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Pathophysiology Exam 3 > Ch. 44 Disorders of Musculoskeletal Function: Rheumatic Disorders > Flashcards

Ch. 44 Disorders of Musculoskeletal Function: Rheumatic Disorders Flashcards

1
Q

What systemic inflammatory disease attacks the lining of the joints?

A

RA

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2
Q

RA affects males or females more?

A

Females

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3
Q

Can RA last a lifetime?

A

Yes

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4
Q

Can RA have remission?

A

Yes

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5
Q

What are the most common symptoms of RA?

A
  • Swelling
  • Pain
  • Deformity
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6
Q

In which disease do WBCs attack the synovium?

A

RA

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7
Q

The causes of RA are unknown but what may be a possible predisposition?

A

Genetics

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8
Q

The joint loses shape and becomes destroyed in what disease?

A

RA

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9
Q

RA is systemic but also localized to what?

A

The joint.

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10
Q

What are joint manifestations of RA?

A
  • Pain
  • Stiffness
  • Decreased ROM
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11
Q

What is one of the most common joints affected by RA?

A

Knee

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12
Q

What are the extra-articular (other than the joint) manifestations of RA?

A
  • Fatigue
  • Weakness
  • Anorexia/ weight loss
  • low-grade fever
  • elevated ESR
  • anemia
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13
Q

What is the ultimate treatment goal of RA?

A

decrease pain, stiffness, swelling, and increase mobility

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14
Q

A client is in acute phase of RA. Which of the following should the nurse identify as lowest priority in the plan of care?

A

Maintaining usual ways of accomplishing tasks

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15
Q

Osteoarthritis (OA) is what type of disease?

A

Degenerative Joint Disease (DJD)

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16
Q

What is the most common form of arthritis?

A

OA

17
Q

The cause of primary OA is what?

A

unknown

18
Q

What is the secondary cause of OA?

A
  • Aging
  • Obesity
  • Repetitive Use
19
Q

OA can affect any joint but primarily affects which joints?

A
  • Hands
  • Knees
  • Hip
  • Spine
20
Q

Inflammation caused when cartilage attempts to repair itself in OA causes what?

A

Osteophytes (bone spurs)

21
Q

What are the manifestations of OA?

A
  • Pain that progressively worsens
  • Crepitus and grinding
  • Decreased ROM
22
Q

Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with OA?

A

Local joint pain

23
Q

What is the name for crystal-induced arthropathies?

A

Gout

24
Q

Gout is caused by what?

A

Uric acid stones (essentially build up of waste products which move to the joint)

25
Q

Gout affects who primarily?

A

Men 40-60 y/o

26
Q

What increased lab values will there be if someone has gout?

A

Serum uric acid levels

27
Q

Cellulitis and Gout present similarly, what is the determining observable factor?

A

Cellulitis would have a wound

28
Q

What are the manifestations of gout precipitated by:

A
  • exercise
  • medications
  • foods
  • alcohol
29
Q

To diagnose gout would the patient have hyperuricemia?

A

YES

30
Q

How do you treat gout?

A
  • Diet changes to decrease uric acid consumption
  • Increase fluids to rid uric acid
  • NSAIDs for pain
  • Allopurinol/colchicine to decrease production of uric acid
31
Q

What foods high uric acid should individuals with gout avoid?

A
  • organ meets
  • wines
  • aged cheese
  • saukeraut
32
Q

What is the name of the chronic inflammatory disease which can affect every organ system in the body?

A

Systemic Lupus Erythematous (SLE)

33
Q

Is SLE an autoimmune disease?

A

YES

34
Q

Is the cause of SLE unknown?

A

YES

35
Q

What disease causes the formation of auto antibodies and immune complexes which in turns damaged the tissues? This is called what?

A
  • SLE

- B-cell hyperactivity

36
Q

What are the manifestations of lupus?

A
  • Fever
  • Fatigue
  • “Butterfly” rash
  • sun sensitivity
  • joint pain/swelling
  • swollen glands
  • muscle aches
  • pleurisy (causes chest pain)
  • Pleural effusion
  • Seizures
  • Psychosis
37
Q

What disease causes “hard skin”?

A

Systemic Sclerosis Scleroderma

38
Q

Is systemic sclerosis scleroderma a rare, progressive, autoimmune disease?

A

YES

Pathophysiology Exam 3 (7 decks)

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