Assistive Devices and Weight Loss for Bilateral Disease and Arthritis
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Questions and Answers

What is the overall goal of non-operative management of osteoarthritis?

  • Focus solely on weight loss
  • Increase the need for joint injections
  • Improve function and optimize quality of life (correct)
  • Minimize the role of physiotherapy

Which of the following is NOT part of nonoperative management of osteoarthritis?

  • Opioid analgesia (correct)
  • Weight loss
  • Phyiotherapy
  • Joint injections

What is the most common site of osteoarthritis?

  • Wrists
  • Knees (correct)
  • Elbows
  • Shoulders

What is a key aspect of the management of osteoarthritis?

<p>Multi-disciplinary approach (B)</p> Signup and view all the answers

Which modality is NOT involved in non-operative management of osteoarthritis?

<p>Surgery (C)</p> Signup and view all the answers

What is a primary reason for the team approach in managing osteoarthritis?

<p>To optimize quality of life (C)</p> Signup and view all the answers

What is one of the key recommendations in managing patients with hip and knee arthritis?

<p>Incorporating a team approach (D)</p> Signup and view all the answers

Which of the following statements is true about physiotherapy/exercise in hip and knee arthritis?

<p>Successful physiotherapy involves both in-office and at-home regimens (D)</p> Signup and view all the answers

Why are walking aids recommended for patients with hip and knee arthritis?

<p>To minimize the impact on ambulation (C)</p> Signup and view all the answers

Which guidelines are specifically mentioned in the text for managing hip and knee arthritis?

<p>ACR/AF 2019, OARSI 2019, EULAR 2018 (C)</p> Signup and view all the answers

Which type of physical activities are recommended for patients with low demand tolerance?

<p>Cycling, swimming, yoga (C)</p> Signup and view all the answers

Why is a team approach important in managing patients with hip and knee arthritis?

<p>To provide holistic care and optimize nonoperative measures (B)</p> Signup and view all the answers

What is the success rate of a total hip arthroplasty (THA) in reducing pain and restoring function?

<p>95% (D)</p> Signup and view all the answers

What is the main purpose of arthroscopic debridement in managing arthritis patients?

<p>To stimulate bone marrow stem cells (C)</p> Signup and view all the answers

Which surgical technique involves creating microfractures in exposed bone areas to stimulate bone marrow stem cells for cartilage regeneration?

<p>Arthroscopic Microfracture Technique (A)</p> Signup and view all the answers

What is the primary outcome of autologous cartilage implantation in knee arthritis management?

<p>Good to excellent results in 60-80% of cases (C)</p> Signup and view all the answers

When is a high tibial osteotomy considered in knee arthritis management?

<p>For patients with moderate arthritis in the medial compartment without knee changes (C)</p> Signup and view all the answers

What is a key difference between partial and total knee replacements regarding joint replacement?

<p>Total replacement replaces the entire joint while partial only part. (D)</p> Signup and view all the answers

What is the role of weight loss in managing patients with osteoarthritis (OA) of the hip and knee, based on the text?

<p>Weight loss is strongly recommended, with important benefits beginning at greater than 7.5% of body weight loss (A)</p> Signup and view all the answers

What is the recommended nonopioid analgesic for arthritis pain in the hip and knee?

<p>Tylenol (up to 4 g a day) (B)</p> Signup and view all the answers

What is the role of intra-articular injections in osteoarthritis (OA) based on the text?

<p>Intra-articular injections are a short term solution with mixed evidence for recommended use (B)</p> Signup and view all the answers

What is the recommendation regarding bracing in patients with mild/moderate instability associated with arthritis?

<p>Bracing can reduce pain, improve stability, and diminish risk of falling (A)</p> Signup and view all the answers

What lifestyle modification is strongly recommended for patients with osteoarthritis (OA) of the hip and knee?

<p>Regular exercise and physical activity (B)</p> Signup and view all the answers

What is the role of NSAIDs in the management of arthritis pain in the hip and knee?

<p>NSAIDs can be added if Tylenol is inadequate, considering lowest effective dose (A)</p> Signup and view all the answers

What is the main component in viscosupplementation for osteoarthritis?

<p>Hyaluronic Acid (HA) (D)</p> Signup and view all the answers

Which of the following statements is true about Hyaluronic Acid (HA)?

<p>It is thought to have anti-inflammatory and anti-nociceptive properties. (C)</p> Signup and view all the answers

What does the literature suggest regarding the routine use of Hyaluronic Acid (HA) in osteoarthritis?

<p>It may have a role in young active patients not ready for total knee replacement. (B)</p> Signup and view all the answers

What is Platelet Rich Plasma commonly used for in osteoarthritis management?

<p>To regenerate cartilage in the knee. (B)</p> Signup and view all the answers

Which of the following is NOT mentioned as a part of autologous cell therapies for osteoarthritis?

<p>Corticosteroids (B)</p> Signup and view all the answers

What role do corticosteroids play in managing osteoarthritis?

<p>Their short-term benefit varies among select patients. (A)</p> Signup and view all the answers

What is the current evidence supporting the routine use of Platelet Rich Plasma (PRP) intra-articular injections for arthritis?

<p>Not supportive at all (B)</p> Signup and view all the answers

What is a key limitation associated with Cell Therapies as discussed in the text?

<p>Short-term follow-up in literature (A)</p> Signup and view all the answers

What aspect of Cell Therapies is currently unclear?

<p>Efficacy (B)</p> Signup and view all the answers

What is the author's stance on the use of stem cell intra-articular injections according to the text?

<p>Not approved in Canada (B)</p> Signup and view all the answers

What are the indications mentioned in the text for considering operative management in hip and knee arthritis?

<p>Reasonable expectations of joint replacement (C)</p> Signup and view all the answers

What is highlighted as a reason for not offering Platelet Rich Plasma (PRP) intra-articular injections as a treatment option according to the text?

<p>Unclear proper dose or frequency (C)</p> Signup and view all the answers

Which term is used in the text to describe Mesenchymal stem cells?

<p>'Minimally manipulated' cells (D)</p> Signup and view all the answers

What is mentioned as a common issue with the literature on Cell Therapies in the text?

<p>'Small sample sizes' used (D)</p> Signup and view all the answers

Which statement accurately reflects the current state of Cell Therapies according to the text?

<p>'We aren't there yet' (A)</p> Signup and view all the answers

What is emphasized as a primary requirement for considering operative management in hip and knee arthritis?

<p>'Reasonable' expectations of joint replacement (D)</p> Signup and view all the answers

What is the primary emphasis of a team approach in managing patients with osteoarthritis (OA) of the hip and knee?

<p>Enhancing patient education and lifestyle modifications (B)</p> Signup and view all the answers

In the context of osteoarthritis (OA), what is a key role of education and lifestyle modifications?

<p>Improving overall management and quality of life for patients (C)</p> Signup and view all the answers

Which intervention plays a significant role in managing osteoarthritis (OA) by reducing inflammation?

<p>Cortisone injections (D)</p> Signup and view all the answers

What is a key feature of hyaluronic acid injections in the management of osteoarthritis (OA)?

<p>Long-lasting lubrication and cushioning in the joints (A)</p> Signup and view all the answers

When are orthopedic surgical interventions generally considered in patients with osteoarthritis (OA) of the hip and knee?

<p>When conservative treatments have been exhausted or are no longer effective (C)</p> Signup and view all the answers

How do cortisone injections differ from hyaluronic acid injections in the management of osteoarthritis (OA)?

<p>Cortisone is more effective in minimizing inflammation (B)</p> Signup and view all the answers

Why is a team approach important in managing patients with osteoarthritis (OA) of the hip and knee?

<p>To provide a variety of options for nonoperative management (A)</p> Signup and view all the answers

What is a key aspect of the education patients should receive about managing osteoarthritis (OA) of the hip and knee?

<p>Understanding the necessity of nonoperative measures (A)</p> Signup and view all the answers

What is the role of cortisone injections in managing osteoarthritis (OA) of the hip and knee?

<p>They can provide temporary pain relief in nonoperative management (B)</p> Signup and view all the answers

What lifestyle modification is strongly recommended for patients with osteoarthritis (OA) of the hip and knee?

<p>Maintaining a healthy weight (D)</p> Signup and view all the answers

What are some indications for orthopedic surgery in osteoarthritis (OA) of the hip and knee?

<p>For cases where nonoperative management has failed to provide relief (B)</p> Signup and view all the answers

What advances have been made in orthopedic surgery for osteoarthritis (OA) of the hip and knee?

<p>Innovative minimally invasive procedures are now available (C)</p> Signup and view all the answers

What is a key reason for adopting a team approach in managing patients with osteoarthritis (OA) of the hip and knee?

<p>To provide comprehensive care that addresses various aspects of the patient's condition (D)</p> Signup and view all the answers

What is a primary role of education and lifestyle modifications in managing OA of the hip and knee?

<p>To improve patient outcomes, slow disease progression, and reduce pain (A)</p> Signup and view all the answers

What is a key aspect of the team approach in managing patients with hip and knee arthritis?

<p>Neglecting the need for a multidisciplinary approach to patient care (A)</p> Signup and view all the answers

Why are education and lifestyle modifications considered important in the management of hip and knee arthritis?

<p>To empower patients to actively manage their condition (C)</p> Signup and view all the answers

What is the primary role of cortisone injections in the management of osteoarthritis (OA) of the hip and knee?

<p>To provide long-term pain relief (B)</p> Signup and view all the answers

What is a critical aspect of hyaluronic acid injections in the management of osteoarthritis (OA)?

<p>Temporary relief of joint pain (A)</p> Signup and view all the answers

What are the indications for orthopedic surgery in hip and knee arthritis?

<p>Failure of nonoperative treatments (A)</p> Signup and view all the answers

How have recent advancements in orthopedic surgery impacted the management of hip and knee arthritis?

<p>Increased lifespan of total joint replacements (C)</p> Signup and view all the answers

What is one of the key rationales for adopting a team approach in managing patients with osteoarthritis (OA) of the hip and knee?

<p>It ensures a multidisciplinary approach to address various aspects of the patient's condition (C)</p> Signup and view all the answers

In the context of osteoarthritis (OA) management, what is a key aspect that lifestyle modifications aim to achieve?

<p>Slowing down disease progression (A)</p> Signup and view all the answers

What is a significant consideration when it comes to the role of cortisone injections in osteoarthritis (OA) management according to the text?

<p>Their effectiveness varies based on individual patient characteristics (C)</p> Signup and view all the answers

Regarding hyaluronic acid injections in osteoarthritis (OA), what does the text suggest about their mechanism of action?

<p>They are thought to have lubricating properties (A)</p> Signup and view all the answers

In the context of orthopedic surgery for OA of the hip and knee, what factor plays a crucial role in determining the need for surgical intervention?

<p>Failure of non-surgical management strategies (B)</p> Signup and view all the answers

What does the text highlight as an important consideration when discussing advances in orthopedic surgery for OA of the hip and knee?

<p>Limited innovation in surgical techniques (A)</p> Signup and view all the answers

What is highlighted as a key reason for not offering Platelet Rich Plasma (PRP) intra-articular injections as a treatment option according to the text?

<p>Regeneration of cartilage (D)</p> Signup and view all the answers

In what state does the text describe Platelet Rich Plasma (PRP) injections in terms of regenerating cartilage?

<p>Ineffective (D)</p> Signup and view all the answers

What is emphasized as a key role of education and lifestyle modifications in the management of osteoarthritis (OA) of the hip and knee?

<p>Maximizing nonoperative management (A)</p> Signup and view all the answers

What aspect of cortisone injections in osteoarthritis (OA) is discussed in the text?

<p>Unclear efficacy (B)</p> Signup and view all the answers

What is the primary role of hyaluronic acid injections in osteoarthritis (OA) according to the text?

<p>Uncertain efficacy (B)</p> Signup and view all the answers

What is one of the indications mentioned in the text for considering operative management in hip and knee arthritis?

<p>'Maximized' nonoperative management (A)</p> Signup and view all the answers

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