Rheumatoid Arthritis

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Questions and Answers

Which infection should the patient be assessed for, as it could impact treatment strategies if positive?

Hepatitis B and hepatitis C (correct)

Malaria and dengue fever

Common cold and bronchitis

Influenza and pneumonia

What should be treated prior to starting medication if the client tests positive for it?

Influenza

Hepatitis infection (correct)

Common cold

Allergies

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

Liver and kidney monitoring (correct)

Blood pressure monitoring

Eye examination

Lung function testing

What is the most common radiographic study used to track 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

For what period should joint damage be followed as indicated after diagnosis?

First 6 to 12 months 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 of the hands, wrists, and feet Signup and view all the answers

What should be assessed if the patient has latent TB and has never been treated?

Risk of reactivation Signup and view all the answers

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

Liver and kidney monitoring Signup and view all the answers

Why is MRI useful in addition to plain x-ray for disease tracking?

To detect small erosions not visible on x-ray or ultrasound Signup and view all the answers

What is the incidence of rheumatoid arthritis in the population worldwide?

1% to 2% Signup and view all the answers

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

Between the third and sixth decade of life Signup and view all the answers

What is elderly onset RA?

RA that occurs after the age of 65 Signup and view all the answers

What are the additional risks identified for rheumatoid arthritis?

Family history, environmental influences, nulliparity, smoking, and obesity Signup and view all the answers

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

Unknown Signup and view all the answers

What occurs in the RA synovium as part of the autoimmune reaction?

Breaks down collagen, causing edema, proliferation of the synovial membrane, and ultimately pannus formation Signup and view all the answers

What is the consequence of pannus formation in RA?

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

What has been implicated in other disease processes by the RA inflammatory process?

Arteriosclerosis Signup and view all the answers

What do muscle fibers undergo as a consequence of RA inflammatory process?

Degenerative changes Signup and view all the answers

What happens to tendon and ligament elasticity and contractile power in RA?

They are lost Signup and view all the answers

What are the initial clinical manifestations of Rheumatoid Arthritis?

Symmetric joint pain and morning joint stiffness lasting longer than 1 hour 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 antibodies are present in many patients with Rheumatoid Arthritis?

Rheumatoid factor and antiCCP antibodies Signup and view all the answers

What is useful in monitoring active disease and disease progression in Rheumatoid Arthritis?

ESR and CRP Signup and view all the answers

What should be assessed to establish a baseline count in Rheumatoid Arthritis?

CBC Signup and view all the answers

What should be done prior to the initiation of certain medications to rule out tuberculosis in Rheumatoid Arthritis?

TB skin test Signup and view all the answers

What are the classic symptoms of Rheumatoid Arthritis?

Symmetric joint pain, swelling, warmth, erythema, and lack of function Signup and view all the answers

What are the criteria for classifying Rheumatoid Arthritis?

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

What assessment findings are associated with Rheumatoid Arthritis?

Rheumatoid nodules, joint inflammation, and certain laboratory findings Signup and view all the answers

What may be caused by the RA inflammatory process in the nervous system?

Neuropathies and paresthesias Signup and view all the answers

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.

Rheumatoid Arthritis

Podcast Beta

Questions and Answers

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

For what period should joint damage be followed as indicated after diagnosis?

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

What should be assessed if the patient has latent TB and has never been treated?

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

Why is MRI useful in addition to plain x-ray for disease tracking?

What is the incidence of rheumatoid arthritis in the population worldwide?

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

What is elderly onset RA?

What are the additional risks identified for rheumatoid arthritis?

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

What occurs in the RA synovium as part of the autoimmune reaction?

What is the consequence of pannus formation in RA?

What has been implicated in other disease processes by the RA inflammatory process?

What do muscle fibers undergo as a consequence of RA inflammatory process?

What happens to tendon and ligament elasticity and contractile power in RA?

What are the initial clinical manifestations of Rheumatoid Arthritis?

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

Which antibodies are present in many patients with Rheumatoid Arthritis?

What is useful in monitoring active disease and disease progression in Rheumatoid Arthritis?

What should be assessed to establish a baseline count in Rheumatoid Arthritis?

What should be done prior to the initiation of certain medications to rule out tuberculosis in Rheumatoid Arthritis?

What are the classic symptoms of Rheumatoid Arthritis?

What are the criteria for classifying Rheumatoid Arthritis?

What assessment findings are associated with Rheumatoid Arthritis?

What may be caused by the RA inflammatory process in the nervous system?

Study Notes

Studying That Suits You

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