Arthritic conditions pt2

Question 1

Rheumatoid Arthritis

• __ – __ year old
• Auto-antibodies directed against _____ protein usually becomes elevated if _____ is present
• The immune system have sent antibodies to the lining of the joints
• ESR
• _____ factor

Answer 1

Rheumatoid Arthritis

• 40 – 60 year old
• Auto-antibodies directed against IgG protein usually becomes elevated if inflammation is present
• The immune system have sent antibodies to the lining of the joints
• ESR
• Rheumatoid factor

Question 2

Rheumatoid Arthritis

• Pain and stiffness in _____, _____ and _____
• Fatigue
• Morning _____
• _____ deformity or dislocations
• _____ weakness and joint instability
• Increased risk of _____disease

Answer 2

Rheumatoid Arthritis

• Pain and stiffness in wrists, hands and feet
• Fatigue
• Morning stiffness
• Joint deformity or dislocations
• Tendon weakness and joint instability
• Increased risk of cardiovascular disease

Question 3

Juvenile Idiopathic Disease

• Chronic arthritis persisting minimum of __ weeks in 1 or more joints
• Child under the age of __
• 10% cases of JIA have Still syndrome (under the age of 5)
• Acute onset of _____, joint pain and _____
• Flitting _____ mainly presents in leg or arm

Answer 3

Juvenile Idiopathic Disease

• Chronic arthritis persisting minimum of 6 weeks in 1 or more joints
• Child under the age of 16
• 10% cases of JIA have Still syndrome (under the age of 5)
• Acute onset of fever, joint pain and malaise
• Flitting arthralgia mainly presents in leg or arm

Question 4

Ankylosing Spondylitis

• Insidious onset of back and gluteal _____ and _____
• __ years and over
• No known specific cause, however, there is an association with the gene __-__ (9/10 people test positive)
• If you have the gene __-__you are at a higher risk of developing AS
• Blood test for the gene __-__

Answer 4

Ankylosing Spondylitis

• Insidious onset of back and gluteal pain and stiffness
• 40 years and over
• No known specific cause, however, there is an association with the gene HLA-B27 (9/10 people test positive)
• If you have the gene HLA-B27 you are at a higher risk of developing AS
• Blood test for the gene HLA-B27

Question 5

Ankylosing Spondylits

• LBP that persist for more than __ months
• Morning stiffness that is greater than __ minutes
• _____ wakes patient up at night
• Better with _____, worse with _____
• Sacroiliitis

Answer 5

Ankylosing Spondylits

• LBP that persist for more than 3 months
• Morning stiffness that is greater than 30 minutes
• Pain wakes patient up at night
• Better with exercise, worse with rest
• Sacroiliitis

Question 6

Enteropathic Arthritis

• 1 in __ people are affected
• It is associated with _____disease and ulcerative _____
• 50% of people test positive for the gene __-__
• Usually 1 or more peripheral _____ are affected
• Symptoms of inflammatory _____ disease
• Blood test for the gene __-__

Answer 6

Enteropathic Arthritis

• 1 in 5 people are affected
• It is associated with crohn’s disease and ulcerative colitis
• 50% of people test positive for the gene HLA-B27
• Usually 1 or more peripheral joints are affected
• Symptoms of inflammatory bowel disease
• Blood test for the gene HLA-B27