Intro Flashcards

1
Q

t/f blood tests do diagnosis for RA

A

f

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2
Q

RA assessment questions

A

age, sex, ethnicity, family history

Acute/chronic pain?
widespread pain?
number of joints?

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3
Q

5 key questions RA

A
  1. red flags?
  2. within joint or around
  3. inflam or non inflam
  4. focal (less than 3 joints) vs widespread (more than 3)
  5. Acute (less than 6 weeks) or chronic
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4
Q

When is something focal or widespread in RA

A

more or less than 3 joints

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5
Q

When is something acute in RA

A

less than 6 wks

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6
Q

RA red flags

A
severe pain, swelling, redness, heat
fracture
septic arthritis 
malignancy
Neuro signs / symptoms  (burning, numbness, paresthesia)
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7
Q

is septic arthritis a acute or chronic red flag

A

rapid onset (hours to days)

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8
Q

does periarticular hurt during active and passive movements

A

just active

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9
Q

does articular hurt in active or passive movement

A

both

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10
Q

is there swelling in periarticular

A

uncommon

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11
Q

is there swelling in articular

A

common

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12
Q

heat in inflammatory vs non

A

sometimes

absent

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13
Q

redness in inflammatory vs non

A

sometimes

absent

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14
Q

swelling in inflammatory vs non

A

mod to severe

mild

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15
Q

pain in inflammatory vs non

A

worse in morning

worse after use

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16
Q

loss of function in inflammatory vs non

A

yes

sometimes

17
Q

morning stiffness in inflammatory vs non

A

> 1hr

<30 mins

18
Q

systemic features in inflammatory vs non

A

sometimes

absent

19
Q

ESR in inflammatory vs non

A

sometimes

absent

20
Q

Example inflammatory condition

non inflamm

21
Q

ESR stands fort

A

erythrocyte sedimentation rate

its a confirmatory test for RA

22
Q

2 types of articular inflammatory diseases

A

RA

systemic lupus

23
Q

3 types of periarticular inflammatory

A

bursitis
enthesitis
polymyositis

24
Q

1 type of non inflammatory articular disease

25
2 types pertiarcular non inflam disease
Fibromyalgia | carpal tunnel syndrome
26
three diseases that are usually mono / oligoarticular
OA osteonecrosis gout
27
three diseases that are usually polyarticular
RA lupus OA (rare)
28
if someone is diagnosed with JIA, how long must symptoms be present
6 weeks
29
when is JIA diagnosed
before 16 yrs old age
30
is it common for JIA to be active for life time
not uncommon
31
affected structures JIA
joint synovium tendon sheath synovium enthesis
32
risk of uveitis
can cause blindness
33
5 types of JIA subtypes
oligoarticular, polyarticular, systemic, psoriatic, enthesitis related
34
JIA signs/symp
Growth abnormalities asymmetric posture/ movement restriction mm strength/length restricted ROM fatigue, morning stiffness, pain