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ACR: Test 2 > Gout/OA/RA > Flashcards

Gout/OA/RA Flashcards

1
Q

What are precipitating factors for gout

A

Foods high in purine
alcohol
medications (diuretics)

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2
Q

What are symptoms of gout

A

Acute onset
swollen
dusky red
warm joint

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3
Q

What imaging may you order to work up gout

A

X-ray mouse bite or punched out erosions

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4
Q

What are some labs that you may order to work up gout

A

Arthrocentesis (needle shaped, blue negative birefringence)
serum uric acid level (>7.5)
Increased ESR white blood count

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5
Q

What is the treatment for gout

A

Allopurinol 300 mg PO
Colchicine
Probenecid

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6
Q

What is the treatment for an acute attack of gout

A

Rest, elevate joint, analgesics
NSAIDS (indonethacin)
Colchicine
Prednisone

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7
Q

What are patient education tips you may give to a patient with gout

A 
Avoid organ meats shellfish 
increase water 
veggies 
low-fat diet 
avoid alcohol 
lose weight
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8
Q

What are signs and symptoms of osteoarthritis

A

Pain worse with movement
stiffness less than 30 minutes after inactivity
better with rest
worse in the evening

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9
Q

What are some signs of osteoarthritis you May see on physical exam

A

Heberden’s nodes (DIP)
Bouchard’s nodes (PIP)
Loss of ROM

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10
Q

What may you see on x-ray in a pt with osteoarthritis

A

Osteophytes
narrowing of joint space
bony remodeling

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11
Q

How can you treat Osteoarthritis

A

Acetaminophen
NSAIDs
steroid injections

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12
Q

What are patient education tips you make it to a patient with osteoarthritis

A 
PT/OT
 support groups 
lose weight 
exercise 
proper footwear 
joint protection
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13
Q

What is the criteria for rheumatoid arthritis

A

Patient must have a score of more than six of the following

  • Number/sites of involved joints
  • serological abnormality
  • increase acute phase response
  • sxs durations
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14
Q

What are signs and symptoms of rheumatoid arthritis

A 
Morning stiffness greater than 30 minutes 
pain improves later in the day 
generalize fatigue/aching
symmetrical joint involvement 
pain worse with rest
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15
Q

What be seen on physical exam in a patient with rheumatoid arthritis

A

Boutonniere deformity
swan neck deformity
Ulnar deviation at MCP joint
rheumatoid nodules

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16
Q

What May you see on x-ray in a patient with rheumatoid arthritis

A

Narrow joint space

Ulnar deviation of hands

17
Q

What labs should you order when working up a patient with rheumatoid arthritis

A

Rheumatoid factor
CRP
ESR
anti-CCP antibody’s

18
Q

What are the general rules to diagnose a patient with rheumatoid arthritis

A

Arthritis in more than three joints
morning Stiffness
duration greater than six weeks

19
Q

What is the treatment for rheumatoid arthritis

A 
DMARD (methotrexate)
hydroxychloroquin
Sulfasalazine
etanercept
steroids

ACR: Test 2 (10 decks)

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