Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Ortho Eval > Week 5 - Rheumatoid Arthritis > Flashcards

Week 5 - Rheumatoid Arthritis Flashcards

1
Q

People with RA are at risk for what 4 things?

A
  • decreased flexibility
  • muscle atrophy
  • decreased muscle strength
  • reduced cardiovascular endurance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

one type of INFLAMMATORY polyarthritis characterized by a prolonged course of exacerbation and remission of joint pain and swelling which frequently leads to deformity and permanent disability.

A

RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

one type of INFLAMMATORY polyarthritis characterized by a prolonged course of exacerbation and remission of joint pain and swelling which frequently leads to deformity and permanent disability.

A

RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is RA?

A

a chronic inflammatory disease with symmetrical poly-articular inflammation, morning stiffness, malaise, and fatigue.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

RA is a ___ disease affecting not only the ___ joints but also blood vessels, heart, lungs, eyes and other non-articular systems.

A

systemic, synovial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

name 4 associated problems with RA.

A
  • skeletal
  • respiratory
  • drugs
  • other
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

name the 5 stages of joint changes in RA.

A
  • healthy joint
  • synovitis
  • pannus
  • fibrous ankylosis
  • bony ankylosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • synovial membrane inflamed and thickened

- bones and cartilage gradually eroded

A

synovitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

extensive cartilage loss; exposed and pitted bones

A

pannus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

joint invaded by fibrous connective tissue

A

fibrous ankylosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

bones fused

A

bony ankylosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

inner membrane of synovial joints which secretes synovial fluid into the joint cavity.

A

synovial membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

RA MUST have ___ involvement.

A

hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

name the criteria for an RA diagnosis.

A
  • symmetrical polyarthritis - usually hands
  • persisted more than 60 days
  • systemic fatigue and malaise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

self limited polyarthritis, resolves

A

type 1 - RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

persistent disease but does NOT lead to long term consequences

A

type 2 - RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

progressive disease, x-ray changes, decreased function, work disability

A

type III - RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

independent in ADLs, IADLs, vocation, avocation

A

type I - RA functional classification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

able to do ADLs, IADLs, work, NO avocation

A

type II - RA functional classification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

able to do self-care and limited work

A

type III - RA functional classification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

all activities limited

A

type IV - RA functional classification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

a medical strategy that sets remission or low disease activity as a goal; specific disease management targets are set.

A

Drug Therapy: Treat to Target (T2T)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Name 4 categories of drugs involved in RA treatment.

A
  • non-steroidal anti-inflammatory (NSAIDs)
  • disease modifying anti-rheumatic (DMARDs)
  • corticosteroids
  • analgesic drugs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is the goal of drug therapy for RA?

A

clinical remission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

remission must see 5 of these 6 things absent…

A
  • morning stiffness
  • joint pain
  • fatigue
  • joint tenderness
  • joint or tendon sheath swelling
  • elevated ESR
25
Q

Describe a typical RA eval.

A
  1. review chart
  2. observe and interview pt.
  3. assessments - ADLs, ROM, hand function - typical wrist/hand deformities, finger deformities, strength, endurance, sensibility
26
Q

name 4 acute stage clinical presentations of RA.

A
  • pain
  • redness
  • heat
  • swelling
27
Q

name 4 OT goals during the acute stage of RA.

A
  • to control inflammation
  • to preserve joint mobility
  • to help pt. manage pain
  • to help maximize health
28
Q

how should you control inflammation of RA?

A
  • rest
  • orthosis
  • cold modalities
29
Q

how do you preserve joint mobility with RA?

A
  • gentle active or AAROM within pain free range 2-3 times per week
  • proper positioning
30
Q

how do you help pt. manage pain in acute stage of RA?

A
  • education
  • deep breathing
  • relaxation
  • imagery
  • stress management
31
Q

how do you help pt. maximize health in acute stage of RA?

A
  • restorative sleep

- healthy nutrition

32
Q

what is the primary target of RA?

A

synovial lining and synovium

33
Q

RA leads to ___ damage and ___ erosion.

A

cartilage, joint

34
Q

the amt of synovial fluid ___, but loses its viscosity and can no longer act as an effective lubricant.

A

increases

35
Q

which joints are typically affected in RA?

A

MP, PIP, thumb and wrist joints

36
Q

name 5 common RA deformities.

A
  • MP joint ulnar deviation
  • palmar subluxation
  • radial deviation of the MCs (zig zag deformity)
  • PIP swan neck deformity
  • boutonniere deformity
37
Q

radial deviation of the MCs

A

zig zag deformity

38
Q

name 4 roles of orthotics in RA.

A
  • decrease inflammation
  • relieve pain
  • improve function
  • deformity prevention
39
Q

name 5 clinical presentations of chronic active RA.

A
  • synovium invades soft tissue
  • decrease in ROM
  • intrinsic atrophy
  • nodules
  • tenosynovitis
40
Q

name 4 clinical presentations during the chronic inactive stage of RA.

A
  • subluxation
  • ulnar deviation
  • hyperextension
  • common hand deformities
41
Q

what is the role of splints in the chronic inactive stage of RA?

A

stabilization

42
Q

name 3 aspects of orthotic applications in RA.

A
  • rest inflamed joints
  • prolong joint integrity
  • post surgery - provides joint alignment and safe motion, prevents stiffness during healing phase
43
Q

In RA, joints are ____ bc tissue is pushed out.

A

hypermobile

44
Q

RA can lead to ____ ____.

A

cartilage damage

45
Q

is swan neck or boutonniere deformity more common in RA?

A

swan neck

46
Q

describe the role of the silver ring company ring in RA.

A
  • used to correct deformity

- holds PIP in SN deformity in slight flexion and prevents full extension.

47
Q

name the 3 traditional RA categories of PAMs.

A
  • thermal
  • electrical
  • aquatic (hydrotherapy)
48
Q

when are heat modalities used for RA?

A

once inflammation and swelling are under control

49
Q

why is exercise important for pts with RA?

A

good for maintaining tone and muscle bulk - joints will be protected and function improved

50
Q

describe exercise during the acute stage of RA.

A
  • gentle active assistive exercises 1-2 x day

- PROM

51
Q

describe exercise during the chronic active stage of RA.

A
  • AROM to maintain/improve ROM
  • isometrics in different parts of range
  • short arc isotonic - may use very light resistance
  • 2-3 times a day
52
Q

describe exercise during the chronic inactive stage of RA.

A
  • continue AROM
  • isometric strengthening
  • short to full arc isotonic with light to moderate resistance
  • GENTLE passive stretching as indicated
  • increase reps and exercise periods per day
  • low impact cardio
53
Q

What is SARAH?

A

exercise to improve RA hand function.

54
Q

tendons are at a different length

A

zig zag deformity (wrist)

55
Q

name 4 conditions of wrist involvement in RA.

A
  • synovitis
  • instability and subluxation
  • carpal tunnel syndrome
  • tenosynovitis (dorsal and volar)
56
Q

name 2 conditions of thumb involvement in RA.

A
  • CMC synovitis

- MCP or IP synovitis or instability

57
Q

name 3 conditions of MCP involvement in RA.

A
  • synovitis
  • ulnar deviation
  • intrinsic muscle tightness
58
Q

what is the most common surgery for RA?

A

total joint arthroplasty

59
Q

what is swan neck deformity?

A

hyperextension of the PIP joint and flexion of the DIP joint due to an imbalance of muscle forces on the PIP.

60
Q

what is boutonniere deformity?

A

zone III extensor tendon injury characterized by PIP flexion and DIP extension.

Ortho Eval (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions