Deck 165: Osteoarthritis

Question 1

A patient who has osteoarthritis in the carpometacarpal joints of both thumbs asks about corticosteroid injections to treat symptoms. What will the provider tell this patient about this therapy?

A) Corticosteroid therapy reduces inflammation and improves joint mobility
B) Injections may be administered as needed up to 6 times per year
C) Intraarticular injections provide significant pain relief for 3 to 4 months
D) This treatment may cause a temporary increase in pain, warmth, and redness

Answer 1

D

Question 2

A 45-year-old patient has mild osteoarthritis in both knees and asks about nonpharmacologic therapies. What will the provider recommend?

A) Aerobic exercise
B) Glucosamine with chondroitin
C) Therapeutic magnets or copper bracelets
D) Using a cane or walker

Answer 2

A

Question 3

A 50-year-old woman reports pain in one knee upon awakening each morning that goes away later in the morning. A knee radiograph is negative for pathology and serum inflammatory markers are normal. What will the provider tell this patient?

A) A magnetic resonance imaging study is necessary for diagnosis
B) That the lack of findings indicates no disease process
C) To take acetaminophen 1 gram three times daily for pain
D) To use a cyclooxygenase 2-selective NSAIDs to reduce inflammation

Answer 3

C