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

2. 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

3. 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

4. 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

5. 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