Osteoarthritis Overview Quiz
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Questions and Answers

What is a common adverse effect of tramadol?

  • Dry mouth
  • Diarrhea
  • Headache
  • Dizziness (correct)
  • Which of the following is a strongly recommended treatment for intra-articular therapy in osteoarthritis?

  • Capsaicin
  • Glucosamine
  • Glucocorticoids (correct)
  • Hyaluronic acid
  • Which condition may make opioid analgesics the preferred option for pain management in osteoarthritis?

  • Renal failure (correct)
  • Mild acute pain
  • Skin conditions
  • Moderate arthritis pain
  • What role does glucosamine play in osteoarthritis treatment?

    <p>Chondroprotective agent</p> Signup and view all the answers

    How often should a single joint generally be treated with glucocorticoids in intra-articular therapy?

    <p>Once every 3 months</p> Signup and view all the answers

    What is a characteristic of capsaicin as a topical agent?

    <p>Requires continual application for efficacy</p> Signup and view all the answers

    Why is the use of glucosamine not recommended by guidelines despite its popularity?

    <p>Inconsistent efficacy and placebo effects</p> Signup and view all the answers

    Which of the following treatments is least likely to be effective for acute pain in osteoarthritis?

    <p>Capsaicin cream</p> Signup and view all the answers

    What is a characteristic feature of osteoarthritis pain?

    <p>It worsens with activity.</p> Signup and view all the answers

    Which joint symptoms are most commonly associated with osteoarthritis?

    <p>Joint instability and pain.</p> Signup and view all the answers

    Which of the following is NOT a recognized risk factor for developing osteoarthritis?

    <p>Alcohol consumption.</p> Signup and view all the answers

    Which of the following nonpharmacologic strategies is commonly used in the management of osteoarthritis?

    <p>Weight loss and exercise.</p> Signup and view all the answers

    In osteoarthritis, which statement best describes the nature of joint involvement?

    <p>It can affect almost any joint but often presents asymmetrically.</p> Signup and view all the answers

    How does osteoarthritis differ from rheumatoid arthritis in terms of morning stiffness?

    <p>Stiffness in osteoarthritis lasts less than 30 minutes.</p> Signup and view all the answers

    What is a potential adverse effect of using duloxetine for osteoarthritis management?

    <p>Dry mouth</p> Signup and view all the answers

    Which method is NOT a pharmacologic management option commonly used for osteoarthritis?

    <p>Cognitive behavioral therapy.</p> Signup and view all the answers

    Which of the following statements about acetaminophen is true?

    <p>It is an appropriate choice for short-term use in some patients.</p> Signup and view all the answers

    What is the primary purpose of using NSAIDs in the pharmacologic management of osteoarthritis?

    <p>To reduce pain and improve functioning</p> Signup and view all the answers

    What typically remains normal in patients with osteoarthritis despite joint pain and dysfunction?

    <p>Erythrocyte sedimentation rate.</p> Signup and view all the answers

    Which of the following is a preferred option for patients at high risk for gastrointestinal complications when managing osteoarthritis?

    <p>COX-2 inhibitors</p> Signup and view all the answers

    Why are topical NSAIDs not recommended for deeper joints like the hip?

    <p>They do not penetrate deep enough to provide relief.</p> Signup and view all the answers

    What is the role of tramadol in the pharmacologic management of osteoarthritis?

    <p>It is recommended only after other options have failed.</p> Signup and view all the answers

    What type of exercise is generally advisable for patients with knee or hip osteoarthritis?

    <p>Low-impact exercise</p> Signup and view all the answers

    Which of the following actions may be beneficial for patients experiencing osteoarthritis symptoms?

    <p>Using knee braces to delay OA progression</p> Signup and view all the answers

    Study Notes

    Osteoarthritis - Definition

    • A degenerative disorder of the articular cartilage
    • Associated with hypertrophic changes in the bone
    • The "Wear and Tear" form of arthritis
    • Strongly related to age

    Osteoarthritis - Pathogenesis

    • Progressive loss of joint cartilage
    • Subchondral damage
    • Joint space narrowing
    • Changes in underlying bone and soft tissue
    • Culminates in deformed, painful joints

    Osteoarthritis - Classification

    • Primary: Predominant form occurring in the absence of known precipitating event
    • Secondary: Developmental disorders or inflammatory, metabolic or endocrine diseases

    Osteoarthritis - Risk Factors

    • Increased age
    • Female sex
    • Genetic predisposition
    • Heavy physical activity
    • Obesity increases load-bearing stress on hip and knee joints

    Osteoarthritis - Clinical Presentation

    • Joint pain, often worse with activity
    • "Gelling phenomenon": pain worsens after a period of rest
    • Morning stiffness, usually less than 30 minutes
    • Joint locking or instability
    • Loss of function, limiting activities of daily living
    • Most common joints affected: hands, knees, hips, and spine
    • Asymmetric, may affect one side more severely
    • Erythrocyte sedimentation rate and C-reactive protein levels are typically normal

    Osteoarthritis - Nonpharmacologic Management

    • Primary strategy for treatment
    • Pharmacologic management has significant adverse effects and modest efficacy
    • Education, exercise, weight loss, and cognitive behavioral intervention are integral components.

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    Description

    Test your knowledge on osteoarthritis, a degenerative joint disorder. This quiz covers its definition, pathogenesis, classification, risk factors, and clinical presentation. Perfect for students and professionals interested in musculoskeletal health.

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