Osteoarthritis

Question 0

What is the duration of morning stiffness in OA compared to RA

Answer 0

OA typically <30 min worsens with use, improves with rest

RA typically 45 or more

Question 1

What is the Gelling phenomenon

Answer 1

Pain tends to worsen with activity, especially following a period of rest

Question 2

What are the most common joints affected in OA

Answer 2

Hands (DIP&PIP), knees, hips and spine

Question 3

T/F OA is usually asymmetric

Answer 3

True

Question 4

What are the 2 characteristic nodes in OA

Answer 4

Herberden’s DIP

Bouchard’s PIP

Question 5

What are some common radio graphic findings in OA

Answer 5

Joint space narrowing

Osteophytes

Question 6

OA is a localized disorder and not a systemic process so blood tests should be normal i.e. ESR, RF

Answer 6

True

Question 7

What study can be ordered to confirm the diagnosis

Answer 7

X Ray weight bearing

Question 8

What are common treatments

Answer 8

Acetaminophen , COX-2 inhibitor, NSAIDs + PPI, nonacetylated salicylate
Glucocorticoid
Hyaluronic acid
Topical capsaicin, methylsalicylate