8.22 Systemic disorders 2

Question 1

Health hx risk factors for OA

Answer 1

• joint infection
• trauma
• overuse
• lifestyle
• no family hx involvement

Question 2

Health hx risk factors for RA

Answer 2

• autoimmune thyroid disorders
• hx of fertility issues
• positive family hx

Question 3

RA: stiffness when?

Answer 3

morning

Question 4

RA must include arthritis of this many joints

Answer 4

3 or more

Question 5

RA is (symmetrical/asymmetrical)

Answer 5

symmetrical

Question 6

These show up on the extensor surfaces

Answer 6

rheumatoid nodules

Question 7

Radiographic changes seen in RA

Answer 7

• erosion

- decalcification

Question 8

What is the factor used to dx RA? What is the value?

Answer 8

• serum rheumatoid factor

- more than 5% of normals

Question 9

Health hx risk factors for SLE

Answer 9

• infection
• sunlight or UV exposure
• medications
• positive family hx

Question 10

Health hx risk factors for SLE: infections

Answer 10

viral

Question 11

Health hx risk factors for SLE: medications

Answer 11

• hydralazine
• anticonvulsants
• penicillin

Question 12

Health hx risk factors for gout

Answer 12

• renal disorder with increased uric acid
• positive family hx
• other factors

Question 13

What are the other factors that are included as risk factors for gout?

Answer 13

• leukemia
• lymphoma
• psoriasis
• chemotherapy
• hypothyroidism
• alcohol use
• diuretics

Question 14

SLE is also known as

Answer 14

lupus

Question 15

s/s of lupus: mouth and nose

Answer 15

sores

Question 16

s/s of lupus: lungs/heart

Answer 16

• SOB

- chest pain

Question 17

s/s of lupus: fingers, toes, tip of nose

Answer 17

may turn white or blue with exposure to cold or stressful situations

Question 18

s/s of lupus: misc

Answer 18

• fatigue

- unexplained fevers

Question 19

s/s of lupus: brain

Answer 19

• persistent/unusual HA
• memory loss
• confusion

Question 20

s/s of lupus: eyes

Answer 20

• dry, puffy

- light sensitivity

Question 21

s/s of lupus: skin

Answer 21

• butterfly rash

- worsens with sun exposure

Question 22

s/s of lupus: stomach

Answer 22

• nausea, vomiting
• abdominal pain
• bladder infection
• hematuria

Question 23

s/s of lupus: limbs

Answer 23

persistent pain and swelling of the legs, joints, and/or feet