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

2 1.Patient education, rehabilitation, medication and referrals 2.Exercise, pain management, imaging and investigations, patient self-management 3.Rehabilitation, disability management, medications, patient self- management 4.Weight management, pain management, patient education, early surgical referral What are the four pillars of osteoarthritis treatment? Choose one

3 1. Morning stiffness greater than 30 minutes 2. Bony enlargement 3. Synovial thickening 4. Joint involvement of hands and feet 5. Pain increased with rest or immobility Which key clinical features are NOT suggestive of Inflammatory Arthritis

4 1. Acute joint swelling to rule out septic arthritis 2. Acute joint swelling to detect presence of crystals 3. To differentiate inflammatory from non-inflammatory causes of joint swelling 4. To relieve pressure of moderate joint hemarthrosis 5. To improve joint mobility and function 6. 1,2 and ,2 and 4 In which of the following situations would joint aspiration be clinically useful ?

5 1. Early initiation of prednisone medication 2. Prioritizing depression as a common co-morbidity 3. Early initiation of Non-Biological Disease Modifying Anti- Rheumatic Drugs (DMARD”S) to reduce joint damage 4. Referral to a rheumatologist prior to medication initiation What is best practice for the management of Rheumatoid Arthritis?