Rheumatoid Arthritis

Question 1

What will XRs for both RA and OA show?

Answer 1

Joint space narrowing

Question 2

Differences in XR between RA and OA?

Answer 2

OA: Osteophytes, DIP involvement / RA: Erosions

Question 3

OA affects _______ (joints) / RA affects ________

Answer 3

PIP, DIP / PIP, MCP, Wrist

Question 4

OA spares: / RA spares

Answer 4

wrist, MCP / DIP

Question 5

Important Tx in philosophy in RA?

Answer 5

Treat early and aggressively

Question 6

20% of RA patients have:

Answer 6

Nodules situated over bony prominences, tendons, bursa

Question 7

Sx associated with RA / size of joints affected

Answer 7

Nodules, interstitial lung disease, pleural effusion, pericarditis, splenomegaly, vasculitis / small

Question 8

What two tests are the best to order for RA? / What other labs are elevated?

Answer 8

Anti-CCP & Rheumatoid Factor / ERS, CRP

Question 9

What test is most specific for RA?

Answer 9

Radiographic tests

Question 10

Osteoarthritis is ________ by rest; Morning stiffness of RA is ________ relieved by rest

Answer 10

relieved // not

Question 11

Disease that also causes polyarthralgias but the patient would be sero-negative

Answer 11

Polymyalgia rheumatica

Question 12

What med to use / what class not to rely on & why?

Answer 12

Methotrexate / NSAIDs - don’t do anything to prevent future erosions

Question 13

Classic PE findings of RA:

Answer 13

Swan Neck, Boutinierre Deformity, Ulnar deviation of fingers

Question 14

Demographic RA affects:

Answer 14

Women 40-50