Deck 41: Arthritis

Question 1

In osteoarthritis nodes or bony enlargements are commonly seen at the distal interphalangeal joints.What are these nodes called?

A) Mallet finger nodes
B) Bouchard's nodes
C) Boutonnière deformity nodes
D) Heberden's nodes
E) None of the above

Answer 1

D
Heberden's nodes are at the distal interphalangeal (DIP)joint,Bouchard's nodes are located at the proximal interphalangeal joints.Although DIP osteoarthritis may result in a mallet deformity,it is not the name used to describe the node.Boutonnière is a deformity and not a node.

Question 2

A common hand deformity in rheumatoid arthritis includes which of the following?

A) Metacarpophalangeal (MP) ulnar deviation and wrist ulnar deviation
B) MP radial deviation and wrist ulnar deviation
C) MP ulnar deviation and wrist radial deviation
D) MP radial deviation and wrist radial deviation

Answer 2

C
The most common pattern of deviation is MP ulnar deviation and wrist radial deviation

Question 3

Crepitus at the joint can be defined as ______________.

A) A tendency for the patient to move slowly because of joint pain
B) An audible or palpable crunching in the joint caused by the irregularity of opposing surfaces
C) A bony outgrowth from the joint into the joint space
D) Both A and B
E) Both B and C

Answer 3

B
Osteoarthritis is characterized by joint pain,stiffness,limited movement,and crepitus,which is an audible or palpable crunching in the joint caused by the irregularity of opposing surfaces.

Question 4

The synovial tissue that lines the joint becomes inflamed in rheumatoid arthritis.This is referred to as synovitis and results in all but which of the following?

A) Increased joint lubrication
B) Destruction of cartilage and bone
C) Limiting joint motion
D) Weakening of the joint capsule
E) Distending of the tendons and ligaments

Question 5

All but which of the following extraarticular features can occur in patients with rheumatoid arthritis?

A) Fatigue
B) Vasculitis
C) Cardiac
D) Renal
E) Olfactory

Question 6

Only one of the following is true.Which one is it?

A) A positive rheumatoid factor laboratory test is needed to establish a diagnosis of rheumatoid arthritis.
B) The clinical evaluation is seldom utilized in establishing a diagnosis of rheumatoid arthritis.
C) Radiological findings can be utilized in establishing a diagnosis of rheumatoid arthritis.
D) At least three of the seven criteria are required to make a diagnosis of rheumatoid arthritis.

Question 7

More than ______% of patients with rheumatoid arthritis will develop characteristic joint deformities.

A) 100%
B) 50%
C) 33%
D) 25%
E) 10%

Question 8

All but which of the following are joint protection principles?

A) Avoid staying in one position for long periods.
B) Reduce the force and the effort.
C) Pull objects instead of pushing them.
D) Refrain from starting activities that cannot be stopped.
E) Balance rest and activity.

Question 9

A clinical symptom of rheumatoid arthritis in the acute stage includes which of the following?

A) Hot and red joints
B) Increased joint movement
C) Pain that decreases with movement
D) Joint deformities
E) Asymmetrical joint involvement

Question 10

Avoiding MP ulnar deviation is an important joint protection principle in cases of rheumatoid arthritis.To open a jar,the patient should be instructed to do which of the following?

A) To open the jar using the palm of his or her hand
B) To use two hands and wall mount jar opener
C) To use shoulder rotation
D) A and B
E) All of the above

Question 11

Rheumatoid arthritis is a systemic disease affecting the entire body,unlike osteoarthritis,which attacks individual joints.Osteoarthritis results in deterioration of the joint cartilage because of __________________.

A) Wear and tear on the joint
B) Genetic factors
C) Biomechanical, biochemical, and cellular events
D) Both A and B
E) All of the above

Question 12

Rheumatoid arthritis can result in significant psychological stressors because of pain,changed body image,and uncertainty about the course of the disease.Major depression can result in approximately what percentage of the cases?

A) 40%
B) 20%
C) 10%
D) None of the above

Question 13

Patients with rheumatoid arthritis frequently have joint replacements or arthroplasties because of the extensive joint damage.All but which of the following joints are common sites for an arthroplasty?

A) The hips
B) The knees
C) The distal interphalangeal joints
D) The MP joints

Question 14

Rheumatoid arthritis and osteoarthritis are two of the more than 100 conditions that make up the rheumatic diseases.These conditions __________________.

A) Are the main reason children under 12 visit a physician
B) Are easily diagnosed by the physician
C) Seldom respond to medications
D) Seldom result in a visit to a physician
E) Are the main reason that adults over the age of 65 visit a physician

Question 15

Heat is a physical agent modality that is often used for patients with arthritis.Which of the following is not a benefit of applying heat to an arthritic patient?

A) Increased blood flow
B) Decreased inflammation
C) Pain relief
D) Increased tissue elasticity
E) Maintaining range of motion