Overview

Question 1

Arthritis is more common in men or women?

Answer 1

Women (2/3)

Question 2

RA is a prototypical ______ arthritis.

Answer 2

inflammatory

Question 3

How is RA dx?

Answer 3

medical hx + physical ax

Question 4

Ankylosing spondylitis is more common in men or women?

Answer 4

Men

Question 5

With RA, expect _____ features such as fever, weight loss and fatigue.

Answer 5

systemic

Question 6

Blood tests make the dx in RA (T/F).

Answer 6

FALSE (medical hx + physical exam do)

Question 7

Are caucasian, black or asian populations more affected by arthritis?

Answer 7

caucasion

Question 8

Key questions in RA?

Answer 8

1. Are there red flags
2. Within the joint (articular) vs. around the joint (peri-articular)
3. Inflammatory vs. non-inflammatory
4. Focal (= joint) vs. widespread (>3 joints)
5. Acute (= 6 weeks) vs. chronic (>6 weeks)

Question 9

4 red flags when taking arthritis hx?

Answer 9

1. conditions w/ sufficient morbidity/mortality to warrantees and expedited dx
2. #
3. septic arthritis
4. malignancy

Question 10

Nature of pain in articular?

Answer 10

diffuse, deep (in joint)

Question 11

Nature of pain in periarticular?

Answer 11

localized tenderness (bursitis, tendinopathy)

Question 12

Pain on movement in articular?

Answer 12

active and passive in all planes

Question 13

Pain on movement in periarticular?

Answer 13

active in a few planes

Question 14

Effusion/swelling in articular?

Answer 14

common

Question 15

Effusion/swelling in periarticular?

Answer 15

uncommon

Question 16

In inflammatory conditions, when is the pain worse?

Answer 16

morning

Question 17

How long does morning stiffness last for inflammatory conditions ?

Answer 17

> 1 hr

Question 18

Are systemic features present in inflammatory conditions?

Answer 18

sometimes

Question 19

Is OA inflammatory or non-inflammatory?

Answer 19

non-inflammatory

Question 20

When is pain worse in non-inflammatory conditions?

Answer 20

after used

Question 21

2 examples of non-inflammatory periarticular conditions?

Answer 21

1. fibromyalgia

2. CTS

Question 22

3 examples of periarticular inflammatory conditions?

Answer 22

1. bursitis
2. enthesitis
3. polymyositis

Question 23

OA in more that 3 joints is _____.

Answer 23

rare

Question 24

Gout normally effects =3 or >3 joints?

Answer 24

= to 3

Question 25

S/s of juvenile idiopathic arthritis (JIA) must be present for ___ weeks to make dx

Answer 25

6

Question 26

Subtype of JIA is determined by disease presentation in the first __ months

Answer 26

6

Question 27

Dx of JIA made before age of __

Answer 27

16

Question 28

What are the 3 affected structures in JIA?

Answer 28

1. joint synovium
2. tendon sheath synovium
3. enthesis

Question 29

How many subtypes in JIA?

Answer 29

5

Question 30

What are the 5 subtypes of JIA?

Answer 30

1. oligoartricular
2. polyarticular
3. systemic
4. psoriatic
5. enthesitis related arthritis

Question 31

What condition often accompanies JIA, and should always be checked by a doctor?

Answer 31

uveitis

Question 32

7 differences between inflammatory and non-inflammatory conditions?

Answer 32

1. pain
2. redness
3. swelling
4. heat
5. systemic features
6. morning stiffness
7. loss of function