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IPDM 1 RA Part 1

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alchemist04's version from 2016-05-30 02:18

Section

Question Answer
What are the Risk factors of RA (1)(1) Female are 3x more likely
What are the Risk factors of RA (2)(2) increasing age (peak on set, 35 to 50 yo)
What are the Risk factors of RA (3)(3) Smokers are 2x more likely than non smokers
What are the Risk factors of RA (4)(4) Family history, HLA-DRB1 gene
What are the Risk factors of RA (5)(5) Stress
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Question Answer
Symptoms of RA are (1)(1) Joint pain and stiffness > 6 wks
Symptoms of RA are (2)(2) Warmth
Symptoms of RA are (3)(3) Fatigue
Symptoms of RA are (4)(4) Low-grade fever
Symptoms of RA are (5)(5) Loss of appetite
Symptoms of RA are (6)(6) Anorexia
Symptoms of RA are (7)(7) Weight loss
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Question Answer
Symptoms of RA are (1)(1) Synovitis
Symptoms of RA are (2)(2) joint deformity
Symptoms of RA are (3)(3) Tenderness
Symptoms of RA are (4)(4) Symmetrical joint involvement
Symptoms of RA are (5)(5) Myalgias
Symptoms of RA are (6)(6) Muscle atrophy
Symptoms of RA are (7)(7) Tendon pain
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Question Answer
Clinical presentations includes (1)(1) Hallux valgus
Clinical presentations includes (2)(2) Swan-neck deformity of fingers
Clinical presentations includes (3)(3) Subluxation of metatarsal head leads to "cock-up" or hammer toe deformities
Clinical presentations includes (4)(4) Bunion/callus formations at the greater toe
Clinical presentations includes (5)(5) Bursitis/Tendonitis
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Question Answer
Extraarticular Manifestation includes (1)(1) Rheumatoid Nodules
Extraarticular Manifestation includes (2)(2) Vasculitis
Extraarticular Manifestation includes (3)(3) Pulmonary like (1) Pleural effusions (2) Pulmonary fibrosis (3) Interstitial pneumonitis
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Question Answer
Management of RA includes (1)(1) Establish diagnosis
Management of RA includes (2)(2) Assess disease activity
Management of RA includes (3)(3) Recommend therapy
Management of RA includes (4)(4) Re-assess disease activity (a) Define remission (b) If inadequate response, change/add DMARD
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Question Answer
Recommended therapy for RA (1)(1) Patient education
Recommended therapy for RA (2)(2) Treat to target (T2T), start DMARD w/n 3 months
Recommended therapy for RA (3)(3)Consider NSAID, local and/or low-dose steroids for control of symptoms
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Question Answer
Diagnostic Testing for RA are (1)(1) Rheumatoid factor (RF)
Diagnostic Testing for RA are (2)(2) Anticyclic citrullinated peptide (Anti-CCP)
Diagnostic Testing for RA are (3)(3) Anti-citrullinated protein antibody (ACPA)
Diagnostic Testing for RA are (3)(3) Erythrocyte sedimentation rate (ESR)
Diagnostic Testing for RA are (4)(4) C-reactive protein (CRP)
Diagnostic Testing for RA are (5)(5)Joint fluid aspiration
Diagnostic Testing for RA are (6)(6) X-ray
Diagnostic Testing for RA are (7)(7) Patient Activity Scale (PAS)
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Question Answer
RA ACR/EULAR Criteria, Category A (Joint involvement) (1)(1) Small joint, involves the wrist joint and the phalangeal joints
RA ACR/EULAR Criteria, Category A (Joint involvement) (2)(2) Large joints, involves the shoulders, elbows, hips, knees and ankles
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Question Answer
Joint involvement score "0" means1 large joint
Joint involvement score "1" means2-10 large joints
Joint involvement score "2" means1-3 small joints (w/ or w/o involvement of large joints)
Joint involvement score "3" means4-10 small joints (w/ or w/o involvement of large joints)
Joint involvement score "4" means>10 joints (at least 1 small joint)
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Question Answer
RA ACR/EULAR Criteria, Category B (Serology) criteria (1)(1) RF
RA ACR/EULAR Criteria, Category B (Serology) criteria (2)(2) Anti-citrullinated protein antibody (ACPA)
RA ACR/EULAR Criteria, Category B (Serology) criteria (3)(3) Low-positive which is defined as higher than the upper limit of normal (ULN) but
RA ACR/EULAR Criteria, Category B (Serology) criteria (4)(4) High-positive which is defined as greater than 3x the ULN
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Question Answer
Serology score "0" isNegative RF and ACPA
Serology score "2" isLow-positive RF or low-positive ACPA
Serology score "3" isHigh-positive RF or high-positive ACPA
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Question Answer
RA ACR/EULAR Criteria, Category C (Acute Phase Reactants) criteria (1)(1) CRP-C-reactive protein
RA ACR/EULAR Criteria, Category C (Acute Phase Reactants) criteria (2)(2) ESR-Erythrocyte sedimentation rate
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Question Answer
Acute Phase Reactants score "0"Normal CRP and Normal ESR
Acute Phase Reactant score "1"Abnormal CRP or abnormal ESR
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Question Answer
RA ACR/EULAR Criteria, Category D (Duration of symptoms)Refer to patient self-report of duration of signs/symptoms
Duration of symptoms score "0"< 6 wks
Duration of symptoms score "1">/= 6 wks
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Question Answer
ARA criteria includes, must have 4 out of 7 (1)(1) Morning stiffness around joint lasting more than 1 hr
ARA criteria includes, must have 4 out of 7 (2)(2) 3 or more joints have soft tissue swelling
ARA criteria includes, must have 4 out of 7 (3)(3) Arthritis of joints
ARA criteria includes, must have 4 out of 7 (4)(4) Symmetric involvement
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Question Answer
ARA criteria includes, must have 4 out of 7 (5)(5) Subcutaneous/Rheumatoid nodules
ARA criteria includes, must have 4 out of 7 (6)(6) Positive serum rheumatoid factor
ARA criteria includes, must have 4 out of 7 (7)(7) Radiographic changes
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