Chief Complaint by Symptom

Question 1

Symptoms of systemic disorders

Answer 1

Fever, fatigue/malaise, abnormal sensation, weight loss, change in mentation, insidious onset

Question 2

Physician oversight for medications

Answer 2

OA, RA, SLE, reactive arthritis, septic arthritis

Question 3

Health History Risk Factors OA

Answer 3

Joint infection, trauma, overuse lifestyle, no family history involvement

Question 4

Health history risk factors RA

Answer 4

Autoimmune thyroid disorders, history of fertility issues, positive family history

Question 5

Classification for RA

Answer 5

Morning stiffness, arthritis of 3 or more joints, arthritis of hands, symmetric arthritis, rheumatoid nodules, radiographic changes, serum rheumatoid factor

Question 6

Health history risk factors SLE

Answer 6

Infection (viral), sunlight or UV light exposure, medications (hydralazine, anticonvulsants, Penicillin), positive family history

Question 7

Health history risk factors Gout

Answer 7

Renal disorder with increased uric acid, leukemia, lymphoma, psoriasis, chemotherapy, hypothroidism, alcohol use, diuretics, positive family history

Question 8

History Risk Factors Psoriatic Arthritis

Answer 8

psoriasis, postive family history

Question 9

History risk factors Reiter’s Syndrome

Answer 9

More common in males, venereal or dysenteric infection, no family history

Question 10

History risk factors for Septic Arthritis

Answer 10

Systemic corticosteroid use, DM, Infection elsewhere in the body, direct penetrating joint trauma (injections, etc.)

Question 11

Ankylosing Spondylitis

Answer 11

Develops teens through 40s, males 2-3 more times likely than females, positive family history

Question 12

Ankylosing Spondylitis Classification

Answer 12

Morning stiffness more than 30 min, improvement in back pain with exercise but not with rest, Night pain during second half of night only, alternating buttock pain

Question 13

Reiter’s Syndrome S/S

Answer 13

Urethritis, conjunctivitis, nausea/vomiting, weight loss

Question 14

Systemic Lupus Erythematosus S/S

Answer 14

Skin rash, fever, photosensitivity, dyspnea, peripheral neuropathy

Question 15

Psoriatic Arthritis S/S

Answer 15

Fever, fatigue, psoriasis

Question 16

Gout S/S

Answer 16

Fever, malaise, tachycardia

Question 17

Ankylosing Spondylitis S/S

Answer 17

Fatigue, Weight loss, fever, malaise

Question 18

General limb pain (single or multi-limb)

Answer 18

Hypothyriodism, lyme disease, statin related myopathies, vascular/neurogenic claudication, stress fracture, DVT, compartment syndrome

Question 19

Common features of pathological limb pain

Answer 19

Aching, cramping, weakness, stiffness, often multiple limbs, symptom migration, insidious onset, Non-machanical pattern, prolonged morning stiffness more than 30 min

Question 20

Multi-limb complaints:Spinal origin

Answer 20

Central cord compression

Question 21

Multi-limb complaints: Systemic disease

Answer 21

hypothyriodism, lyme disease, polymyalgia rheumatica, statin drugs

Question 22

Hypothyroidism symptoms

Answer 22

typically female, fatigue, weight gain, cold intolerance, menstrusal irregularities, hair loss, brittle nails

Question 23

Hypothyroidism Systems review

Answer 23

Bradycardia, pallor, obesity, proximal muscle weakness, hypo-reflexive, dry skin

Question 24

Lyme Disease

Answer 24

Exposure to tick, fatigue, fever, chills, peripheral neuritis, erythema, magraines, rash, Later stages - cranial neuropathies, encephalitis, neck stiffness with cervical flexion

Question 25

Polymyalgia rheumatica

Answer 25

More females than males, avg onset 73, symptoms more worse in the morning, B pain and stiffness, fatigue, weight loss, low grade fever, diffuse edema, possible pitting edema in dorsum of hands/feet

Question 26

Statin Related Myopathy

Answer 26

Advanced age, women more than men, frail health, immunosuppressed, weakness, muscle edema, generalized muscle aching/pain

Question 27

Pathological Neck Conditions: Cervical Myelopathy

Answer 27

Sensory disturbance of hands, muscle wasting of hand, unsteady gait, Hoffman’s reflex, hyperreflexia, B/B issues, multi-segmental weakness/sensory changes

Question 28

Pathological Neck Conditions: Neoplastic Condition

Answer 28

History of cancer, unexplained weight loss, constant pain, night pain

Question 29

Pathological Neck Conditions: Cervical Ligamentous Instability

Answer 29

Occipital headache/numbness, limited cervical AROM, cervical myelopathy signs

Question 30

Pathological Neck Conditions: Vertebral Artery Insufficiency

Answer 30

Dizziness, Drop attacks, dysphasia, dysarthria, diplopia, cranial nerve signs