RA Hands

Question 1

OA fingers

Answer 1

DIP

PIP

Question 2

RA fingers

Answer 2

PIP

MCP

Question 3

Psoriasis nails

Answer 3

Pitting

Onycholysis

Question 4

Fixed flexion deformity

Answer 4

Scleroderma
Duputyrens
OA

Question 5

Make fists tighten fingers

Answer 5

Triggering- tenosynovitis

Question 6

RA nodes

Answer 6

Spongey

Boggy

Question 7

OA nodes

Answer 7

Boney

Question 8

Active RA temperature

Answer 8

Hot
Red 
Sworn
Tender on palpation
Painful passive F

Question 9

Hand function

Answer 9

Pincer grip
Precision grip
Piano
Pen and name

Button

4P’s + button

Question 10

UL function

Answer 10

Elbow E
Elbow F
Wrist E

Taps
Hands behind head
Slide hands up back

Question 11

Froments sign

Answer 11

HyperF of interphalangeal joint if WEAK AD pollicis

Question 12

5 different types of anaemia in RA

Answer 12

Anaemia of chronic disease- RA 
Fe deficiency anaemia- NSAID PUD
Aplastic anaemia- DMARDS
Macrocytic anemia- MTX
Pernicious anemia- RA

Question 13

Sjogrens

Answer 13

Keratoconjunctivitis sicca
Xerostomia
Parotid enlargement
Primary
Secondary- SLE, RA, scleroderma

Question 14

General RA

Answer 14

Malaise/lethargy
Fever
Weight loss

Question 15

CV RA

Answer 15

Pericarditis

Pericardial effusion

Question 16

Resp RA

Answer 16

Nodules
— Caplan syndrome
Fibrosis
Pleural effusion

Question 17

GU RA

Answer 17

Renal amyloidosis

Question 18

NS RA

Answer 18

Poly neuropathy
Mononeuritis multiplex
Carpal tunnel
Atlantoaxial joint subluxation

Question 19

Eyes RA

Answer 19

Episcleritis
Scleritis
Sjogrens

Question 20

Episcleritis

Answer 20

Between conjunctiva and sclera

Mild eye pain and redness

Question 21

Bloods RA

Answer 21

Pancytopenia

Felty syndrome

Question 22

XR RA – 5 inside OUT

Answer 22

Loss of joint space
Bone erosions 
Peri articular osteoporosis 
Deformities- subluxation 
Soft tissue swelling

Question 23

MTX SE

Answer 23

Pneumonitis
Pulmonary fibrosis
Hepatic fibrosis
Oral ulcers 
Megaloblastic anaemia

Question 24

Hydroxychloroquine

Answer 24

Retinopathy

Question 25

Sulfasalazine

Answer 25

Oligospermia

Question 26

IM Gold

Answer 26

Nephrotic syndrome

Question 27

Penicillamine

Answer 27

Nephrotic syndrome
Change in taste
MG like syndrome

Question 28

Ciclosporin

Answer 28

Renal impairment
HTN
gum hypertrophy

Question 29

Psoriatic arthritis

Answer 29

Asymmetric oligoarthritis

• dactylitis
• larger joint sometimes
• lone DIP

Rheumatoid

Arthritis mutilans

Sacroilitis

Question 30

Scleroderma hands

Answer 30

Waxy
Cold
Tight
Telangiectasias