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Introduction to the Rheumatic Diseases
Test 1 Sem. 2
16
Medical
Graduate
01/12/2011

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Cards

Term
What is the most important part of the evaluation of Rheumatic disease?
Definition
Careful and detailed history
Term
What are some main differences between osteoarthritis and rheumatoid arthritis
Definition
1) RA involves MCPs and PIP but spares DIPs and MCP of fourth digit
2) OA involves PIPs and DIPs
3) RA morning stiffness of >30 min
4) Pain worsened by weight bearing and movement is indicative of OA
5) More intense pain and swelling at rest is suggestive of RA
6) OA has mainly subcondral erosion where RA has extra-articular erosion
Term
which lab is markedly increased in Rheumatic patients during an acute phase response?
Definition
CRP - 100 fold
Term
What is perhaps the most important test in rheumatology?
Definition
synovial fluid analysis
Term
What is the most common type of arthritis?
Definition
OA, one of most common causes of disability and dependence
Term
What study is considered essential for diagnosis of OA?
Definition
characteristic x-rays
Term
What is swelling usually related to in OA?
Definition
bony enlargement
Term
What is almost seen in the knee with OA?
Definition
crepitus, limited motion, and pain on motion
Term
Where is the pain usually located where with hip involvement in OA?
Definition
upper thigh or inguinal region, sometimes radiating to knee
Term
What is OA of the cervical and lumbar spine referred to as?
Definition
spondylosis
Term
What is seen in the spine with OA that causes chronic radicular leg pain that is worse with activity and better with rest?
Definition
spinal stenosis w/resultant cord compression
Term
What is seen in the spine with OA that causes chronic radicular leg pain that is worse with activity and better with rest?
Definition
spinal stenosis w/resultant cord compression
Term
What is the most common musculoskeletal complaint requiring medical attention?
Definition
back pain
Term
What is the prognosis for patients with acute back pain?
Definition
90% of pain will disappear in 1 month
Term
Where do most lumbar disk herniations occur?
Definition
L4-L5, L5-S1
Term
Where is most shoulder pain from?
Definition
periarticular structures
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