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Knowledge Rehab > Polyarticular Arthritis > Flashcards

Polyarticular Arthritis Flashcards

1
Q

3 most common symptoms of most arthritis

A

Pain
Joint stiffness
Swelling of joints

Rarely seen warmth/redness

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2
Q

Periungual erythema =

A

swelling/redness around nails

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3
Q

When you see arthritis in children, you must rule out ___

A

Rheumatic fever

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4
Q

Differential for fever, rash and polyarthritis (5)

A 
SLE
Dermatomyositis
Systemic vasculitis
Rheumatic fever
Infections
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5
Q

Anti-cyclic citrullinated peptide used to diagnose ___

A

Rheumatoid arthritis

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6
Q

T/F: Features of non-inflammatory synovial fluid include opaque yellow colored, low viscosity, low neutrophils.

A

False. Features of non-inflammatory synovial fluid include TRANSPARENT yellow colored, HIGH viscosity, low neutrophils (less than 25)

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7
Q

Inflammatory or non-inflammatory arthritis?
Worse in AM
Improves with activity

A

Inflammatory

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8
Q

Inflammatory or non-inflammatory arthritis?

Minimal or no AM stiffness

A

Non-inflammatory

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9
Q

Inflammatory or non-inflammatory arthritis?
Worse in PM
Worse after activity

A

Non-inflammatory

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10
Q

Inflammatory or non-inflammatory arthritis?

Synovial fluid > 2,000 WBC

A

Inflammatory

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11
Q

Polyarthritis = arthritis affecting ___ joints simultaneously

A

> 5

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12
Q

Oligoarthritis = = arthritis affecting ___ joints

A

2-4

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13
Q 
Which of the following is NOT on the differential for MONOarthritis? 
A. Psoriatic arthritis
B. Juvenile chronic arthritis
C. Lyme disease
D. Undifferentiated Spondyloarthropathy
A

D. Undifferentiated Spondyloarthropathy: asymmetric lower limb, knee, ankles oligoarthritis

A. Psoriatic arthritis (red hot joint)
B. Juvenile chronic arthritis (chronic monoarthritis)
C. Lyme disease (infectious chronic monoarthritis)

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14
Q

Asymmetric DIP, PIP, MCP oligoarthritis =

A

Psoriatic arthritis

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15
Q 
Which of the following is NOT a cause of inflammatory polyarthritis?
A. RA
B. Juvenile chronic arthritis
C. Undifferentiated polyarthritis
D. Post infectious arthritis
A

ALL are correct

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16
Q

T/F: Positive rheumatoid factor is diagnostic of Rheumatoid arthritis.

A

False. Not specific or sensitive.

Other causes of + RF:
Age
Bacterial endocarditis
Hepatitis C

17
Q

Duration of symptoms:
Self-limiting (acute) = lasting ___
Chronic = lasting ___

A

up to 4-6 weeks

more than 6 weeks

18
Q 
Which of the following does NOT have a sudden ONSET?
A. Gout
B. Rheumatoid arthritis
C. Rheumatic fever
D. Reactive arthritis
A

B. Insidious onset

19
Q

Name 3 ADDITIVE arthritis

A

Polyarticular OA
RA
Reactive arthritis

20
Q

Name 1 MIGRATORY arthritis

A

Rheumatic fever

21
Q

Name 1 INTERMITTENT arthritis

A

Crystal-induced arthritis

Also Palindromic rheumatism (cause I totally now what that is…)

22
Q 
Symmetric or Asymmetric?
Rheumatoid arthritis
Osteoarthritis
Systemic lupus 
Psoriatic arthritis 
Chronic sarcoidosis
A 
Rheumatoid arthritis: symmetric
Osteoarthritis: asymmetric
Systemic lupus: symmetric
Psoriatic arthritis: asymmetric 
Chronic sarcoidosis: asymmetric
23
Q

Axial joint arthritis seen in ___

A

ankylosing spondylitis

24
Q

Which of the following is a characteristic of rheumatoid arthritis?
A. MCP, DIP joint involvement
B. Unilateral
C. Symmetric

A

C

A. MCP, PIP joint involvement
B. BI-lateral

25
Q 
MCP and PIP joint involvement seen in all EXCEPT:
A. Systemic Lupus
B. Systemic sclerosis
C. Rheumatoid arthritis
D. Psoriatic arthritis
A

D. DIP joint involvement in psoriatic arthritis

26
Q

Acute sternoclavicular joint involvement seen in ___

A

IV drug users w/ septic arthritis

27
Q

Acute bilateral shoulder and hip pain is suggestive of ___

A

polymyalgia rheumatica

28
Q

1st MTP of the big toe suggests

A

acute gout

also: pseudo-gout, osteoarthrtis, psoriatic arthritis

29
Q

Asymmetric involvement of knees and ankles suggests

A

late Lyme disease

30
Q

Periungual erythema + polyarthritis is suggestive of ____

A

polymyositis

31
Q

Heberdens nodes associated with ___

A

OA

Hederdens nodes = hard/bony swellings in DIP

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