RA

Question 1

what are the main factors of the RA?

Answer 1

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

Question 2

what are the Clinical Manifestations?

Answer 2

• Pain
• Joint swelling
• Limited movement
• Stiffness
• Weakness
• Fatigue
• Warmth
• Erythema

Question 3

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

Answer 3

red flags

Question 4

list the goals assessments for RA

Answer 4

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

Question 5

what are the red flags for treating RA?

Answer 5

fractures
infection
organ involvement

Question 6

which one is for articular or periarticular?

1-Pain Diffuse, deep
tenderness
2-point

Answer 6

1- is articular
2- periarticular

Question 7

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

Answer 7

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

while in periarticular only pain in AROM= few planes

Question 8

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

Answer 8

false, opposite

Question 9

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

Answer 9

non-articular or periarticular pain

Question 10

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

Answer 10

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

Question 11

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

Answer 11

true

Question 12

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

Answer 12

false, the opposite

Question 13

Septic
Gout
Rheumatoid arthritis
Psoriatic arthritis
are?

Answer 13

inflamed articular diseases

Question 14

Bursitis
Enthesitis
Polymyalgia Rheumatica
Polymyositis
are?

Answer 14

inflamed non-articular
diseases

Question 15

list non-inflam articular diseases

Answer 15

Osteoarthritis
Charcot Joint
Fracture

Question 16

list noninflamed and non-articular diseases

Answer 16

Fibromyalgia
Carpal tunnel
Reflex Sympatico Dystrophia

Question 17

what is the main difference between RA and OA?

Answer 17

RA is inflamed articular
while the OA is noninflamed articular

Question 18

monoarticular
effecting only one joint
true or false?

Answer 18

true

Question 19

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

Answer 19

false, it is polyarticular.

Question 20

less than 4 joints are effected is?

Answer 20

oligoarticular

Question 21

osteoarthritis can be only polyarticular
true or false?

Answer 21

false, it can be poly-oligo-or monoarticular

Question 22

RA is polyarticular disease
true or false?

Answer 22

true

Question 23

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

Answer 23

acute conditions

Question 24

give examples of chronic conditions

Answer 24

OA, RA, SLE, psoriatic arthritis, fibromyalgia

Question 25

Intermittent diseases such as gout, pseudogout, Lyme, palindromic rheumatism, Behcet's, Familial Mediterranean Fever true or false?

Answer 25

true

Question 26

* Additive: OA, RA, Reiter's syndrome, psoriatic true or false?

Answer 26

true

Question 27

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

Answer 27

migratory diseases

Question 28

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

Answer 28

OA

Question 29

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

Answer 29

true

Question 30

what is CPPD?

Answer 30

calcium pyrophosphate depolarization

Question 31

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?

Answer 31

OA

Question 32

how to know if it is RA when we observe?

Answer 32

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

Question 33

what are the late stages of RA?

Answer 33

Deformities= jacoudes * Nodules * Tendon Rupture

Question 34

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

Answer 34

seronegative asymmetric arthritis

Question 35

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?

Answer 35

Psoriatic arthritis

Question 36

Keratoderma blennorrhagica in which syndrome?

Answer 36

Reiter’s syndrome

Question 37

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

Question 38

what can we see with Systemic Lupus Erythematosus (SLE)

Answer 38

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

Question 39

Dermatomyositis Interarticular dermatitis of SLE both have?

Answer 39

periungual erythema

Question 40

“Mantle” aka “Shawl” Sign of ?

Answer 40

Dermatomyositis

Question 41

Linear scleroderma not usually associated with?

Answer 41

systemic diseases

Question 42

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

Answer 42

Livedo reticularis

Question 43

what can be seen after extreme cold?

Answer 43

Raynaud’s Phenomenon

Question 44

what is palpable purpura

Answer 44

dermal vasculitis

Question 45

Saddle nose deformity is relapsing Poly chondritis true or false?

Answer 45

true

Question 46

Saddle nose deformity can be seen with what?

Answer 46

Wegener’s granulomatosis and syphilis

Question 47

Tophi appear rather late in gout true or false?

Answer 47

true

Question 48

when we should tap and not tap ?

Answer 48

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

Question 49

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

Answer 49

Ehlers-Danlos syndrome

Question 50

acropachy is sign of?

Answer 50

hyperthyroidism

Question 51

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

Answer 51

hyperthyroidism

Question 52

shoulder pad sign is seen in?

Answer 52

Amyloidosis

Question 53

what is the enlarged tongue?

Answer 53

macroglossia

Question 54

macroglossia and purpura can be present in ?

Answer 54

Amyloidosis