Deck 26: Arthritis

Question 1

The primary objective of a total joint arthroplasty is to

A)restore joint function.
B)decrease wear and tear on the joint.
C)improve the condition of the articular cartilage.
D)improve cosmesis of the joint.

Answer 1

A

Question 2

Disease-modifying antirheumatic drugs (DMARDs)differ from nonsteroidal anti-inflammatory drugs because DMARDs

A)produce serious toxicity.
B)show more rapid improvement in symptoms.
C)may require up to 3 months to become effective.
D)are given intravenously.

Answer 2

C

Question 3

An early noticeable change seen in the cartilage of people with OA is

A)decreased collagen synthesis.
B)fibrillation of collagen.
C)increased elasticity of cartilage.
D)flaking of superficial collagen.

Answer 3

D

Question 4

Heberden's nodes are a type of osteophyte found at what joint?

A)Distal interphalangeal
B)Proximal interphalangeal
C)Metacarpophalangeal
D)Proximal carpal

Question 5

Chronic inflammation of what joints can lead to volar subluxation of the wrist and hand?

A)Ulna
B)Proximal carpals
C)Radius
D)Distal carpals

Question 6

Late heel rise is a common gait deviation found in patients with arthritis and is related to

A)limited inversion range.
B)swelling at the Achilles insertion.
C)poor toe alignment.
D)swelling at the first metatarsophalangeal joint.

Question 7

Standard application of a manual muscle test may be inappropriate for a patient with RA because of

A)pain in portions of the ROM.
B)excessive muscle weakness.
C)atrophy of type II muscle fibers.
D)general inflammation.

Question 8

Loss of muscle bulk seen in patients with RA may be the result of

A)peripheral neuropathy.
B)exostoses.
C)lag phenomenon.
D)rheumatoid factor.

Question 9

Moderate osteophytes and definite joint space narrowing would be indicative of what grade on the Kellgren and Lawrence scale?

A)1
B)2
C)3
D)4

Question 10

Which type of lymphocyte is responsible for cellular immunity and is likely defective in people with rheumatoid arthritis?

A)Antigens
B)B cells
C)T cells
D)Rheumatoid factor

Question 11

Osteoarthritis is marked by progressive destruction of articular cartilage and

A)tendon lag.
B)formation of bone at joint margins.
C)neurological manifestations such as carpal tunnel syndrome.
D)decreased red blood cell count.

Question 12

Synovial fluid from inflamed joints will present with

A)urate crystals.
B)a yellowish color.
C)highly viscous texture.
D)increased number of proteins.

Question 13

Which of the following is a "red flag" sign or symptom found during examination of a patient with arthritis that requires urgent evaluation and management?

A)Metatarsal pain
B)Joint deformity
C)Fatigue
D)Claudication pain pattern

Question 14

An orthosis that can facilitate push off in a patient with limited ankle motion is

A)rocker sole.
B)metatarsal bar.
C)enlarged toe box.
D)cushioned heel.

Question 15

Synovial proliferation of vascular granulation is known as

A)capillary obstruction.
B)pannus.
C)fibrosis.
D)ankylosis.

Question 16

Isometric exercises are often utilized to improve muscle tone and strength in the early stages of rehabilitation,but they may be problematic for muscles surrounding the knee and hip because of

A)increase in intra-articular pressure at the joint.
B)decreased blood flow with each contraction.
C)increased risk of Valsalva.
D)decreased joint motion.