The orthopaedic surgeon’s perspective

Presented by Duncan Lascelles, BSc, BVSc, PhD, CertVA, DSAS(ST), Dipl. ECVS/ACVS and Beatriz Monteiro, DVM, PhD, PgDip

Continuing education questionnaire

CE credit: 1

AssignedWebcast

Name

First name *

Last name *

License number *

Province where you practise *

Email *

Questions

1. Which of the following statements is correct? *

Osteoarthritis is a disease of young dogs but signs of osteoarthritis pain are only seen later in life

Osteoarthritis is a disease of young dogs and signs of osteoarthritis pain are present early in life

Osteoarthritis is a disease of old dogs and signs of osteoarthritis pain are variable

Osteoarthritis is a disease of old dogs and does not cause pain

2. With respect to early osteoarthritis, which of the following statements is incorrect? *

The detection of early osteoarthritis is not clinically important

Early osteoarthritis is rarely silent

Signs of early osteoarthritis are often overlooked

Pain associated with early osteoarthritis is not necessarily mild

3. What is one of the earliest manifestations of pain associated with osteoarthritis? *

Lameness

Grunting when rising

Behavioural adaptations of normal activities

Excessive licking of joints

4. Gait abnormalities in dogs with osteoarthritis are most commonly due to which of the following? *

Joint thickening

Pain

Joint instability

Proprioceptive deficits

5. Screening for signs of osteoarthritis-related pain should be performed in which population of dogs? *

Old dogs

Young dogs

Dogs with developmental joint disease

All dogs

6. What tool is most important in the screening and diagnosis of early osteoarthritis? *

Force plate analysis

Computed tomography

Observation, both in clinic and at home

Nuclear scintigraphy

7. Which statement is true regarding the role of radiography in the early diagnosis of osteoarthritis? *

Whole body radiography should be an initial screening tool for all dogs at risk of osteoarthritis

Radiography should be used to confirm the diagnosis when osteoarthritis is suspected based on observation, owner questionnaires and examination findings

The severity of osteoarthritis changes on radiographs should be used to determine the dose of analgesic that is needed

Radiography should be used to monitor response to intervention for osteoarthritis

8. The early intervention of osteoarthritis-related pain should include which of the following? *

The use of an effective analgesic, such as an NSAID

Body weight management

Appropriate exercise

All of the above

9. Which of the following is NOT a consequence of uncontrolled osteoarthritis-related pain? *

Muscle atrophy

Increased pain sensitization

Osteopenia

Change in demeanour

10. Approximately how long does it take to reverse pain sensitization and the changes induced by pain in the musculoskeletal system? *

3 days

3 weeks

3 months

3 years