Inflammatory arthritis LP 3-4

Question 1

what is the chronic disorder causing symmetrical erosive synovitis of the joints?

Answer 1

rheumatoid arthitis

Question 2

is RA a systemic condition?

Answer 2

yes

Question 3

is RA considered an autoimmune disorder?

Answer 3

yes

Question 4

when can someone develop RA?

Answer 4

from infancy to older age

Question 5

does RA effect women or men more?

Answer 5

women

Question 6

how many of the seven manifestations do you need to be diagnosed with RA?

Answer 6

4 for 6 weeks

Question 7

what are the seven presentations of RA?

Answer 7

morning stiffness
arthritis of 3 or more joints
arthritis of the hands
symmetric
rheumatoid nodules
serum rheumatoid factors
radiographic changes

Question 8

what causes RA?

Answer 8

idiopathic (60% of cases are genetically linked to HLA)

Question 9

what can cause RA attacks?

Answer 9

emotional or physical trauma and stress

Question 10

what structures would contain the rheumatiod factors (an antibody)

Answer 10

blood
synovial fluid
synovial membranes

Question 11

what two finger deformities are common with RA?

Answer 11

swan neck
boutonnieres

Question 12

what deformity is the muscle contraction with proximal IP joints are hyperextended and distal IP joints are hyper flexed

Answer 12

swans neck

Question 13

what deformity is from ruptured fo the central slip of the extensor tendons with PIPs hyper flexed and DIPs hyperextended

Answer 13

boutonnieres

Question 14

what are some signs and symptoms of RA? (name 6)

Answer 14

bilateral
polyarticular
joint stiffness and muscle pain
joint pain lasting 30 mins upon waking up
bakers cyst
swelling anf synovial thickness
bursitis
subluxations (not all examples)

Question 15

how long should house work be limited too with RA?

Answer 15

20 min intervals with 5-10 min rest in-between

Question 16

what is a good exercise you can recommend to clients with RA?

Answer 16

swimming

Question 17

what are some health history questions you can ask a client with RA?

Answer 17

-what joints cause you the most pain?
-current status? (flare up and remission)
-what lifestyle changes did you have to make or cause the most pain?
-presence of hand deformities or baker cyst

Question 18

what will the joints feel like with RA?

Answer 18

hot and swollen with extreme tenderness

Question 19

should you perform testing during a flare up?

Answer 19

no

Question 20

should you work distal or directly on inflamed joints?

Answer 20

no

Question 21

when should you encourage treatments for OA?

Answer 21

later afternoon or evenings

Question 22

what is juvenile rheumatoid arthritis?

Answer 22

developed during childhood

Question 23

what causes juvenile rheumatoid arthritis?

Answer 23

unknown

Question 24

what are the there types of onset juvenile rheumatoid arthritis?

Answer 24

pauciarticular
polyarticular
still disease

Question 25

what is pauciarticular onset?

Answer 25

arthritis of four or fewer joints

Question 26

what is most commonly effected with pauciarticualr onset?

Answer 26

knees

Question 27

what is polyarticular onset?

Answer 27

arthritis of more then four joints

Question 28

what is most commonly effected with polyarticular onset?

Answer 28

TMJ
hands and feet

Question 29

what is stills disease?

Answer 29

systemic onset arthritis

Question 30

what is the most common onset of juvenile rheumatoid arthritis?

Answer 30

pauciarticular

Question 31

what the most common medication for juvenile rheumatoid arthritis?

Answer 31

aspirin

Question 32

what are the symptoms of stills disease?

Answer 32

high, spiking fever and pink rash

Question 33

how long does it take for stills disease to diminish?

Answer 33

12 months

Question 34

what areas of the body are affected often with RA?

Answer 34

joints
lungs
eyes
cardiovascular system

Question 35

how long does it take to hit remission of RA?

Answer 35

10-15 years

Question 36

how long does it take to be considered disable with RA?

Answer 36

15-20 years