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

A

RA

OA

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

A

OA

25
Q

2 types pertiarcular non inflam disease

A

Fibromyalgia

carpal tunnel syndrome

26
Q

three diseases that are usually mono / oligoarticular

A

OA
osteonecrosis
gout

27
Q

three diseases that are usually polyarticular

A

RA
lupus
OA (rare)

28
Q

if someone is diagnosed with JIA, how long must symptoms be present

A

6 weeks

29
Q

when is JIA diagnosed

A

before 16 yrs old age

30
Q

is it common for JIA to be active for life time

A

not uncommon

31
Q

affected structures JIA

A

joint synovium
tendon sheath synovium
enthesis

32
Q

risk of uveitis

A

can cause blindness

33
Q

5 types of JIA subtypes

A

oligoarticular, polyarticular, systemic, psoriatic, enthesitis related

34
Q

JIA signs/symp

A

Growth abnormalities
asymmetric posture/ movement
restriction mm strength/length
restricted ROM

fatigue, morning stiffness, pain