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34 Cards in this Set
- Front
- Back
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Rheumatoid Arthritis is a ______ disease and will shorten life
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systemic
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What are the symptoms of RA?
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SYMMETRICAL, hot, red joints are typically seen
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___% of the population and more WOMEN than MEN have Rheumatoid Arthritis
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1
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There is a ______ component to RA
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genetic
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Rheumatoid Factor include IgM, IgG and rarely ___ antibodies
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IgA
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RA is a type ___ hypersensitivye
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III
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The higher the RF titer the higher the likelyhood that it is associated with
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RA
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the main problem in joints with pt's with RA is
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the proteases chew up the bone
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MRI can distinguish between ____ and cartilage
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pannus
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you may see subchondral_____ formation on X-ray
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cyst
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joint spaces are often __
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narrowed
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Is there a specific test for RA?
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no
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Hands and feet are frequently affected and are key to ___
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diagnosis
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A patient must meet ___ criteria to have RA
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4
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The swan neck deformity is
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PIP (proximal interphalangeal joints) hyperetension and DIP flexion so there is a hook at end of finger
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Boutonnier deformity is when
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the finger is bent in the middle. extension of dip and flexion of PIP
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Rheumatoid nodules are ________ nodules
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subcutaneous
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The Ulnar ____ is the first bones to be affected in RA
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styloid
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With RA you can get joint space widening which never occurs in
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osteoarthritis
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Shoulders are early on and elbows and hips are ____ on in RA progression
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later
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The cervical spine can show a _____ of the lower cervical vertebrae
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subluxation (the vertebrae don't line up as much)
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in RA the odontoid process is _____ separated from arch of atlas
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abnormally
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Rheumatoid nodules are
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granulomatous lesions that develop around small blood vessels
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the most common extra-articular manifestions of RA are
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rheumatoid nodules
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what happens to a patients lungs with RA?
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pleurisy with effusions
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what happens to a pt's heart with RA?
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rheumatoid nodules, myocarditis, valvular fibrosis
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Are xrays helpful in early RA diagnosis
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no
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RF is usually absent in the __ year
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1st
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a synovial fluid WBC for RA will be
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2,000-50,000 (inflammation)
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Will diet or climate help RA?
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no
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what is the first treatment for RA?
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NSAIDS
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what is the second line of treatment for RA?
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DMARD's
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The #1 medication for RA is
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Methotrexate
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you can provide surgery for a RA pt. in order to
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control pain, repair ligaments and tendons, remove inflamed synovial tissue, restore function
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