Podcast
Questions and Answers
What should be assessed for a patient with latent TB who has never been treated?
What should be assessed for a patient with latent TB who has never been treated?
- Hepatitis B and hepatitis C (correct)
- Malaria and dengue fever
- Chikungunya and Zika virus
- HIV and syphilis
What should be done if a client tests positive for hepatitis?
What should be done if a client tests positive for hepatitis?
- The patient should be monitored closely
- The infection should be treated prior to starting medication (correct)
- No action is necessary
- Medication should be started immediately
Why is liver and kidney monitoring recommended for most DMARD therapy?
Why is liver and kidney monitoring recommended for most DMARD therapy?
- It can cause skin rashes
- It can cause lung damage
- It can lead to neurological disorders
- It can cause elevation of the liver enzymes and affect kidney function (correct)
Which radiographic study is the most common for tracking disease progression?
Which radiographic study is the most common for tracking disease progression?
What is the purpose of assessing the joints for erosions and synovitis?
What is the purpose of assessing the joints for erosions and synovitis?
Why is MRI useful in addition to plain x-ray or ultrasound?
Why is MRI useful in addition to plain x-ray or ultrasound?
When may joint damage occur after diagnosis?
When may joint damage occur after diagnosis?
Why are X-ray, ultrasound, or both of the hands, wrists, and feet useful?
Why are X-ray, ultrasound, or both of the hands, wrists, and feet useful?
What impact can hepatitis B and hepatitis C have on treatment strategies?
What impact can hepatitis B and hepatitis C have on treatment strategies?
Why is it important to treat the infection if a client tests positive for hepatitis?
Why is it important to treat the infection if a client tests positive for hepatitis?
What is a key initial clinical manifestation of rheumatoid arthritis?
What is a key initial clinical manifestation of rheumatoid arthritis?
What is a potential effect of RA inflammation on the nervous system?
What is a potential effect of RA inflammation on the nervous system?
What is used to evaluate RA activity and monitor treatment efficacy?
What is used to evaluate RA activity and monitor treatment efficacy?
Which extra-articular feature is associated with rheumatoid arthritis?
Which extra-articular feature is associated with rheumatoid arthritis?
What is used for RA diagnosis?
What is used for RA diagnosis?
What should be assessed in the CBC due to the inflammatory process in RA?
What should be assessed in the CBC due to the inflammatory process in RA?
What is a characteristic of joint involvement for classifying RA?
What is a characteristic of joint involvement for classifying RA?
What is a potential manifestation of RA in the cervical spine?
What is a potential manifestation of RA in the cervical spine?
What is a potential finding associated with RA assessment?
What is a potential finding associated with RA assessment?
What should be done before starting certain medications for RA?
What should be done before starting certain medications for RA?
What is the approximate percentage of the population worldwide affected by rheumatoid arthritis?
What is the approximate percentage of the population worldwide affected by rheumatoid arthritis?
In rheumatoid arthritis, at what age does the onset commonly occur?
In rheumatoid arthritis, at what age does the onset commonly occur?
What is the term used for rheumatoid arthritis that occurs after the age of 65?
What is the term used for rheumatoid arthritis that occurs after the age of 65?
Which of the following is identified as a modifiable risk factor for rheumatoid arthritis?
Which of the following is identified as a modifiable risk factor for rheumatoid arthritis?
What is the consequence of pannus formation in rheumatoid arthritis?
What is the consequence of pannus formation in rheumatoid arthritis?
What does the RA inflammatory process potentially affect, in addition to the joints?
What does the RA inflammatory process potentially affect, in addition to the joints?
What is the main consequence of the breakdown of collagen in the synovium in RA?
What is the main consequence of the breakdown of collagen in the synovium in RA?
What is the main consequence of pannus formation in RA?
What is the main consequence of pannus formation in RA?
What is the term used for RA synovium breaking down collagen, causing edema, and ultimately pannus formation?
What is the term used for RA synovium breaking down collagen, causing edema, and ultimately pannus formation?
What is the term for the loss of articular surfaces and joint motion in RA?
What is the term for the loss of articular surfaces and joint motion in RA?
What is the incidence of rheumatoid arthritis in the population worldwide?
What is the incidence of rheumatoid arthritis in the population worldwide?
At what age does the onset of rheumatoid arthritis commonly occur?
At what age does the onset of rheumatoid arthritis commonly occur?
What is the term for rheumatoid arthritis that occurs after the age of 65?
What is the term for rheumatoid arthritis that occurs after the age of 65?
What are the additional risks identified for rheumatoid arthritis?
What are the additional risks identified for rheumatoid arthritis?
What is the mechanism of action for the etiology of rheumatoid arthritis?
What is the mechanism of action for the etiology of rheumatoid arthritis?
What occurs in the synovial tissue in rheumatoid arthritis?
What occurs in the synovial tissue in rheumatoid arthritis?
What does pannus formation do in rheumatoid arthritis?
What does pannus formation do in rheumatoid arthritis?
What happens to muscle fibers in rheumatoid arthritis?
What happens to muscle fibers in rheumatoid arthritis?
What are the modifiable factors associated with rheumatoid arthritis?
What are the modifiable factors associated with rheumatoid arthritis?
What has the RA inflammatory process been implicated in, besides joint inflammation?
What has the RA inflammatory process been implicated in, besides joint inflammation?
Study Notes
Rheumatoid Arthritis: Clinical Manifestations, Assessment, and Diagnostic Findings
- Rheumatoid arthritis (RA) may interfere with the production of high-density lipoprotein cholesterol, which is antiatherosclerotic.
- RA inflammation can affect the nervous system, causing neuropathies, paresthesias, and potential axonal degeneration.
- Criteria for classifying RA require a total score of 6 or greater based on joint involvement, serology, acute phase reactants, and symptom duration.
- Initial clinical manifestations of RA include symmetric joint pain and morning joint stiffness lasting longer than 1 hour.
- RA symptoms vary and may include joint pain, swelling, warmth, erythema, and lack of function, especially in small joints.
- Disease progression can affect knees, shoulders, hips, elbows, ankles, cervical spine, and temporomandibular joints.
- RA is a systemic disease with extra-articular features such as fever, weight loss, fatigue, anemia, and rheumatoid nodules.
- Assessment findings associated with RA include rheumatoid nodules, joint inflammation, and certain laboratory findings.
- Disease activity scores are used to evaluate RA activity and monitor treatment efficacy.
- Rheumatoid factor and antiCCP antibodies are used for RA diagnosis, and ESR and CRP levels are monitored for disease progression.
- CBC should be assessed for anemia and elevated platelets due to the inflammatory process.
- A tuberculin (TB) skin test should be done before starting certain medications to rule out tuberculosis.
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Description
Test your knowledge of Rheumatoid Arthritis (RA) clinical manifestations, assessment, and diagnostic findings with this informative quiz. Explore the systemic impact of RA, assessment criteria, and key laboratory findings essential for diagnosis and monitoring disease progression.
