203 Immunology and Inflammatory Joint Disease Diagnosis Tutorial

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Questions and Answers

What is the key aim of this tutorial based on the text?

  • To consider the presentation of inflammatory joint disease (correct)
  • To review immunoassay methodology
  • To diagnose a patient with joint pain
  • To perform a virtual ELISA experiment

Which of the following is NOT a learning objective mentioned in the text?

  • Draw a diagram of an ELISA experiment (correct)
  • Describe the significance of positive CCP antibody
  • Comment on the technical validity of an ELISA experiment
  • List a differential diagnosis for acute monoarthritis

What term is used to describe inflammation of only one joint in the text?

  • Arthralgia
  • Polyarthritis
  • Oligoarthritis
  • Monoarthritis (correct)

Based on the text, what are the presenting features of acute inflammation in the knee?

<p>Heat, swelling, redness, pain (A)</p> Signup and view all the answers

What is the significance of a positive CCP antibody mentioned in the text?

<p>It confirms the presence of rheumatoid arthritis (C)</p> Signup and view all the answers

Which of the following is NOT listed as a learning objective in the text?

<p>Discuss the significance of positive RF antibody (D)</p> Signup and view all the answers

'Acute monoarthritis' refers to inflammation in how many joints?

<p>One joint (C)</p> Signup and view all the answers

Which condition can cause monoarthritis in young adults and is characterized by the presence of fever or systemic upset?

<p>Septic arthritis (B)</p> Signup and view all the answers

Which condition can lead to monoarthritis in individual with a history of trauma or clotting disorder?

<p>Haemarthrosis (D)</p> Signup and view all the answers

What is a distinguishing factor of sarcoidosis compared to other conditions in terms of monoarthritis?

<p>Rare, and includes features such as skin rashes, raised bumps on the skin, joint pain or stiffness, and blurry vision. (A)</p> Signup and view all the answers

Which condition, despite being uncommon, may present with monoarthritis and is typically seen in very young individuals?

<p>Sarcoidosis (D)</p> Signup and view all the answers

Which type of arthritis typically presents with joint pain in young women and requires a history of psoriasis for diagnosis?

<p>Psoriatic arthritis (C)</p> Signup and view all the answers

What distinguishes crystal arthropathy from other causes of monoarthritis?

<p>Usually present in the older population and has other risk factors such as previous surgery inherited genetic disorder, high levels of calcium or iron in the blood etc. (B)</p> Signup and view all the answers

What key characteristic is often seen in cases of acute osteoarthritis that helps differentiate it from other forms of joint disorders?

<p>Occurs primarily in the elderly population (B)</p> Signup and view all the answers

What is a common feature of rheumatoid arthritis that distinguishes it from other arthritic conditions?

<p>History of joint pain and often involves multiple joints, especially in young people (C)</p> Signup and view all the answers

What is the significance of all controls falling within the expected range in the context of the assay results?

<p>It indicates that the assay is technically valid. (A)</p> Signup and view all the answers

What does an optical density of 0.576 for the patient's sample well suggest?

<p>The patient's sample contains low levels of CCP antibodies. (D)</p> Signup and view all the answers

Why is it important to consider the full clinical picture and other test results in the context of interpreting CCP antibody concentration?

<p>To evaluate if the patient truly has rheumatoid arthritis. (B)</p> Signup and view all the answers

What does a CCP antibody concentration of 103.05 U/ml indicate in the patient's sample?

<p>A positive result for rheumatoid arthritis. (C)</p> Signup and view all the answers

Why is it stated that immunomodulation should be started before joint damage occurs?

<p>To limit the progression of rheumatoid arthritis. (C)</p> Signup and view all the answers

In what scenario should a patient with monoarthritis and positive CCP antibody be referred urgently to Rheumatology?

<p>If they have positive CCP antibody and joint inflammation. (C)</p> Signup and view all the answers

Why is it mentioned that the presentation with monoarthritis is a bit unusual in this context?

<p>To stress the importance of considering other clinical aspects in diagnosis. (B)</p> Signup and view all the answers

What action should be taken if a control sample fails to fall within an acceptable range during the assay?

<p>'Investigation' should be prompted to determine the validity of the assay. (A)</p> Signup and view all the answers

Select the correct order of the KEY steps in the ELISA assay from this point

<ol> <li>Coat the well with Antigen, 2) Specific Antibody binds to the antigen, 3) Enzyme-linked antibody binds to the specific antibody, 4) Substrate is added and converted by enzyme into the coloured product; the rate of the colour formation is proportional to the amount of the specific antibody. (C)</li> </ol> Signup and view all the answers

What is the purpose of the cyclic citrullinated peptide antibody (CCP antibody) test mentioned in the text?

<p>To predict the likelihood of developing rheumatoid arthritis (A)</p> Signup and view all the answers

What is the significance of the ELISA plate being pre-coated with CCP antigen and 'blocked' as mentioned in the text?

<p>To standardize the procedure for all samples (B)</p> Signup and view all the answers

Why is it important to run the sample in duplicate on a 96 well ELISA plate?

<p>To compare results and ensure accuracy (D)</p> Signup and view all the answers

What is the role of controls in an ELISA experiment as described in the text?

<p>To provide baseline values for comparison (C)</p> Signup and view all the answers

How does an optical density reading contribute to deriving CCP antibody concentration, as outlined in the text?

<p>By providing a quantitative measure of antibody binding in the ELISA assay (B)</p> Signup and view all the answers

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