Rheumatoid Arthritis

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the estimated worldwide incidence of rheumatoid arthritis?

2% to 3%

3% to 4%

1% to 2% (correct)

0.5% to 1%

At what age does the onset of rheumatoid arthritis commonly occur?

Ninth and tenth decade of life

First and second decade of life

Third and sixth decade of life (correct)

Seventh and eighth decade of life

What is rheumatoid arthritis that occurs after the age of 65 referred to as?

Senior onset RA

Elderly onset RA (correct)

Late onset RA

Aged onset RA

Which of the following is NOT identified as a risk factor for rheumatoid arthritis?

Regular exercise Signup and view all the answers

What is the main consequence of the RA inflammatory process on joint motion?

Loss of articular surfaces and joint motion Signup and view all the answers

What does the RA synovium break down, leading to pannus formation?

Collagen Signup and view all the answers

What is the suspected mechanism of action for the etiology of RA?

Genetic predisposition and immunologically mediated joint inflammation Signup and view all the answers

What is the gender-based incidence ratio of rheumatoid arthritis?

Three times higher in females Signup and view all the answers

What is the term for RA that occurs after the age of 65?

Elderly onset RA Signup and view all the answers

Which factor has been identified as a modifiable risk factor for rheumatoid arthritis?

Smoking Signup and view all the answers

Which infection should be treated prior to starting medication for a patient with latent TB?

Hepatitis B Signup and view all the answers

What is recommended for most DMARD therapy due to its potential impact on liver and kidney function?

Liver and kidney monitoring Signup and view all the answers

Which radiographic study is the most common for tracking disease progression?

Plain x-ray Signup and view all the answers

What can be useful to detect small erosions that may not be visible on x-ray or ultrasound?

MRI Signup and view all the answers

When may joint damage occur within the first 6 to 12 months of diagnosis?

Within the first 6 to 12 months Signup and view all the answers

What should be assessed for patients with latent TB who have never been treated?

Reactivation of the infection Signup and view all the answers

What should be assessed if a client tests positive for hepatitis?

Treatment of the infection Signup and view all the answers

What can cause elevation of the liver enzymes and affect kidney function?

DMARD therapy Signup and view all the answers

What can be useful in establishing a baseline for joint evaluation and assessing the joints for erosions and synovitis?

X-ray, ultrasound, or both Signup and view all the answers

What is recommended for tracking disease progression due to its reliability and reproducibility?

Plain x-ray Signup and view all the answers

What are the criteria for classifying Rheumatoid Arthritis?

Joint involvement, serology, acute phase reactants, and symptom duration Signup and view all the answers

What are the initial clinical manifestations of Rheumatoid Arthritis?

Symmetric joint pain and morning joint stiffness Signup and view all the answers

Which antibodies are used for diagnosing Rheumatoid Arthritis?

Rheumatoid factor and antiCCP antibodies Signup and view all the answers

What is used to evaluate disease activity and monitor treatment efficacy in Rheumatoid Arthritis?

Disease activity score Signup and view all the answers

Which of the following are elevated in acute phases of Rheumatoid Arthritis and useful in monitoring active disease?

ESR and CRP Signup and view all the answers

What can Rheumatoid Arthritis lead to in terms of joint and soft tissue?

Joint deformities, soft tissue deformity, and extra-articular features Signup and view all the answers

What is affected by the inflammatory process of Rheumatoid Arthritis, causing neuropathies and paresthesias?

The nervous system Signup and view all the answers

What should be assessed to establish baseline count in Rheumatoid Arthritis, as anemia and elevated platelets may be present due to inflammation?

CBC Signup and view all the answers

Where does joint involvement begin in Rheumatoid Arthritis?

Small joints Signup and view all the answers

What is considered antiatherosclerotic and interferes with the production in Rheumatoid Arthritis?

High-density lipoprotein cholesterol Signup and view all the answers

Study Notes

Rheumatoid Arthritis: Clinical Manifestations and Assessment

RA interferes with the production of high-density lipoprotein cholesterol, considered antiatherosclerotic
The nervous system is affected by RA inflammatory process, causing neuropathies and paresthesias
Criteria for classifying RA include joint involvement, serology, acute phase reactants, and symptom duration
Initial clinical manifestations of RA include symmetric joint pain and morning joint stiffness
Classic symptoms of RA include symmetric joint pain, swelling, warmth, erythema, and lack of function
Joint involvement begins in small joints and progresses to knees, shoulders, hips, elbows, and ankles
RA can lead to joint deformities, soft tissue deformity, and extra-articular features
Assessment findings for RA include rheumatoid nodules, joint inflammation, and laboratory findings
Disease activity score is used to evaluate disease activity and monitor treatment efficacy
Rheumatoid factor and antiCCP antibodies are used for diagnosing RA
ESR and CRP are elevated in acute phases of RA, useful in monitoring active disease
CBC should be assessed to establish baseline count, anemia and elevated platelets may be present due to inflammation

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge of Rheumatoid Arthritis clinical manifestations and assessment with this quiz. Learn about the criteria for classifying RA, initial symptoms, joint involvement, assessment findings, and laboratory tests used for diagnosis and monitoring.