Podcast
Questions and Answers
Which infection should the patient be assessed for, as it could impact treatment strategies if positive?
Which infection should the patient be assessed for, as it could impact treatment strategies if positive?
What should be treated prior to starting medication if the client tests positive for it?
What should be treated prior to starting medication if the client tests positive for it?
What is recommended for most DMARD therapy due to its potential effects on liver and kidney function?
What is recommended for most DMARD therapy due to its potential effects on liver and kidney function?
What is the most common radiographic study used to track disease progression?
What is the most common radiographic study used to track disease progression?
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What can be useful to detect small erosions that may not be visible on x-ray or ultrasound?
What can be useful to detect small erosions that may not be visible on x-ray or ultrasound?
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For what period should joint damage be followed as indicated after diagnosis?
For what period should joint damage be followed as indicated after diagnosis?
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What can be useful in establishing a baseline for joint evaluation, and assessing the joints for erosions and synovitis?
What can be useful in establishing a baseline for joint evaluation, and assessing the joints for erosions and synovitis?
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What should be assessed if the patient has latent TB and has never been treated?
What should be assessed if the patient has latent TB and has never been treated?
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What is recommended for most DMARD therapy due to its potential elevation of liver enzymes and impact on kidney function?
What is recommended for most DMARD therapy due to its potential elevation of liver enzymes and impact on kidney function?
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Why is MRI useful in addition to plain x-ray for disease tracking?
Why is MRI useful in addition to plain x-ray for disease tracking?
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What is the incidence of rheumatoid arthritis in the population worldwide?
What is the incidence of rheumatoid arthritis in the population worldwide?
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At what age does the onset of rheumatoid arthritis commonly occur?
At what age does the onset of rheumatoid arthritis commonly occur?
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What is elderly onset RA?
What is elderly onset RA?
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What are the additional risks identified for rheumatoid arthritis?
What are the additional risks identified for rheumatoid arthritis?
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What is the exact mechanism of action for the etiology of RA?
What is the exact mechanism of action for the etiology of RA?
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What occurs in the RA synovium as part of the autoimmune reaction?
What occurs in the RA synovium as part of the autoimmune reaction?
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What is the consequence of pannus formation in RA?
What is the consequence of pannus formation in RA?
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What has been implicated in other disease processes by the RA inflammatory process?
What has been implicated in other disease processes by the RA inflammatory process?
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What do muscle fibers undergo as a consequence of RA inflammatory process?
What do muscle fibers undergo as a consequence of RA inflammatory process?
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What happens to tendon and ligament elasticity and contractile power in RA?
What happens to tendon and ligament elasticity and contractile power in RA?
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What are the initial clinical manifestations of Rheumatoid Arthritis?
What are the initial clinical manifestations of Rheumatoid Arthritis?
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What is used to evaluate disease activity and monitor treatment efficacy in Rheumatoid Arthritis?
What is used to evaluate disease activity and monitor treatment efficacy in Rheumatoid Arthritis?
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Which antibodies are present in many patients with Rheumatoid Arthritis?
Which antibodies are present in many patients with Rheumatoid Arthritis?
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What is useful in monitoring active disease and disease progression in Rheumatoid Arthritis?
What is useful in monitoring active disease and disease progression in Rheumatoid Arthritis?
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What should be assessed to establish a baseline count in Rheumatoid Arthritis?
What should be assessed to establish a baseline count in Rheumatoid Arthritis?
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What should be done prior to the initiation of certain medications to rule out tuberculosis in Rheumatoid Arthritis?
What should be done prior to the initiation of certain medications to rule out tuberculosis in Rheumatoid Arthritis?
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What are the classic symptoms of Rheumatoid Arthritis?
What are the classic symptoms of Rheumatoid Arthritis?
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What are the criteria for classifying Rheumatoid Arthritis?
What are the criteria for classifying Rheumatoid Arthritis?
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What assessment findings are associated with Rheumatoid Arthritis?
What assessment findings are associated with Rheumatoid Arthritis?
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What may be caused by the RA inflammatory process in the nervous system?
What may be caused by the RA inflammatory process in the nervous system?
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Study Notes
Rheumatoid Arthritis: Clinical Manifestations and Assessment
- RA disease process may interfere with the production of antiatherosclerotic cholesterol
- Nervous system affected by RA inflammatory process, causing neuropathies and paresthesias
- Criteria for classifying RA based on joint involvement, serology, acute phase reactants, and duration of symptoms
- Initial clinical manifestations of RA include symmetric joint pain and morning joint stiffness lasting longer than 1 hour
- Symmetric joint pain, swelling, warmth, erythema, and lack of function are classic symptoms
- Deformities of the hands and feet, as well as extra-articular features, are common in RA
- Assessment findings associated with RA include rheumatoid nodules, joint inflammation, and certain laboratory findings
- Disease activity score used to evaluate disease activity and monitor treatment efficacy
- Rheumatoid factor and antiCCP antibodies are present in many patients with RA
- ESR and CRP are useful in monitoring active disease and disease progression
- CBC should be assessed to establish a baseline count, anemia and elevated platelets may be present
- TB skin test should be done prior to the initiation of certain medications to rule out tuberculosis
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Description
Test your knowledge of clinical manifestations and assessment of rheumatoid arthritis with this quiz. Explore the impact of RA on cholesterol production, nervous system, and joint involvement, as well as the criteria for classifying and assessing the disease.