Term
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Definition
ANA (Rheumatoid Panel)
ESR
Anti-CCP (most sensitive even above Rheum factor
CBC
CRP
early-U/S or MRI to look at synovial fluid
later-Xray |
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Term
| Non-pharmacological therapy for RA |
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Definition
RICE
parafin wax
exercise/PT
smoking cessation
weight loss |
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Term
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Definition
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Term
| Pharmacological treatment of RA |
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Definition
1. NSAIDs
2. Methotrexate/Steroids
* Start 1 & 2 and refer to rheumatology
Biphosphonate always needed for postmenopausal women
There are scales to determine the effectiveness of these meds |
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Term
Which of the following includes all of the appropriate indicators that your client will be at high risk for persistent destructive RA?
A. Increased RF, Anti-CCP AB, CRP, and ESR; early erosive disease seen on x-ray, young age at onset and a high number of swollen joints
B. Increased RF, Anti-CCP AB, CRP, and ESR; early erosive disease seen on x-ray, decreases RBCs, young age at onset and a high number of swollen joints
C. Increased RF, Anti-CCP AB, CRP, and ESR; early erosive disease seen on x-ray, and a high number of swollen joints
D. A. Increased RF, Anti-CCP AB, normal CRP, and ESR; early erosive disease seen on x-ray, young age at onset and a high number of swollen joints |
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Definition
| A. Increased RF, Anti-CCP AB, CRP, and ESR; early erosive disease seen on x-ray, young age at onset and a high number of swollen joints |
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Term
Mr. C has a new dx of RA. The NP is revieweing his lab results. Which o the following has the highest specificity for diagnosing RA?
A. ESR
B. Anti-CCP
c. Rheumatoid factor
d. CRP |
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Definition
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Term
The NP suspects early RA. The best diganostic for detecting joint synovitis is:
a. CT scan
b. CT scan
c. U/S
d. PET scan |
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Definition
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Term
Multiple tools are available to assess response to RA therapy. Which of the following is true in regard to this assessment?
a. Clinician assessments are better than pt assessments.
b. The ACR tool is superior to others
c. Radiographic studies are superior for assessing response.
d. Consistent standardized assessment with an appropriate tool is more important than the use of any individualized tool. |
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Definition
| d. Consistent standardized assessment with an appropriate tool is more important than the use of any individualized tool. |
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Term
The NP diagnoses her patient with RA and refers the pt to a rheumatologist. The pt is unable to see the rheumatologist for 2 months and is having joint pain an swelling. The most appropriate intervention for this pt would be:
a. No pharmacologic intervention until seen by rheum.
b. Methotrexate 7.5mg weekly, increase by 2.5mg in 4 weeks if tolerated by the pt.
c. OTC Ibuprofen PRN
d. Hydrochloroquine up to 6.5mg/kg |
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Definition
| b. Methotrexate 7.5mg weekly, increase by 2.5mg in 4 weeks if tolerated by the pt. |
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