Rheumatoid artheritis Flashcards

1
Q

What antibodies are markers of severe diseae? What are they at risk of?

A

Anti-CCP (cyclic citrullinated peptide)

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2
Q

What can methatrexate cause in the lungs and what do we need to do before we start this?

A

Pneumonitis, so need to do a CXR

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3
Q

What do we give instead of mehtatexate in pregnant women?

A

Sulfasalazine

altetrnatively hydroxychloroquine

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4
Q

What do we give along with stsrting DMARD and why?

A

Corticosteroids

Takes 2-3 months for the DMARDS to start working, so just given in the inbetween time

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5
Q

Rheumatology follow ups: 4/5 weeks -> reassesment. 2 months -> MDT: nurse, pharmacy, OT, psychologist, podiatrist, orthotics

A
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6
Q

What are the complications of RA?

A

Rheumatoid nodules, vasculitis, interstitial lung disease

chronic synovitis
deformatives and secondary osteoartheritis
pain and poor function

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7
Q

Monst common biologic used and how

A

Adalimumab and etanercept -> s/c pen fortnighly or weekly

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8
Q

Which upper limb joints aren’t included on a DAS-28 score?

A

Distal interpharyngeal joints

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