5 Written Questions

1. In RA; Sheet of invasive cellular tisse continuous with cellular lining; causes erosion of bone and cartilage and margin or joints, weakens joint capsule.
2. Intermittent low back pain, pain and stiff (am), loss of lumbar flexibility, impaired lung capacity, eye inflammation (uveitis), anorexia, fever
3. organ meats, shellfish, lentils, asparagus, spinach, beef, chicken and pork, beer; Relationship b/w gout and heart disease (uric acid clog arteries in heart)
4. late-fibrosis of joint, atrophy of muscle and tendon destroyed, ulnar drift, swan neck (DIP), boutonniere, hallux valgus
5. CREST. Calcinosis, Raynauds, Esophageal dysfunction, sclerodactyly (contractures), telangiesctasia (red spots on hands, face, lips)

5 Matching Questions

1. OA treatment
2. Gouty arthritis
3. Scleroderma types
4. Scleroderma
5. Scleroderma teaching

1. a Serum uric acid >6; 24 hour urine uric acid collection to determine cause r/t renal. Treat with allopurinol, colchicine, nsaids, steroids, diet, hydrate
2. b 1. Limited: initially involves face and hands
   2. Diffuse: initially involves trunk and extremity
   CREST
3. c avoid temp extremes, exercise, moist heat for skin, 4-6 small meals, no smoking, sit up straight to avoid aspiration, Meds treat HTN, immunosuppresant
4. d Overproduction of collagen --> disruption in cells leading to platelet aggregation and fibrosis. Disrupts normal organ function (lungs, kidney, heart, GI)
5. e hot or cold, manage pain (tylenol, nsaids, cox2, doxycycline preserves knee cartilage), rest joint, exercise and nutrition (wt loss), safety, surgery

5 Multiple Choice Questions

1. Joint pain, butterfly rash, alopecia, HA, neuropsych, hypercoagulability, infections, pneumonia, pleural effusions, heart problems, lupus nephritis, raynauds
   1. Lupus treatment
   2. OA manifestations
   3. Lupus manifestations
   4. Scleroderma manifestations
2. Invasion of a joint cavity with bacteria; staph aureus most common. Usually in hip or knee. ABX, aspiration of fluid in joint
   1. Osteoarthritis
   2. Gouty arthritis
   3. Septic arthritis
   4. Psoriatic arthritis
3. Arthritic condition characterized by increase in uric acid production, underexcretion of uric acid by kidneys, or inc intake of foods w/ purine
   1. Gouty arthritis
   2. Psoriatic arthritis
   3. Septic arthritis
   4. Osteoarthritis
4. NSAIDs, steroids, surgery (repair joint damage), exercise for posture, breathing.
   1. Ankylosing Spondylitis
   2. Gouty arthritis
   3. Ankylosing Spondylitis meds
   4. Ankylosing Spondylitis manifestations
5. Autoimmune multisystem inflammatory disease. Vary from person to person. No specific dx test used (4 of 11 characteristics)
   1. Lupus treatment
   2. Pannus
   3. Lupus
   4. Scleroderma

5 True/False Questions

1. Rheumatoid arthritis → chronic, systemic autoimmune disease-inflammation of connective tissue in synovial joints. Exacerbations and remissions. 30-50 yr, female

   True        False

2. Psoriatic arthritis → Invasion of a joint cavity with bacteria; staph aureus most common. Usually in hip or knee. ABX, aspiration of fluid in joint

   True        False

3. OA manifestations → Joint pain, butterfly rash, alopecia, HA, neuropsych, hypercoagulability, infections, pneumonia, pleural effusions, heart problems, lupus nephritis, raynauds

   True        False

4. Lupus treatment → Manage exacerbations, prevent complications (lupus neph, anemia, mypocarditis, serositis, seizures. NSAIDs, Solumedrol, immunosuppresant

   True        False

5. Ankylosing Spondylitis → NSAIDs, steroids, surgery (repair joint damage), exercise for posture, breathing.

   True        False