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Current Concepts in the Management of Osteoarthritis

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1 / 20

1. Which of the Cytokines is NOT present at relatively high levels in OA synovial fluid?

a. IL-6

b. MCP-1

c. FGF-18

d. IP-10

2 / 20

2. All of the following statements are true about typical management of OA EXCEPT:

a. Goals of OA management are to minimize pain, optimize function, and tailor care to the individual’s needs, goals, and values.

b. Nonpharmacologic interventions are the mainstay of OA management and should be tried first.

c. Pharmacologic management of OA includes oral and topical nonsteroidal anti-inflammatory drugs (NSAIDs), topical capsaicin, duloxetine, and intraarticular glucocorticoids.

d. Pharmacologic management of OA includes opioids.

3 / 20

3. The lifetime risk of symptomatic knee OA is greater in obese persons ______________ than non-obese persons __________________.

a. (i) Obese persons: (BMI ≥ 10 kg/m2) (ii) Non-obese persons (49.7% versus 13.9%)

b. (i) Obese persons: (BMI ≥ 20 kg/m2) (ii) Non-obese persons (39.7% versus 12.9%)

c. (i) Obese persons: (BMI ≥ 40 kg/m2) (ii) Non-obese persons (29.7% versus 11.9%)

d. (i) Obese persons: (BMI ≥ 30 kg/m2) (ii) Non-obese persons (19.7% versus 10.9%)

4 / 20

4. All of the following statements are true about the clinical manifestations and diagnosis of OA EXCEPT:

a. OA may be diagnosed on clinical grounds alone.

b. Without radiographic evidence of OA, the diagnosis cannot be made.

c. OA has a predilection for the knees, hips, and hand joints.

d. Prolonged morning stiffness or rapidly progressive pain might indicate a different pathology.

5 / 20

5. Hip osteoarthritis is never attributed to congenital defect in the anatomy of the hipjoint.

a. True

b. False

6 / 20

6. Osteoarthritis, when involves the thumb base, gives it a:

a. Squared appearance

b. Oval appearance

c. Triangular appearance

d. Rectangle appearance

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7. In a 6-month long, double-blind randomized trial, a combination of ______________ + ________________ showed efficacy comparable to Celecoxib in subjects with severe pain from knee OA.

a. Acetaminophen + Glucosamine

b. Aspirin + Acetaminophen

c. Ibuprofen + Aspirin

d. Chondroitin sulfate + Glucosamine

8 / 20

8. Osteoarthritis of the finger joints is more common in the females, while in males’ hip or knee are commonly affected. Is this statement true or false?

a. True

b. False

9 / 20

9. How often can you receive corticosteroid injections to treat pain?

a. Once a week

b. Once a month

c. Two to four times a year

d. Once a year

10 / 20

10. Osteoarthritis of spine occurs as a result of degenerative changes in the apophyseal joints while spondylosis refers to degenerative disk disease. Is this statement true or false?

a. True

b. False

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11. All of the following statements are true about the pathogenesis of osteoarthritis (OA) EXCEPT:

a. It is simply a “wear and tear” process.

b. Risk factors include aging, joint injury, obesity, and genetics.

c. X-rays may be normal despite significant pain from OA early in the process.

d. Current treatments for OA are directed to controlling pain, and none have been proven to alter the progression of the disease.

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12. As per the guidelines from ACR and The European League Against Rheumatism suggests that GOA (Generalized Osteoarthritis) is present if there is OA at the spine or hand, and in at least

a. 1 or more other joint regions

b. 3 or more other joint regions

c. 4 or more other joint regions

d. 2 or more other joint regions

13 / 20

13. Which of the following are NOT a common characteristic of OA?

a. Fatigue & low-grade fever

b. Progressive degeneration of the cartilage

c. Remodelling of joint tissues

d. Narrowing of the joint Space

14 / 20

14. Osteoarthritis occurs as a result of:

a. Deficiency of calcium in young people

b. Gradual degeneration of the movable joints, due to wear and tear of the articular cartilage, with the advancing age

c. Low levels of estrogen in older women

d. High levels of estrogen in older women

15 / 20

15. 'Bony crepitus' which is heard on moving the knee affected with osteoarthritis is a:

a. Sensation of bone rubbing against bone

b. Sensation of weakness in the bone

c. Sensation of bubbles in the bone

d. Sensation of piercing under the skin

16 / 20

16. All of the following statements are true about total knee arthroplasty (TKA) EXCEPT:

a. A TKA typically lasts 10 to 20 years.

b. Clinical improvement compared with preoperative status generally begins between 2 and 3 weeks postoperatively.

c. Patients can usually walk with assistive devices on postoperative Day 1.

d. The length of hospitalization ranges from 1 to 3 days.

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17. Which of the factors was NOT considered for the study selection of the PICO Model?

a. Patients

b. Intervention

c. Race

d. Outcomes

18 / 20

18. Osteoarthritis affecting the distal inter phalangeal joints (i.e. first finger joint from the finger tip) is known as:

a. Bouchard's nodes

b. Richard's nodes

c. Both A & B

d. Heberden's nodes

19 / 20

19. Which of the following statements is TRUE regarding total hip arthroplasty (THA)?

a. THA is only performed with general anaesthesia.

b. Hospital length of stay is typically 1 to 3 days.

c. Typically, weight-bearing is allowed 3 to 5 days after surgery.

d. The most widely used combination is a polyethylene femoral head (ball) with a ceramic acetabular liner.

20 / 20

20. Which of the following is NOT a non-pharmacological and non-surgical intervention in knee OA management?

a. Pain medications

b. Physical therapy

c. Weight loss

d. Stem cell therapy

SICOT

International Society of Orthopaedic Surgery and Traumatology

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Examination Total Duration : 1 Hour