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Heberdens Nodes
Series Editor and Author:
Frank L. Urbano, MD
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1. Which of the following disorders has NOT been observed in connection with Heberdens nodes?
- Gout
- Osteoarthritis
- Rheumatoid arthritis
- Systemic lupus erythematosus
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2. Which of the following statements concerning osteoarthritis is NOT true?
- It is solely caused by the degeneration of structures within the joints
- It is the most common type of arthritis
- It may cause effusions in larger joints
- Physical examination of affected joints typically reveals crepitus
- Symptoms may include joint pain and morning stiffness
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3. Which of the following statements correctly describes the utility of Heberdens nodes in the diagnosis of osteoarthritis?
- Heberdens nodes are a poorer marker of generalized osteoarthritis than are distal interphalangeal (DIP) osteophytes
- Heberdens nodes have a higher specificity than do immature DIP osteophytes as indicators of generalized osteoarthritis
- Heberdens nodes have a positive predictive value of approximately 75% as indicators of osteoarthritis of other joints
- Heberdens nodes have a sensitivity of approximately 66% for indicating generalized osteoarthritis
- There is good correlation between the presence of Heberdens nodes and the presence of DIP osteophytes
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Nodes (Requires Adobe Acrobat Reader)

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Updated 1/04/08 kkj
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