WorksheetsOsteoporosis/Rheumatology
Total questions: 21
Worksheet time: 11mins
Which promotes net bone resorption?
acidosis
estrogen
growth hormone
testosterone
Which is thought to first occur in osteoarthritis?
bony destruction
exogenous cytokine release
swelling of cartilage
synovial destruction
A patient presents to you with low-back pain, which she attributes to her being diagnosed with osteoporosis. Osteoporosis is usually not visible on conventional radiographs until at least ____% of bone mineral has been lost.
10-15
15-20
25-30
35-40
40-45
kyphotic posture may improve with:
abdominal strengthening exercise
back extensor strengthening exercises
spinal flexion exercises
use of a williams back brace
a biochemical marker of bone formation is:
24 hour urinary calcium excretion
hydroxyproline in urine
pyridinium cross-links in urine
serum alkaline phosphatase
Which epitope is associated with rheumatoid arthritis?
HLA-DR2
HLA-DR4
HLA-DR6
HLA-B27
A 55-year-old male comes to your office for pain and stiffness. He reports he has been having difficulty with back and neck range of motion and difficulty swallowing. You order an x-ray and see calcifications in the ligaments at their insertion. You diagnose Diffuse Idiopathic Skeletal Hyperostosis (DISH). This condition preferentially affects the:
Cervical Spine
Thoracic Spine
Lumbar Spine
Pelvis
Pseudogout may be associated with
amyloidosis
hyperthyroidism
hypocalcemia
characteristic rash
What is the average amount of time between gout attacks?
1 week
6 months
11 months
24 months
Bouchard's nodes are located at the:
DIPs
PIPs
MCPs
Wrists
which of the following rheumatic diseases produces the most disability in the general population
fibromyalgia
rheumatoid arthritis
osteoarthritis
tendonitis
which image technique is most sensitive in detecting sacroiliitis?
conventional radiography
CT scan
bone scan
MRI
all of the following disease-modifying antirheumatic drugs (DMARDS) have been approved for use in patients with rheumatoid arthritis and ankylosing spondylitis except:
tumor necrosis factor antagonists
methotrexate
rituximab
sulfasalazine
all of the following statements regarding seronegative spondyloarthropathies are true except:
psoriatic arthritis can affect primarily the spine or small hand joints
enthesitis is an inflammation of tendon insertions into bone
they include ankylosing spondylitis, reactive arthritis, and reiter syndrome
exercise is contraindicated when the disease affects the lumbar spine
72-year-old female comes to your clinic for bilateral knee pain. She reports it gets worse with activity and usually is worse in the afternoon compared to the morning. She points to the medial knee bilaterally for the maximal point of tenderness. On exam you notice crepitus and confirm her tenderness. All other provocative maneuvers of the knee are normal. Which of the following is not a radiographic finding of this condition?
loose bodies
osseous cysts
osteopenia
subchondral sclerosis
Podagra is observed in all of these except:
gout
reactive arthritis
sarcoidosis
pesudogout
How would you best describe typical radiographic findings of hip osteoarthritis?
Diffuse joint space narrowing
Inferomedial joint space narrowing
Medial joint space narrowing
Superolateral joint space narrowing
A 48-year-old female was recently diagnosed with osteoporosis. She is trying to do everything she can to prevent this from progressing. How much calcium should she be taking daily?
500-1000mg
1200-1500mg
1500-2000mg
2000mg-2500mg
How much vitamin D should a patient with osteoporosis take daily?
200-400 IU
400-800 IU
800-1000 IU
1000-1200 IU
Which type of orthotic can be prescribed to decrease pain in a patient with a stable osteoporotic vertebral body fracture?
CASH Brace
Jewett Brace
Nonrigid Brace
Rigid Brace
Chest expansion less than how many cm is associated with an increased risk of restrictive lung disease in ankylosing spondylitis?
7-8cm
9-10cm
15-16cm
20-21cm
