2 Med/surgical - Degenerative Joint Disease

Front 1

a loss of bone density

Back 1

osteoporosis

Front 2

a vitamin D deficiency causing decalcification and softening of the bone

Back 2

osteomalacia

Front 3

the inflammation of a joint

Back 3

arthritis

Front 4

a chronic systematic autoimmune disease - inflammation of (connective tissue in synovial joints)bones and muscles as well as joints is called

Back 4

rheumatic disease RA

Front 5

Slowly progressive non inflammatory disorder of the joints

Back 5

osteoarthritis

Front 6

an increase in uric acid production and deposits in the articular, periarticular and subcutaneous joints

Back 6

Gout

Front 7

a PT 30-50 year old , mainly females 3:1 with autoimmune or stress has the best chance of developing

Back 7

RA Rhuematoid arthritis

Front 8

a PT 40-60 years old, females 2:1 , due to causes of obesity, aging, genetic factor have the chance of developing

Back 8

osteoarthritis

Front 9

auto-antibodies react with IGG to form immune complexes and deposit in the joints

Back 9

Rheumatoid Factor RF

Front 10

A Genetic cause of rheumatoid disease is familiar influence with human leukoctye ______

Back 10

Ag (Hla)

Front 11

synovial hypertrophy and thickening of joint capsule w/ increase deformity of joints and morning stiffness is likely associated with

Back 11

rheumatoid arthritis

Front 12

Affects the extensor and flexor tendons around the writsts with increase incidence of carpal tunnel syndrome

Back 12

tenosynovitis

Front 13

ulnar drift, swan neck and boutonniere are all tyopes of what kind of deformities

Back 13

hand

Front 14

hallus valgus is a deformity of the

Back 14

foot / bunion

Front 15

non tender granuloma mass on the joints of the fingers, elbows, back of head, base of spine

Back 15

rheumatoid nodules

Front 16

10-15% of PT with RA
decrease in lacrimal and salivary gland secretion

Back 16

sjogrens syndrome

Front 17

common in patients with nodule forming RA - increase in systematic complications

Back 17

felty sundrome

Front 18

Your PT is having symptoms of stiffness, pain, limited movement and inflammation in joints -with periods of remission and flare up/exacerbation - he most likely has

Back 18

rheumatoid arthritis

Front 19

major complications of RA include

Back 19

flexion contractions
loss of joint motion
cataracts
incrase vascular insuffiency
incrase risk of skin ulcers like
pressure ulcers
carpal tunnel syndrome
systematic involvement

Front 20

the most common form of koint disease in NA ... slowly progressive non-inflammatory disorder of synovial joints

Back 20

osteoarthritis

Front 21

Your PT is having an aspiration of straw colored fluid with fibrin flecks including WBC, this is known as

Back 21

synovial fluid

Front 22

blood tests, xrays and synovila fluid aspiration iscommon diagnosis for

Back 22

rheumatoid arthritis

Front 23

your PT is on a biological targeted drug therapy to slow the progression of RA - examples are sulfasalazine and droxychlorquine

Back 23

DMARDS

nsaids - another drug helpful

Front 24

what is used to treat flare ups, inflammation and pain due to RA

Back 24

Cortocosteriods

Front 25

what is used to treat inflammation due to RA

Back 25

Antibodies

Front 26

blood filtering to remove the rheumatoid factor from the patients blood is knwon as

Back 26

apheresis

Front 27

a surgical intervention for joint reconstruction and replacement to release medial nerve

Back 27

open carpal tunnel release

Front 28

The most common form of joint disease - a non infammatory process where the joints undergo a degenerative procfess with subcondral bondy sclerosis - loss of articular cartilage and proliferation of bone spurs

Back 28

degenerative joint disease or OSTEOARTHRITIS

Front 29

name two types of osteoarthritis

Back 29

primary and idiopathic

Front 30

blood of a patient is passed through an appartus that seperates out one particular constitutuent and returns remaining blood to patient is a process known as

Back 30

apheresis

Front 31

the inflammation of synovial membrane

Back 31

synovitis

Front 32

partial joint dislocation

Back 32

subluxation

Front 33

Your PT is experiencing yellow or brownish gray cartilage - what does this mean

Back 33

a loss of cartilage

Front 34

what deals with trauma, skeletal disorders, iatrogenic and congenital hip dyslasia

Back 34

secondary osteoarthritis

Front 35

what involves formation of new joint tissue in response to erosion

Back 35

osteoarthritis

Front 36

DJD/osteoarthritis is characted by degeneration and loss of articular cartilage in the

Back 36

synovial joints

Front 37

what increases stress and wear tear on the joints

Back 37

obesity

Front 38

a symtom in 40 yar old - pain is localized to affected joints increasing with activity and long period of immobility, a decrease in ROM, limited flexion and extension. muscle atrophy

Back 38

DJD

Front 39

after 70 years a person experiences how much bone deformity

Back 39

100 percent

Front 40

name diagnostic tests for DJD

Back 40

ESR
routine blood work
xray
mri
bone scan

Front 41

How do you assess your PT for djd/osteoarthritis

Back 41

note age gender ethnicity
fam history of arthritis and OA
occupation, sports
history of obesity
onset of symptoms

Front 42

how do you treat DJD/OA

Back 42

simple analgesics (NSAIDS,TYLENOL)
topical agents
corticosteroids

Front 43

an intra-articular injection with a local anesthesia with or without a steroid injection is the best mdication to treat

Back 43

djd./oa

Front 44

Is there a cure for DJD/OA

Back 44

no

Front 45

what is the magic number for fluid intake

Back 45

2-3L
or 2000-3000ml

Front 46

a visual insepction of the joint and minor repair and flush debris with NSS (joint irrigation)

Back 46

arthroscopy

Front 47

a fusion of joint is called

Back 47

arthrodesis

Front 48

a reconstruction or replacement of a joint is called

Back 48

arthroplasty

Front 49

PreOP care for TKA/THA

Back 49

Asess knowledge of prcuedure
teach respiratory excercises
baseline vitals, MUST DO EKG, NV CHECKS, chest xray
educate P.C.A.
IV antiiotic therapy PREOP and post OP

Front 50

What helps thing blood and avoid clots

Back 50

anti-coagulation therapy
(HEPARIN/LOVENOX)

Front 51

What helps to restore ROM and promote circulation to Lower extremeties and knee

Back 51

CPM Machine

Front 52

does the CPM machine run while patient is eating?

Back 52

no

Front 53

Total KNEE Arthroplasty - you must do what for post-op care for PT

Back 53

VS, NV check
monitor bleeding
anti-embolic stockings
CPM
P.C.A.
fluids, pt, high fiber diet
anti-coagulation therapy

Front 54

Pain that is not relieved by meds and keeps patient awake at night - problems up or ddown stairs - difficult getting up from chair ,m limited mobility and pain that impedes normal activity is indications for

Back 54

Total HIP Arthroplasty

Front 55

A PT that is using an abductor pillow, turned every 2 hours, out of bed NEXT day is indicative of a

Back 55

total HIP arthroplasty

Front 56

for intervention for venous thromboembolism you....

Back 56

use TEDS
anticoagulation therapy
know s&s PE. FES.

Front 57

if hypotension...you must

Back 57

VS, assess s&s , look at labs including WBC and handh

Front 58

if dislocation, you must

Back 58

position correctly , hip keep legs abducted

Front 59

chest pain, apprehension, tachypnea, dyspnea, tachycardia, petechaie are signs and symptoms of

Back 59

FES (fat embolism)

Front 60

position mainted following a T.H.A. or bipolar Hip Repair is

Back 60

abduction

Front 61

a complication of a total hip replacement is

Back 61

dislocation

Front 62

hypotension and bleedings is a sign and symptom of

Back 62

pulmonary embolism

Front 63

can you cross your legs with a total hip replacement

Back 63

NO

Front 64

in assessing the joints of your pt with RA - you must understand that the joints are damaged by

Back 64

invasion of panus into the joint capsule and subchrondral bone

Front 65

your PT has osteoarthritis - what assessment is common

Back 65

progressive joint pain with activicty

Front 66

a Rx of patient with ankylosing spondylitis is to teach the pt

Back 66

proper posture and engage in back excercises

Front 67

what is a treatment for acute disease such as GOUT

Back 67

Colchicine

Front 68

the patyhology of SLE includes

Back 68

the production of autoantibodies directed against constituents of cellular dna

Front 69

which of the followinmg autoimmune disorders is likely to be developed with Sjogrens syndrome?

Back 69

hashimotos thryroditis

Front 70

a relatively common autoimmune disease leading to dry mouth and dry eyes - women 40-60 years - caused by genetetic and environmental factors

Back 70

sjogrens syndrome

Front 71

teaching a patient with chronic fatigue syndrome - the nurse understands that

Back 71

many symptoms are similar to fibryomyalgia syndrome

Front 72

a chronic disorder characterized by widespread musculoskeletal pain and fatigue with tender points.

Back 72

fibromyalgia syndrome