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applied rehab 2 > RA > Flashcards

RA Flashcards

1
Q

what are the main factors of the RA?

A

mechanical stress= especially most used
altered lubrication
immobility= because of the pain

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2
Q

what are the Clinical Manifestations?

A
  • Pain
  • Joint swelling
  • Limited movement
  • Stiffness
  • Weakness
  • Fatigue
  • Warmth
  • Erythema
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3
Q

Conditions with sufficient morbidity/mortality to warrant
an expedited diagnosis
is related to?

A

red flags

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4
Q

list the goals assessments for RA

A

1- identify red flag
2- make timely diagnosis
3- Provide relief
4- Reassurance
5- Plan for evaluation and treatment

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5
Q

what are the red flags for treating RA?

A

fractures
infection
organ involvement

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6
Q

which one is for articular or periarticular?

1-Pain Diffuse, deep
tenderness
2-point

A

1- is articular
2- periarticular

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7
Q

the ROM pain of the articular is?
and for the periarticular is?

A

for articular the ROM pain in AROM+PROM= all planes

while in periarticular only pain in AROM= few planes

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8
Q

the swelling is common in periarticular while is it uncommon in articular .
true or false

A

false, opposite

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9
Q

Fibromyalgia
* Fracture
* Bursitis
* Tendinitis
* Enthesitis
* Periostitis
* Carpal tunnel syndrome
* Polymyalgia rheumatica
* Sickle Cell Crisis
* Raynaud’s phenomenon
* Reflex sympathetic
dystrophy
* Myxedema
are all?

A

non-articular or periarticular pain

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10
Q

how to know if the RA is non-inflamed or inflame disease?

A

the pain for inflame worsen at morning
while the noninflamed worsen at night

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11
Q

the swelling is at soft tissue with effusion in inflamed RA
and the swelling is bony in noninflamed RA
true or false?

A

true

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12
Q

morning stiffness lasts for 1 hr. for the noninflamed RA
and there is minor morning stiffness in the inflamed RA
true or false?

A

false, the opposite

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13
Q

Septic
Gout
Rheumatoid arthritis
Psoriatic arthritis
are?

A

inflamed articular diseases

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14
Q

Bursitis
Enthesitis
Polymyalgia Rheumatica
Polymyositis
are?

A

inflamed non-articular
diseases

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15
Q

list non-inflam articular diseases

A

Osteoarthritis
Charcot Joint
Fracture

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16
Q

list noninflamed and non-articular diseases

A

Fibromyalgia
Carpal tunnel
Reflex Sympatico Dystrophia

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17
Q

what is the main difference between RA and OA?

A

RA is inflamed articular
while the OA is noninflamed articular

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18
Q

monoarticular
effecting only one joint
true or false?

A

true

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19
Q

oligoarticular is more than 4 joints are affected.
true or false?

A

false, it is polyarticular.

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20
Q

less than 4 joints are effected is?

A

oligoarticular

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21
Q

osteoarthritis can be only polyarticular
true or false?

A

false, it can be poly-oligo-or monoarticular

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22
Q

RA is polyarticular disease
true or false?

A

true

23
Q

Fracture, septic arthritis, gout, rheumatic fever,
Reiter’s syndrome
are?

A

acute conditions

24
Q

give examples of chronic conditions

A

OA, RA, SLE, psoriatic arthritis, fibromyalgia

25
Q

Intermittent diseases such as

gout, pseudogout, Lyme, palindromic
rheumatism, Behcet’s, Familial Mediterranean Fever
true or false?

A

true

26
Q
  • Additive: OA, RA, Reiter’s syndrome, psoriatic
    true or false?
A

true

27
Q

Viral arthritis (hepatitis B), rheumatic fever, GC
arthritis, SLE
are ?

A

migratory diseases

28
Q

the joints that’s works much and bears BW are mostly related to?

A

OA

29
Q

the joints that are more stable will be affected from RA
true or false?

A

true

30
Q

what is CPPD?

A

calcium pyrophosphate depolarization

31
Q

Hard bony enlargements
Heberden’s nodes at the DIP
joints
Bouchard’s nodes at the PIP
joints
Often have “squared” first
CMC joint due to osteophytes
at that joint
are seen in?

A

OA

32
Q

how to know if it is RA when we observe?

A

Soft synovial swelling
Synovitis and volar
subluxation at the MCP joints
Synovitis of the wrists
Synovitis of the PIP joints
with early swan neck
deformities

33
Q

what are the late stages of RA?

A

Deformities= jacoudes
* Nodules
* Tendon Rupture

34
Q

inflammatory eye
disease
* Balanitis, oral
ulceration, or
keratoderma
* Enthesopathy
* Sacroiliitis
can be seen in

A

seronegative asymmetric arthritis

35
Q

Inflammation of the DIP joints
Sausage fingers
Joint involvement shows radial
pattern
Nail changes
Psoriatic patches
Arthritis may start before the
skin
are seen in?

A

Psoriatic arthritis

36
Q

Keratoderma
blennorrhagica in which syndrome?

A

Reiter’s syndrome

37
Q

May look like psoriasis or
syphilis
Can occur in patches or as
sterile pustules
are seen with keratoderma

A
38
Q

what can we see with Systemic Lupus Erythematosus
(SLE)

A

«Butterfly» / Malar rash
* Involves cheeks,spares
nasolabial fold

39
Q

Dermatomyositis Interarticular dermatitis of SLE both have?

A

periungual erythema

40
Q

“Mantle” aka “Shawl” Sign of ?

A

Dermatomyositis

41
Q

Linear scleroderma not usually associated with?

A

systemic diseases

42
Q

May occur as a fine,
connected, lacy pattern in
normals is?

A

Livedo reticularis

43
Q

what can be seen after extreme cold?

A

Raynaud’s Phenomenon

44
Q

what is palpable purpura

A

dermal vasculitis

45
Q

Saddle nose deformity is relapsing Poly chondritis
true or false?

A

true

46
Q

Saddle nose deformity can be seen with what?

A

Wegener’s
granulomatosis and syphilis

47
Q

Tophi appear rather late in gout
true or false?

A

true

48
Q

when we should tap and not tap ?

A

Tap if joint/bursa infection suspected.
* Do not tap through cellulite

49
Q

A true connective-tissue disease
Associated with vascular abnormalities with
Hypermobility of joints and
Hyperelasticity of skin
is?

A

Ehlers-Danlos syndrome

50
Q

acropachy is sign of?

A

hyperthyroidism

51
Q

Soft tissue swelling between joints
and
Periosteal new bone formation
can be seen because of the?

A

hyperthyroidism

52
Q

shoulder pad sign is seen in?

A

Amyloidosis

53
Q

what is the enlarged tongue?

A

macroglossia

54
Q

macroglossia
and purpura can be present in ?

A

Amyloidosis

applied rehab 2 (11 decks)

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