RA And OA Conditions Flashcards
1
Q
Gouty arthritis is common among
A
Asians
2
Q
SLE is common among
A
Africans/blacks
3
Q
Most common site for inflammation in RA
A
Synovium
4
Q
Pannus formation results to
A
Erosion
5
Q
RA has reversible or irreversible deformities
A
Irreversible
6
Q
The gene that may increase the risk of having RA
Only a predisposing factor
A
HLA DR4
7
Q
Series of antibodies that recognizes IgG as an antigen
A
Rheumatoid factor(RF)
8
Q
How many percent of pxs with RF has RA
A
70%
9
Q
Positive for RF is called
A
Seropositive
10
Q
Negative for RH factor is called
A
sero negative
11
Q
Found in pxs whos sero positive
seen over the joints, extensor surfaces of FA and weight bearing areas
A
Rheumatoid nodules
12
Q
Sero means
A
Blood
13
Q
Oligo means
A
Few
14
Q
Metabolism of dead cells
A
Citrollination
15
Q
targets protein antibodies and doesnt want the process of eliminating or metabolising dead cells
A
Anticitrullinated protein antibody(ACPA)
16
Q
Sx are aggraviated all throughout the day specially during WB
A
Osteoarthritis
17
Q
Morning stiffness for at least 1 hour(should be >30 mins)
A
RA
18
Q
No of joints affected to consider RA has poor prognosis
A
> 10 jts
19
Q
No of joint on B hands(MCP,wrist,PIP)
A
20 joints
20
Q
Erosion in X-Ray(ABCDES)
A
Abnormal alignment Bone involvement Cartilage involvement Deformity Erosion Soft tissue swelling
21
Q
Found inside rheumatoid nodules
A
Necrotic tissues/deadcells
22
Q
Out of the 7 criterias how many should be present and for how long?
A
4 criterias(1st 4) for 6 consecutive weeks
23
Q
Perfect score for the grading of 2010 ACR-EULAR(european league against rheumatism)
Ideal score (most likely RA)
A
10
>6
24
Q
Formula for ESR
A
Age+10 (divide by) 2
25
Most commonly affected joint in RA
MCP
26
Least commonly affected jt in RA
TMJ
27
Joint spared in RA
DIP
28
Swan neck joint position
DIP flexed
| PIP extended
29
Rupture of lateral slip of extensor hood
Swan neck
30
Rupture of cental slip of extensor hood
Boutonnière
31
Boutonnière joint positions
DIP extended
| PIP flexed
32
Mallet finger joint position
PIP neutral
| DIP flexed
33
@thumb NALE BUFF
| Type I
I. Boutonnière of thumb
34
Boutonnière of thumb position
MCP flexed
| IP extended
35
@thumb NALE BUFF
| Type II
II. Boutonnière of thumb+add/subluxation of CMC jt.
36
@thumb NALE BUFF
| Type III
Swan neck of thumb+add/subluxation of CMC jt.
37
@thumb NALE BUFF
| Type IV
IV. Game keepers thumb
38
Gamekeeper's thum is also called
Skiers thumb
39
Rupture of ulnar collateral ligament of the thumb
Gamekeeper's thumb/skiers thumb
40
@thumb NALE BUFF
| Type V
Swan neck alone
41
@thumb NALE BUFF
| Type VI
VI. Bone loss
42
Fingers appears shorter than normal
Arthritis mutilans
43
Opera glass hand
Arthritis mutilans
44
Flexion contructure of MCP appears as
Intrinsic plus
45
Ulnar drift/Z deformity/zigzag
Wrist is in
MCP is in
Wrist is in radial dev
MCP is in ulnar dev
Code: Wradial Mulnar
46
Up and down movement of ulna upon pressing dt the rupture of ulnar collateral lig
Piano keys sign
47
Enlargement @ popliteal fossa in oxs with RA
Baker cyst
48
Toe deformity comkon in pxs with RA
Hammer toes
49
Most common toe deformity in OA
Hallux valgus
50
Claw toes joint position
MTP extension
PIP flexion
DIP flexion
51
Hammer toe joint position
MTP extension
PIP flexion
DIP extension
52
Absent push off gait
Appropulsive gait
53
Subluxation of shoulder in RA is dt
Disuse attropy
54
LOM of shoulder in RA
Ext. rotate
55
Shoulder joint affected in inflammatory arthritis
Glenohumeral joint
56
Separation of toes
Splay foot
57
Colapsed transverse arch causes
Splay foot
58
Shoulder joint affected in osteoarthritis
Acromioclavicular joint
59
Cervical level affected in RA
What joint?
LOM?
C1-C2
Atlantoaxial joint
LOM in Rotation
60
Subluxation of cervical spine in RA causes
Spinal cord injury dt compression
61
Percentage of mortality in cervical subluxation leading to SC compression
25%
62
Cervical level affected by OA
C5-C6
63
LOM in hip in pxs with RA
Internal rotation
64
Hip condition in RA dt pannus formation>erosion>protrusion
Protrusio acetabuli
65
Located of pain in pxs with RA
Groin/medial aspect of hip
66
Referred pain in hip RA
Buttoks
| Knee
67
Elbow joint in RA causes loss of what movement and contracture of what
Loss of pronation supination
| Flexion contracture
68
ROM Limitation of mouth opening in RA of TMJ
About 2 inches
69
rA complication in the heart
Pericarditis
70
Law that states the ability of the heart to contract c greater stretch the greater the force of contraction
Frank starling law
71
2 types of pericarditis that can be present with an RA px
Constrictive pericarditis
| Cardiac tamponade
72
Most common cause of death in RA
Cardiac arrest
73
Prolonged use of this drugs contributes to having heart dse
Corticosteroids
74
Lung dse in pxs with RA
Caplan's
75
+Rheumatoid nodules at the lining of the lung that causes fibrosis.
Caplan's
76
Rheumatoid dse c CNA manifestations
SLE
77
RA affects
| PNS or CNS
PNS
78
Peripheral nerves that may be affected by RA
```
Median nerve(CTS)
Ulnar nerve(cubital tunnel)
Tibial nerve(bakers cyst)
```
79
Largest lymphoid organ
Spleen
80
Chronic dse of RA causes ___ in the blood
Anemia
81
Feltys syndrome in RA
```
Spleenomegaly
Lymphadenopathy
Leukopenia
Anemia
Arthritis
Neutropenia
Thrombocytopenia
```
82
Dryness of eyes in RA
Keratoconjunctivitis sicca/sicca syndrome
83
Sjogrens triad
Xenopthalmia(dry eyes)
Xerostomis(dry mouth)
Arthritis
84
Tests used for xerophthalmia
Schrimers
| Rose bengal
85
Painful sexual intercourse experience by pxs with sjogrens
Dyspareunea
86
Other names for sjogrens
Gougerots
Mikulicz
Autoimmune exocrinopathy
87
Test that measures the amount of wetness of the eyes in pxs with xenopthalmia seen in sjogrens
Schrimers
88
Test that uses a film in the eyes and shows the part of the eyes that has dryness can be used in pxs with xenopthalmia seen in sjogrens
Rose bengal
89
Bilateral parotiditis that causes dry mouth
Xerostomia
90
What stage of RA is aerobic exercise done?
Chronic stage/severe stage
91
Stage of RA progression where in there is juxtaarticular osteoporosis
I. Mild
92
Stage of RA progression where in there is osteoporosis c or s slight bone destruction, ADJACENT ms atrophy, nodules
II. Moderate
93
Stage of RA progression where in there is deformities, extreme/extensive ms atrophy, nodules
III. Severe
94
Stage of RA progression where in there is bony ankylosis or fusion
IV. Terminal
95
Functional class of RA pxs which they are independent/completely able to perform self care, vocational, avocational activities
Class I
96
Functional class of RA pxs which they are independent/are able to perform selfcare and vocational but limited avocational activities
Class II
97
Functional class of RA pxs which they are independent/able to perform selfcare but limited to vocational and avocational activities
Class III
98
Functional class of RA pxs which they are dependent in all aspect/unable to perform selfcare, vocational and avicational activities
WC bound
Bedridden
Class IV
