Week 3 Terms: Rheumatic Diseases, Digestive Diseases, and Obesity Flashcards

1
Q

5 Signs and Symptoms of Rheumatoid Arthritis (RA)

A

Insidious Onset
Mild pain gradually increasing
Inflammation in fingers or wrists
Joint swelling and stiffness
Systemic symptoms during exacerbations

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2
Q

Surgical repair or replacement of a joint is…

A

Arthroplasty

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3
Q

What happens in a colostomy and ileostomy?

A

Damaged intestine is removed/re-routed

Opening in abdominal wall for stool elimination

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4
Q

Signs and Symptoms of Crohn’s Disease

A

Inflammation of colon & small intestine
“Skip lesions”
Thickening of intestinal walls = narrow
Obstruction
Malabsorption of nutrients diarrhea
Abdominal pain (right LQ)
Weight loss
Fatigue

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5
Q

Adult Obesity is linked to…

A

Heart disease, stroke, Type II Diabetes, and certain types of cancers

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6
Q

True/False
Psoriatic Arthritis is a genetic and environmental predisposition for adults ages 30-55.

A

True

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7
Q

Osteoporosis can be accelerated by many factors such as…

A

Aging
Post-Menopausal Women; Estrogen deficiency
Sedentary Lifestyle
Hormonal Factors
Deficits in Vitamins (CA, Vit. D)
Lifestyle (smoking, caffeine)

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8
Q

Lupus Erythematosus

A

A chronic inflammatory collagen disease affecting connective tissue (skin or joints)

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9
Q

How is gout diagnosed?

A. Blood Test
B. Urinalysis
C. Physical Exam
D. A & C

A

D. A & C

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10
Q

Surgical Fusion of a joint is…

A. Arthroplasty
B. Arthrodesis
C. Arthrovitis
D. None of the Above

A

B. Arthrodesis

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11
Q

Bouchard’s Nodes

A

Osteoarthritis (PIP)

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12
Q

True/False
Osteoarthritis affects women more than men

A

False
Osteoarthritis affects MEN more than WOMEN

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13
Q

Juvenile Arthritis

A

A form of arthritis that occurs in individuals under the age of 16

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14
Q

Treatment for Fibromyalgia

A

Medications – medicate the pain pathway (Lyrica)
Pain management strategies
Fatigue management
Massage therapy
Stress management

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15
Q

10 Treatments of Chronic Fatigue Syndrome (CFS)

A

Education
Activity Management
Pacing
Work Simplification
Energy Conservation
Good Sleep Habits
Pain Treatment
Addressing Psychosocial factors such as depression/stress/anxiety
Treatment for orthostatic hypotension
Memory Aids

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16
Q

What are the bony enlargement and persistent synovitis disrupt ligaments?

A
Bouchard Nodes (PIP)
Heberden Nodes (DIP)
Z deformity (thumb)
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17
Q

Name 2 nodes and 1 joint

A
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18
Q

What is Psoriatic Arthritis Characterized by?

A

Asymmetrical Joint Pain
Stiffness
Swollen Fingers and Toes
Foot Pain; Often Achilles tendinitis or plantar fasciitis
Lower Back Pain- Spondylitis

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19
Q

True/False
Bone mass peaks in young adulthood and declines over time.

A

True

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20
Q

Synovitis

A

Inflammation of the synovial membrane of a joint

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21
Q

Scleroderma

A

Chronic progressive disease of the skin and internal organs with hardening and shrinking of connective tissue

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22
Q

Signs and Symptoms of Chronic Fatigue Syndrome (CFS)

A

Severe Fatigue
Not relieved by sleep or rest
Post-exertion malaise (PEM)- simple task results in severe need for rest/nap
Sleep Problems
Difficulties with memory/thinking
Feelings of being dizzy, weak, faint, severe tiredness

23
Q

True/False
Women are 2-3x more likely to develop Rheumatoid Arthritis (RA) than men.

A

True

24
Q

6 Localized Signs and Symptoms of Osteoarthritis

A

Pain with movement
Limited joint movement
Enlarged Joint
Instability
Post-Activity Flare-ups of Pain/Swelling
May affect one or multiple joints

25
Q

What types of treatment can be done for Psoriatic Arthritis?

A

Anti-inflammatory treatments
Anti-rheumatic drugs
Immunosuppressants
Steroid injections
Joint protection
Joint replacement surgery

26
Q

Gout

A

A type of arthritis characterized by deposits of uric acid crystals in the joints

27
Q

Which joints are commonly affected by osteoarthritis?

A

Thumb CMC
Shoulder Joint
Weight Bearing Joints; Cervical, Lumbar, Hips, Knees

28
Q

Psoriasis

A

Chronic skin condition producing red lesions covered with silvery scales

29
Q

Heberden’s Nodes

A

Osteoarthritis (DIP)

30
Q

What are some ways to treat Osteoarthritis (OA) and/or Rheumatoid Arthritis (RA)?

A

Medication to target pain, inflammation
Physical agent modalities (careful selection based on stage of disease)-Ultrasound - TENS -
Edema Management
Orthotics
Therapeutic Activities/Exercise
Ergonomics/Education
Joint Replacement Surgery (more common for OA)

31
Q

What are the types of chronic inflammatory bowel diseases?

A

Crohn’s Disease
Colitits

32
Q

Chronic Fatigue Syndrome

A

A debilitating and complex disorder characterized by profound fatigue that is not improved by bed rest and may be made worse by physical or mental activity

33
Q

Rheumatoid Arthritis

A

A chronic autoimmune disorder in which the joints and some organs of other body systems are attacked

34
Q

Pannus

A

Inflamed hyperplastic synovial tissue destroys cartilage

35
Q

Signs and Symptoms of Fibromyalgia

A

Widespread Pain
Fatigue - Sleep disrupted by pain
Decreased ability to focus on and attend to tasks

36
Q

Crepitus

A

A grating sound or sensation produced by friction between bone and cartilage or the fractured parts of a bone.

37
Q

A colostomy connects the to the wall.

A

A colostomy connects the colon to the abdominal wall.

38
Q

Z deformity of thumb Osteoarthritis (OA)

A

Hyperextension MCP, IP flexion

39
Q

4 Signs and Symptoms of Juvenile Rheumatoid Arthritis

A

Onset is usually more acute
Larger joints are more affected
Persistent joint pain, swelling, stiffness
Skin rash, high fever

40
Q

True/False
Kyphosis is the excessive inward curvature of the spine, causing the hunching of the back.

A

False
Kyphosis is the excessive OUTWARD curvature of the spine, causing the hunching of the back.

41
Q

Fibromyalgia

A

Chronic condition with widespread aching and pain in the muscles and fibrous soft tissue

42
Q

Psoriatic Arthritis

A

An inflammatory arthritis associated with psoriasis of the skin

43
Q

Z deformity of thumb Rheumatoid Arthritis (RA)

A

Hyperextension of IP, MCP flexion

44
Q

Treatment for Juvenile Rheumatoid Arthritis (JRA)

A

Maintaining joint integrity
Reducing inflammation
Pain management

45
Q

Treatment for Gout

A

Anti-Inflammatory Medication
Pain Management
May limit weight-bearing temporarily

46
Q

Describe how ulcerative colitis affects the intestines.

A

Inflammation starts in the rectum
Ulcers form distal to proximal
Highly vascularized area
Tissue damage interferes with absorption of fluid/electrolytes

47
Q

Signs and Symptoms of Ulcerative Colitis

A

Diarrhea
Bloody stools
Abdominal cramping
Ion deficiency
Fever
Weight loss

48
Q

Colitis manifests itself at what age?

A. Adolescents
B. Ages 15-19
C. Ages 20-30
D. Ages 30-40

A

C. Ages 20-30

49
Q

What are some risk factors of osteoarthritis?

A

Obesity
Aging
Genetics
Injury
Abuse/Trauma

50
Q

How is ulcerative colitis treated?

A

Avoiding exacerbation triggers (physical/emotional)
Anti-inflammatory medications
Immunosuppressants
Antimotility agents
Nutritional supplements
Antimicrobials
Surgical resection

51
Q

How can you diagnose Psoriatic Arthritis(PA)?

A

No single test can diagnose
Imaging of tendons/ligaments in feet and low back
Blood tests can rule out other types of disease (ex. RF is not present in PA)

52
Q

Osteoporosis

A

A condition in which the body’s bones become weak and break easily

53
Q

True/False
Crohn’s Disease manifests itself in adulthood.

A

False

Crohn’s Disease manifests itself in adolescence.

54
Q

Mallet Finger

A

damage to the extensor tendon at the distal interphalangeal joint (DIPJ) of the finger resulting in an inability to extend the finger at the DIPJ