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Rheumatoid Arthritis
Test 1 Sem. 2
18
Medical
Graduate
01/19/2011

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Cards

Term
What is the most common chronic inflammation?
Definition
RA
Term
What is the pannus?
Definition
invasive region of the snyovium that erodes into cartiledge and bone
Term
What type of immunoglobins are usually present in RA? and which is associated with higher systemic complications
Definition
1) usually IgM
2) IgG associated with systemic complications
Term
What is clinical manifestation characteristic of most RA patients?
Definition
stiffness, especially in the AM which lasts for >30 min.
Term
people with RA have an increased risk for what?
Definition
malignancy: lymphoma, luekemia, multiple myeloma
Term
What is a common manifestation of RA in hands outside of joint swelling
Definition
flexor tenosynovitis
Term
What is common manifestation of the elbow and shoulders
Definition
synovitis of the elbow joint and inflammation and nodules in the olecranon bursa
Term
What part of the spine is involved in RA?
Definition
C1/C2 of cervical spine
Term
What is the most common extra-articular manifestation of RA?
Definition
Rheumatoid nodules - areas exposed to pressure
Term
What is the most frequent ocular manifestation of RA?
Definition
sicca syndrome
Term
What is the most common lung manifestation?
Definition
pleurisy with effusion-RF usually present
Term
What is felty syndrome?
Definition
RA with splenomegaly, leukopenia, and skin ulcers
Term
What is a vascular hallmark of early RA?
Definition
vasculitis in small synovial vessels
Term
What is the most specific test for RA?
What is the most sensitive test for RA?
Definition
1) specific CCP antibodies
2) sensitive RF antibodies
Term
synovial fluid findings in RA?
Definition
1) straw-colored, turbid
2) neutrophils
3) low/normal glucose levels
Term
treatment plan for RA?
Definition
Start with NSAIDS, rapidly add methotrexate, add-on sulfasalazine, antimalarial, leflunomide, and TNF inhibitor
Term
What is the most pharamcologic treatment for RA?
Definition
methotrexate
Term
What is the MOA of abatacept and rituximab
Definition
biological agents
1) abatacept: blocks T cell activation
2) rituximab: B cell targeted therapy
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