    B. Loss of articular cartillage
    C. Sclerosis of subchondral bone
    D. OsteopHytes
    E. Subchondral cysts
  • 4. 

    The exact prevalence of osteoarthritis is unknown. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 5. 

    What percentage of people over 65 have knee osteoarthritis that is evident on x-rays?

    • A.

      One quarter

    • B.

      One half

    • C.

      One third

    Correct Answer
    C. One third
  • 6. 

    Do x-ray findings corelate with the symptoms of osteoarthritis?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
  • 7. 

    Patients with osteoarthritis complain of joint stiffness. How long does this stiffness usually last?

    • A.

      For most of the day

    • B.

      For a very short period of time after getting up

    Correct Answer
    B. For a very short period of time after getting up
  • 8. 

    What time of the day do patients with osteoarthritis comlain of stifness?

    • A.

      AM

    • B.

      PM

    Correct Answer
    A. AM
  • 9. 

    If you looked at the synovial fluid of a patient with osteoarthrities what would you observe?

    • A.

      More cell count

    • B.

      Normal cell count

    • C.

      Less cell count

    Correct Answer
    C. Less cell count
    Explanation
    There is no inflammation so the number of cells will NOT increase.

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  • 10. 

    Which of the folowing are other findings associated with osteoarthritis?

    • A.

      Gel phenomenon

    • B.

      Joint pain and tenderness

    • C.

      No crepitus

    • D.

      Bony swelling abd angulation deformities

    • E.

      Functional impairment

    Correct Answer(s)
    A. Gel pHenomenon
    B. Joint pain and tenderness
    C. No crepitus
    D. Bony swelling abd angulation deformities
    E. Functional impairment
    Explanation
    patients with OA will sometimes have crepitus.

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  • 11. 

    Which arthritis affects the DIP and PIP joints?

    • A.

      RA

    • B.

      OA

    Correct Answer
    B. OA
  • 12. 

    Which nodes are located at the DIP joint?

    • A.

      Heberden's

    • B.

      Bouchard's

    Correct Answer
    A. Heberden's
  • 13. 

    So, Bouchard's are located at the PIP's

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 14. 

    Which of the following causes of secondary osteoarthritis  is the most common cause of secondary osteoarthritis?

    • A.

      Dysplastic

    • B.

      Skeletal failue

    • C.

      Post traumatic

    • D.

      Post inflammatory

    • E.

      Osteonecrosis

    Correct Answer
    C. Post traumatic
  • 15. 

    Post traumatic causes of osteoarthritis can be divided into which classifications?

    • A.

      Acute

    • B.

      Subacute

    • C.

      Repetitive

    • D.

      Postoperative

    Correct Answer(s)
    A. Acute
    C. Repetitive
    D. Postoperative
  • 16. 

    Post traumatic causes of osteoarthritis can be divided into acute, repetitive and posteoperative. What would a fracture through a joint be classified as?

    • A.

      Acute

    • B.

      Repetitive

    • C.

      Postoperative

    Correct Answer
    A. Acute
  • 17. 

    How would you classify an occupational injury?

    • A.

      Acute

    • B.

      Repetitive

    • C.

      Post operative

    Correct Answer
    B. Repetitive
  • 18. 

    A mastectomy would be classified as a post operative cause of secondar osteoarthritis. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 19. 

    Which of the following are also causes of secondary osteoarthritis?

    • A.

      Endocrine and metabolic

    • B.

      Hematochromatosis

    • C.

      Connective tissue diseases

    • D.

      Endemic diseases

    • E.

      Miscallaneous causes

    Correct Answer(s)
    A. Endocrine and metabolic
    B. Hematochromatosis
    C. Connective tissue diseases
    D. Endemic diseases
    E. Miscallaneous causes
    Explanation
    hematochromatosis - increased iron deposition.

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  • 20. 

    Is nthe wrist more or less commonly involved in osteoarthritis?

    • A.

      More commonly involved

    • B.

      Less commonly involved

    Correct Answer
    B. Less commonly involved
  • 21. 

    What is the most commonly affected joint by osteoarthritis?

    • A.

      1st DIP

    • B.

      1st metarcarpal phalyngeal joint

    • C.

      2nd PIP

    • D.

      2nd metacarpal phalangeal joint

    Correct Answer
    B. 1st metarcarpal pHalyngeal joint
  • 22. 

    Whereas all the activity is in the synovium in Rheumatoid arthritis, all the activity in the _______ with osteoarthritis.

    • A.

      Synovium

    • B.

      Bone

    • C.

      Cartillage

    Correct Answer
    C. Cartillage
  • 23. 

    Is there subsequent inflammation that can occur with osteoarthritis?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 24. 

    What is the inflammation evident in osteoarthritis due to?

    • A.

      Increased immune modulating cells due to synovitis

    • B.

      Proliferation of surrounding immune cells due to excessive bone destroyal

    • C.

      Inflammation secondary to cartilage degradation

    Correct Answer
    C. Inflammation secondary to cartilage degradation
  • 25. 

    There may be mild to moderate changes in OA synovium that may at times be comparable to rheumatoid arthritis. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 26. 

    Pro inflammatory sytokines and meditors produced by chrondrocytes act within cartilage to:

    • A.

      Promote bone remodelling

    • B.

      To promote catabolism

    • C.

      To promote anabolism of cartilage

    Correct Answer
    B. To promote catabolism
  • 27. 

    One of the most common causes of inflammation is osteoarthritis is:

    • A.

      IL-1B

    • B.

      TNF-alpha

    • C.

      IL-6

    • D.

      IL-8

    Correct Answer
    C. IL-6
  • 28. 

    Many biproducts formed in the cascade that is initiated by chemokine release by the chondrocyte promote futher catabolism of the cartilage. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 29. 

    Does hyalunronic acid play any role in homeostasis of the normal joint?

    • A.

      Yes

    • B.

      No

    Correct Answer
    A. Yes
  • 30. 

    Hyaluronic acid has a unique combination of which two elements that are critical for joint function?

    • A.

      Elasticity

    • B.

      Viscosity

    • C.

      Hydration

    Correct Answer(s)
    A. Elasticity
    B. Viscosity
  • 31. 

    Which of the following are mechanical factors that can contribute to OA?

    • A.

      Genetic disorders

    • B.

      Loss of muscle strength

    • C.

      Joint structure

    • D.

      Obesity

    • E.

      Overuse and trauma

    Correct Answer(s)
    B. Loss of muscle strength
    C. Joint structure
    E. Overuse and trauma
    Explanation
    Obesity and genetic disorders are endogenous contributing factors for the development of OA.

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  • 32. 

    Developmental disorders, metabolic diseases, nutrition and chondropenia are also endogenous contributing factors to the development of OA. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
  • 33. 

    Derivatives of hyaluronic acid are used as viscosupplementation for the treatment of osteoarthritis of the knee. True or false?

    • A.

      True

    • B.

      False

    Correct Answer
    A. True

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  • Current Version
  • Feb 16, 2019
    Quiz Edited by
    ProProfs Editorial Team
  • May 05, 2010
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