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Rheumatoid Arthritis

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

All of the following is true regarding rheumatoid arthritis except for?

a)

RA is a chronic autoimmune inflammatory disease

b)

RA is characterized by symmetric polyarthritis and joint changes including erythema, effusion, and tenderness

c)

RA can also affect large joints such as elbows, shoulders, neck, and hips

d)

Crepitus is a specific feature of RA

2.

Which of the following are signs and symptoms of RA? Select all that apply.

a)

Morning stiffness in joints

b)

Painful and swollen joints

c)

Weakness, fatigue, and weight loss

d)

Joint nodules

e)

Sicca syndrome

3.

Which of the following statement made by a patient with RA lets you know the patient needs further teaching?

a)

"It is important to start DMARD therapy within 3 months of my diagnosis to reduce the chance of disability and disease progression."

b)

" I can take ibuprofen to help relieve my pain and improve my symptoms while the DMARD takes effect."

c)

" I should avoid any type of exercise and activity."

d)

" I can use hot or cold packs when I have muscle spasms and to help facilitate joint movement."

4.

________ dose corticosteroids are beneficial in patients who are beginning DMARD therapy.

a)

High

b)

Low

c)

Intermediate

d)

None of the above

5.

Patients need to be on max dose of methotrexate for how many weeks before someone can be considered a methotrexte failure?

a)

4

b)

5

c)

6

d)

8

6.

Which vitamin would you teach a person on methotrexate to take?

a)

Vitamin D

b)

Folic acid

c)

Vitamin A

d)

Vitamin C

7.

What is an important teaching concept for patients taking hydroxychloroquine?

a)

Should not be taken if allergic to sulfa

b)

Medication can limit the progression of RA

c)

Eye examinations should be done every 3-6 months to monitor for retinal damage

d)

Medication should be discontinued 3 months before trying to conceive

8.

_________ is similar to methotrexate making this agent a reasonable alternative for patients who cannot tolerate or who have an inadequate response to methotrexate.

a)

Luflunomide

b)

Tofacitinib

c)

Etanercept

d)

Chloroquine

9.

A female patient is trying to conceive but is on leflunomide. Which of the following can be used to enhance elimination of leflunomide?

a)

Gingko biloba

b)

Methylene blue

c)

Activated charcoal

d)

Cholestyramine

10.

What is the recommended first line treatment from the ACR for patients with low disease activity or moderate disease activity without poor prognostic factors?

a)

Anti-TNF

b)

Combination csDMARD therapy

c)

Monotherapy csDAMRD

d)

None of the above