DSA11 - ARTHRALGIA WITHOUT PRIMARY SYSTEMIC
INFLAMMATION EXAM QUESTIONS AND ANSWERS LATEST
UPLOAD 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED
BEST GRADED A+ FOR SUCCESS
Define Ballottement (Patellar Tap Test) - CORRECT ANSWERS patella will float or bounce back on
palpation, sign of joint effusion
Define Peri-Articular Joint Pain - CORRECT ANSWERS Pain in surrounding soft tissue - aka outside
joint (muscle, bursa, ligament, tendon)
Define Articular/Mono-articular Joint Pain - CORRECT ANSWERS Pain with direct palpation of joint
line & with passive and active ROM
What are associated signs to look for Infectious arthritis? - CORRECT ANSWERS Rash (ex:
Gonococcal), Cardiac Murmur, Splinter Hemorrhages (ex: Endocarditis), Tophi (ex: Gout), Conjunctival
erythema (ex: reactive arthritis)
Define Joint Aspiraiton - CORRECT ANSWERS Most impt lab test for mono-articular joint pain;
mandatory if infection is suspected (attempt in all patients with effusion or sign of inflammation)
What is the purpose of a Joint Aspiration? - CORRECT ANSWERS Evaluates whether the effusion is
inflammatory, infected, bloody, contains crystals or is bland (Get synovial CBC - WBC w/ differential,
crystal analysis, gram stain and culture)
Describe the Synovial Fluid Analysis of Noninflamamtory Synovial Fluid - CORRECT ANSWERS > 3.5
mL, High Viscosity, Clear Clarity, Straw/Yellow Color, < 2000 WBC
Describe the Synovial Fluid Analysis of Inflamamtory Synovial Fluid - CORRECT ANSWERS > 3.5 mL,
Low Viscosity, Cloudy Clarity, Yellow Color, > 2000 WBC
Describe the Synovial Fluid Analysis of Septic (Purulent) Synovial Fluid - CORRECT ANSWERS > 3.5
mL, Mixed Viscosity, Opaque Clarity, Mixed Color, > 50,000 WBC
Describe the Synovial Fluid Analysis of Hemorrhagic Synovial Fluid - CORRECT ANSWERS > 3.5 mL,
Low Viscosity, Mixed Clarity, Red Color, WBC similar to blood level
, DSA11 - ARTHRALGIA WITHOUT PRIMARY SYSTEMIC
INFLAMMATION EXAM QUESTIONS AND ANSWERS LATEST
UPLOAD 2024/2025 ALL ANSWERS 100% CORRECT VERIFIED
BEST GRADED A+ FOR SUCCESS
What are some risk factors for Septic Arthritis? - CORRECT ANSWERS Age > 80, Diabetes, Cancer,
Immunosuppression, RA, Joint Replacement, Recent joint surgery, Recent skin infection, IVDA
What is the most common non-gonococcal pathogen that can cause Septic/Bacterial Arthritis? -
CORRECT ANSWERS S. aureus
Describe Signs/Sx of Non-Gonococcal Bacterial/Septic Arthritis - CORRECT ANSWERS Acute mono-
articular arthritis, Severe pain, inanbility to bear weight, Pain with AROM & PROM, Swollen
joint/Erythematous/Warm/Tender + Maybe = Fever, chills, malaise
What organs are commonly affected in Bacterial/Septic Arthritis? - CORRECT ANSWERS Heart,
Urinary Tract, Respiratory System, Skin
Describe Signs/Sx of Bacterial Endocarditis - CORRECT ANSWERS Janeway lesions, Splinter
hemorrhages, Osler Nodes, Roth Spots
Define Janeway's Lesions - CORRECT ANSWERS painless erythematous macules on palms/soles seen
in Bacterial Endocarditis
Define Splinter's Hemorrhages - CORRECT ANSWERS Subungual lines of blood seen in Bacterial
Endocarditis
Define Osler Nodes - CORRECT ANSWERS Tender, erythematous nodules on finger/toe pads seen in
Bacterial Endocarditis
Define Roth Spots - CORRECT ANSWERS Pale lesions surrounding hemorrhage in the fundi seen in
Bacterial Endocarditis
Describe X-Ray imaging in Non-Gonococcal Bacterial Arthritis - CORRECT ANSWERS soft-tissue
swelling, effusion, juxta-articular osteoporosis, narrowing of joint space, loss of subchondral bone
When should MRI, CT, or Bone Scan be ordered in Non-Gonococcal Bacterial Arthritis? - CORRECT
ANSWERS Suspicion of Osteomyeltiis, Fracture, etc
