UW revision RA

Question 1

UW table. extraarticular manifestation of RA. Systemic?2

Answer 1

fever, weight loss

Question 2

UW table. extraarticular manifestation of RA. pulmonary? 2

Answer 2

pulmonary fibrosis
pulmonary hypertension

Question 3

UW table. extraarticular manifestation of RA. cardiovascular 2

Answer 3

atherosclerosis
vasculitis

Question 4

UW table. extraarticular manifestation of RA. musculoskeletal? 1

Answer 4

osteopenia/osteoporosis

Question 5

UW table. extraarticular manifestation of RA. derma?

Answer 5

rheumatoid nodules

Question 6

UW table. extraarticular manifestation of RA. hemo?

Answer 6

anemia

Question 7

UW table. extraarticular manifestation of RA. neuro?2

Answer 7

Compressive neuropathy (eg carpal tunnel syndrome)

Cervical myelopathy

Question 8

UW table. extraarticular manifestation of RA. other ?3

Answer 8

Sjogren syndrome
Raynaud phenomenom
Scleritis, episcleritis

Question 9

UW RA Q. carpal tunel.

Answer 9

RA can cause tenosynovitis of the flexor tendons that pass within the carpal tunnel; in addition, the synovium can expand within the carpal space. The resultant inflammation leads to compression of the median nerve under the flexor retinaculum, producing the symptoms of CTS. Patients with RA are 2-3 times as likely as the general population to develop CTS.

Question 10

UW RA Q. evaluation? 3

Answer 10

Initial evaluation of RA should include inflammatory markers (eg, ESR, CRP), serologic studies (eg, rheumatoid factor, cyclic citrullinated peptide antibodies), and x-rays of the symptomatic joints.

Question 11

Rheumatoid arthritis often affects the hands but typically presents with boggy synovitis and deformity at the metacarpophalangeal joints and wrists; DIP joint involvement is uncommon. Patients typically experience prolonged (>1 hr) morning stiffness; brief (<30 min) stiffness is more characteristic of OA.