Wrap-Up and Post Course Self Assessment Dr. Diane Lacaille

What are the four pillars of osteoarthritis treatment? Choose one Patient education, rehabilitation, medication and referrals Exercise, pain management, imaging and investigations, patient self-management Rehabilitation, disability management, medications, patient self- management Weight management, pain management, patient education, early surgical referral   clicker questions – choose one answer: Patient Education, Rehabilitation, Medication and Referrals  

Which key clinical features are NOT suggestive of Inflammatory Arthritis Morning stiffness greater than 30 minutes Bony enlargement Synovial thickening Joint involvement of hands and feet Pain increased with rest or immobility clicker: answer b - Bony Enlargement

In which of the following situations would joint aspiration be clinically useful ? Acute joint swelling to rule out septic arthritis Acute joint swelling to detect presence of crystals To differentiate inflammatory from non-inflammatory causes of joint swelling To relieve pressure of moderate joint hemarthrosis To improve joint mobility and function 1,2 and 3 1,2 and 4 clicker: A,B and C

What is best practice for the management of Rheumatoid Arthritis? Early initiation of prednisone medication Prioritizing depression as a common co-morbidity Early initiation of Non-Biological Disease Modifying Anti- Rheumatic Drugs (DMARD”S) to reduce joint damage Referral to a rheumatologist prior to medication initiation clicker answer: 3 - Early initiation of Non-Biological Disease Modifying Anti-Rheumatic Drugs (DMARD”S) to reduce joint damage