Decluttering osteoarthritis treatment options with experts

Presented by Conny Mosley, Dr.med.vet., Dipl. ACVAA, CVA, Laura Romano, DVM, Dipl. ACVSMR, Terri Schiller BSc, DVM, Dipl. ACVS, CCRT

Continuing education questionnaire

CE credit: 1

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Questions

1. True or False. Exercise is an important core treatment in any stage of osteoarthritis (OA). *

True

False

2. All of the following sentences are true about OA except: *

OA is an inflammatory disease that requires treatment at an early stage

OA only requires treatment at COAST stages 3 and 4

Muscle atrophy and weakening muscle strength may add to poor QoL

Specific exercises tailored to the individual patient may help maintain strength

3. True or False. NSAIDs are the cornerstone of OA treatment and included in the core treatment recommendation at stages 2–4. *

True

False

4. NSAIDS are discussed throughout the OA guidelines. Select the best response below. *

Based on evidence, NSAIDs are the most efficacious OA treatment options currently available

NSAIDs are recommended to be given for 4 weeks to effectively reduce inflammation, and then reassessed to determine if long-term treatment is required

Flare-ups (acute chronic pain) are treated with NSAIDs, when possible

All of the above

5. Chondroprotective agents are commonly used to treat OA. All of the following sentences are true except: *

The efficacy of glucosamine and chondroitin is controversial

We have some studies that show promising results for green-lipped mussel extract products

Multiherbal combination products including omega-3s, chondroitin and glucosamines are likely more effective than glucosamine alone

Omega-3s are not effective unless sourced from flaxseeds (ALA)

6. All of the following sentences are true about the Canadian OA Treatment Guidelines, except: *

The authors are from diverse and progressive backgrounds with experience treating OA

The core treatment recommendations were based on a consensus from all authors in the group

The secondary treatment options were based on clinical experience and studies, but did not reach a consensus, especially on when to be introduced

Nutrition and weight management do not play any role in these guidelines

7. True or False. Education and early intervention is key in treating OA and slowing down progression of disease. *

True

False

8. OA is a challenging disease because: *

It is a complex and multifactorial disease with a degenerative progression

Treatments require a multimodal and individualized approach

It is time consuming and requires frequent assessments

All of the above are true

9. Rehabilitation offers numerous benefits to OA patients. All of the following sentences are true except: *

Rehabilitation tailors the treatment plan to the individual patient

Rehabilitation frequently assesses progress, treatment effectiveness, QoL

Rehabilitation can start at early stages and helps with injury prevention training

Rehabilitation is only needed for dogs recovering from surgery

10. True or False. There is currently very little scientific evidence for the effectiveness of tramadol, gabapentin and amantadine in OA. *

True

False