RA/OA

Question 1

RA etiology

Answer 1

Systemic auto-immune attacks synovial memb:
T-lymph -> cytokines
destroys cart, bone, tendons

Question 2

RA presentation

Answer 2

viral sxs
weight loss
SYMM POLYarthritis in small joints first
>= 1hr a.m. stiffness, better w/ use
red, warm, pain joints

Question 3

RA diag criteria

Answer 3

4 present for >6wks

Question 4

RA signs

Answer 4

ulnar dev at MCP, wrists
Bouton, Swan Neck
inteross mm atrophy
PIP joints
Rheumatoid nodules (on arms)
eroded metatarsal heads

Question 5

RA x-ray findings

Answer 5

soft tissue edema @ joints
bone erosion
sublux/dislocation of joints

Question 6

RA labs

Answer 6

no specific test
RF and anti-CCP antibodies = highly specific for RA
CRP

Question 7

RA tx

Answer 7

hault joint eroising
NO bed rest
DMARDs

Question 8

OA etiology

Answer 8

most common arthritis,
not inflamm or systemic,
degeration of cart / hypertrophy of bone at joints

Question 9

OA presentation

Answer 9

<30 min a.m. stiffness,

worse w/ activity, better w/ rest

Question 10

OA signs

Answer 10

Heberden’s Nodes - DIP
Bouchard’s Nodes - PIP
Spinal degenration, stenosis (bend to feel better)

Question 11

OA x-ray findings

Answer 11

narrow joint space
osteophytes
NO joint obliteration

Question 12

OA labs

Answer 12

ANA = normal
RF = neg

Question 13

OA tx

Answer 13

preserve movement
exercise/rest
Analgesias

Question 14

Fibromyalgia sxs

Answer 14

diffuse musculoskeletal pain
excessive mm tenderness
fatigue