Serology and Lab Testing Flashcards

1
Q

What are 2 non-specific markers of inflammation?

A
  1. ESR

2. CRP

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2
Q

What are 2 non-specific markers for inflammation?

A
  1. ESR

2. CRP

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3
Q

ESR and CRP can be used how?

A

Monitor disease activity

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4
Q

When does ESR rise and in who more often?

A

Rises with age especially in women

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5
Q

CRP fluctuates ____ than ESR

A

Quicker

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6
Q

A CRP > ____ indicates inflammation

A

> 8

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7
Q

Should serologies be used as the sole criterion for diagnosis?

A

NO

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8
Q

What is Rheumatoid Factor?

A

IgM antibody that targets Fc portion of IgG

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9
Q

What produces Rheumatoid Factor?

A

B cells in synovial joints

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10
Q

When is Rheumatoid Factor ALWAYS (+)?

A

Nodular RA

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11
Q

What is the most specific marker for RA?

A

Anti-CCP

antibodies to cyclic citrullinated peptides

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12
Q

What gives you the highest specificity for a diagnosis of RA?

A

RF + Anti-CCP!

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13
Q

What gives you the highest specificity for a diagnosis of RA?

A

RF + Anti-CCP

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14
Q

RF and Anti-CCP indicate what general processes?

A

Aggressive disease and joint erosions

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15
Q

Anti-Nuclear Antibody (ANA) often occurs in what disease?

A

SLE (lupus types)

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16
Q

ANA has many different patterns of?

A

Immunofluorescence

17
Q

What does Antistreptolysin O Antibody Titer (ASOT) indicate?

A

Prior group A Streptococcus infection

18
Q

Rheumatic fever and certain arthritis types may have a (+)?

A

ASOT

– Anti-streptolysin O titer

19
Q

Uric Acid > ____ indicates hyperuricemia

A

> 6.8

20
Q

Which imaging study has high spatial resolution but poor soft tissue visualization?

A

Radiography

21
Q

What imaging study is great for detecting soft tissue abnormalities and can aid in joint aspiration?

A

US

22
Q

Is there radiation with US?

A

NO

23
Q

What imaging study is sensitive for soft tissue and can use contrast?

A

MRI

24
Q

What imaging study is the best for bone abnormalities?

A

CT

25
Q

What imaging study is the best for bone abnormalities?

A

CT