Rheumatoid Arthritis

Question 1

RA risk factors

Answer 1

sex, obesity, age, smoking, genetics

Question 2

Clinical presentation of RA

Answer 2

swollen joints, joints are sensitive to touch and feel warm, fatigue, affect smaller joints first, symmetrical presentation

Question 3

Mallet Toe

Answer 3

Flexion of DIP

Question 4

Hammer Toe

Answer 4

Flexion of PIP

Question 5

Claw Toe

Answer 5

Flexion of PIP & DIP

Question 6

Rheumatoid Nodules

Answer 6

25% of patients
not dangerous
firm bumps under skin

Question 7

RA Hand Characteristics

Answer 7

Joint Swelling
MCP Ulnar deviation
DIP Radial Deviation

Question 8

Swan Neck Deformity

Answer 8

PIP extension and DIP Flexion

Question 9

Diagnostic Techniques

Answer 9

Imaging (radiograph, MRI, Ultrasound)

Blood Tests (ESR, C-reactive protein, Anti-CCP)

Question 10

AIMS 2 SF Remission

Answer 10

CDAI <= 2.8

Question 11

AIMS 2 SF Low Disease Activity

Answer 11

CDAI > 2.8 and <= 10

Question 12

AIMS 2 SF Moderate Disease Activity

Answer 12

CDAI > 10 and <= 22

Question 13

AIMS 2 SF High Disease Activity

Answer 13

CDAI > 22

Question 14

Non-orthotic intervention (surgical)

Answer 14

synovectomy, tendon repair, joint fusion, total joint replacement

Question 15

Non-orthotic intervention (Pharmaceuticals)

Answer 15

DMARDs

Biological agents

Question 16

DMARDS

Answer 16

Disease-modifying Antirheumatic Drugs

Question 17

Biological Agents

Answer 17

used to target specific inflammatory drugs

Question 18

NSAIDS

Answer 18

advil, motrin IB, naproxen

Question 19

Orthotic Intervention

Answer 19

Extra-depth shoes, extra wide shoes, custom shoes, foot orthoses, compression socks

Question 20

Juvenile Arthritis

Answer 20

occurs in children <16 years

symptoms lasting at least 6 weeks

Question 21

JA

Answer 21

Idiopathic: not clear why it happens

gender 2/1

Question 22

Oligoarthritis JIA

Answer 22

most common 50-6-%
mildest presentation
affects: 4 or fewer joints
risk of uveitis

Question 23

Polyarticular JIA

Answer 23

25% of children with JIA
5 or more joints involved
impacts small and large joints
symmetrical

Question 24

Systemic JIA

Answer 24

still's disease 
least common
most serious 
large amount of the body 
inflammation of internal organs 
rash

Question 25

Psoriatic Arthritis JIA

Answer 25

``` joint pain 1 or more joints psoriasis and arthritis combination 1:1 male to female ratio risk of uveitis ```

Question 26

which two JIA have risk of uveitis

Answer 26

Psoriatic and Oligoarthritis

Question 27

Enthesitis-related JIA

Answer 27

ages 8-15 | commonly impacts: small joints, large joints, digestive tract, lower back

Question 28

Undifferentiated JIA

Answer 28

miscellaneous/umbrella classification do not align with any previous subtypes inflammation in one or more joints

Question 29

Treatment Goals

Answer 29

1. slow down or stop inflammation 2. relieve symptoms, control pain 3. prevent joint function and mobility 5. reduce long-term health effects 6. Achieve remission

Question 30

Treatment complications

Answer 30

vision loss and interference with growth

Question 31

Synovectomy

Answer 31

remove inflammed lining of the joint

Question 32

risk percentage of developing uveitis in patients with oligoarthritis

Answer 32

20%

Question 33

how many children diagnosed with JIA are diagnosed with polyarticular

Answer 33

25%

Question 34

what is the least common form of JIA

Answer 34

systemic (stills)