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Rheumatology Nursing

Total questions: 73

Worksheet time: 1hrs 13mins

Name
Class
Date
1.

-          Progressive deterioration of cartilage and bone in 1 or more joints

a)

Rheumatoid Arthritis

b)

Osteoarthritis

c)

Gout Arthritis

2.

Synovium is inflamed

a)

Rheumatoid arthritis

b)

Osteoarthritis

c)

Gout arthritis

3.

May be unilateral single point

a)

Rheumatoid arthritis

b)

Osteoarthritis

c)

Gout arthritis

4.

It affects weight bearing joints, spine, hands, metacarpophalangeal and is non- systemic

a)

Rheumatoid arthritis

b)

Osteoarthritis

c)

Gout arthritis

5.

It is the breakdown the articular matrix due to joint injury or overuse

a)

Stromyelisin

b)

Stromelysin

c)

Stormelysin

6.

The cartilage with osteoarthritis changes from normal bluish white translucent to

a)

yellowish brown

b)

yellowish green

c)

yellowish blue

d)

yellowish red

7.

It is a manifestation of the osteoarthritis that creates a grating or crackling sound or sensation upon movement

a)

Crepitus

b)

Swollen and deformed joints

c)

Crackles

8.

This is an example of:

a)

heberden's nodes

b)

Bouchard’s nodes

c)

Swan neck

9.
a)

Heberden's nodes

b)

Bouchard's nodes

c)

Swan neck

10.

Heberden's nodes is characterized as:

a)

distal interphalangeal

b)

proximal interphalangeal

c)

medial interphalangeal

d)

frontal interphalangeal

11.

Bouchard's nodes is characterized as:

a)

distal interphalangeal

b)

proximal interphalangeal

c)

median interphalangeal

d)

posterior interphalangeal

12.

Diclofenac (Voltaren) is given to patients to relieve pain who has:

a)

rheumatoid arthritis

b)

osteoarthritis

c)

gout arthritis

13.

Cortisone injection is given to patients with osteoarthritis to relieve pain and swelling every

a)

3 months

b)

6 months

c)

1 month

d)

2 months

14.

Hyaluronate (Hyalgan) is given to patient with osteoarthritis in:

a)

weekly for 5 doses

b)

every other week 5 doses

c)

every 2 weeks 3 doses

d)

every 5 days 5 doses

15.

________ acts as a replacement lubricant and shock absorber

for bones that has been damaged due to inflammation or aging

o   It also helps to lessen the pain

a)

Hyaluronate

b)

Hyalin injection

c)

Hyalganuronate

d)

Hyalgunoate

16.

A patient has a weakness on the knee joint and needs a surgery. It is a procedure where you incorporate metal to the bone, what is it?

a)

Total Hip arthroplasty

b)

Total joint arthroplasty

c)

Total arthroplasty

d)

Knee joint arthroplasty

17.

What assistive device would you advice a patient to use if he is already able to do fast walking

a)

Single cane

b)

Walker

c)

Quad cane

d)

Crutches

18.

What assistive device would you advice a patient to use if he is still in need of stability

a)

single cane

b)

quad cane

c)

walker

d)

crutches

19.

A crutch should be:

a)

3 fingers below armpit

b)

5 fingers below armpit

c)

2 fingers below armpit

d)

3 cm below armpit

20.

The angle for crutches is:

a)

30 degree angle

b)

45 degree angle

c)

90 degree angle

d)

360 angle

21.

It is a procedure where damaged bone and cartilage is removed and replaced with prosthetic components

a)

Total hip arthroplasty

b)

Total joint arthroplasty

c)

Total arthroplasty

22.

It is used for patient to avoid moving and maintain the alignment after surgery

a)

abductor pillow

b)

abduction pillow

c)

abducting pillow

d)

abductory pillow

23.

It screws and plates are used to fuse it as 1 bone

Tibia and Talus requires 10-12 wks to fully fused before weight bearing can be done

a)

Ankle arthrodesis

b)

Ankle arthrodesia

c)

Ankle artheodelyasis

d)

Ankle arthroliasis

24.

It is a disease process that is inflammatory

that affects bilateral systemic multiple joints either distal interphalangeal joints or hands and is systemic

a)

Osteoarthritis

b)

Rheumatoid arthritis

c)

Gout arthritis

25.

This type of arthritis normally affects people who is 50 yrs or older

a)

osteoarthritis

b)

rheumatoid arthritis

c)

gout arthritis

26.

This type of arthritis normally affects people who is 35-45 yrs old

a)

osteoarthritis

b)

rheumatoid arthritis

c)

gout arthritis

27.

It is the inflammation of synovial membrane attacked by rheumatoid factor that released the CD4 and T helper cells where it also calls to release cytokine. When cytokine is released, it will attack the hyalin cartilage

a)

Synovitis

b)

Sinusitis

c)

Synovialitis

d)

Sinovitis

28.

It is a destructive vascular granulation tissue

a)

pannus formation

b)

pannus

c)

pannusitis

d)

pannutrophy

29.

It results in decrease joint mobility

a)

ankylosis

b)

anklyosis

c)

ankleitis

d)

anklyotis

30.

It is a type of protein that is produced by your immune system where it targets the healthy tissue

a)

rheumatoid factor

b)

coagulation factor

c)

osteoblasts factor

d)

gout factor

31.

o   It a diagnostic for rheumatoid arthritis that fights foreign substances

a)

Increase ANA (Anti-Nuclear Antibody)

b)

Rheumatoid factor

c)

Increased ESR (Erythrocyte Sedimentation Rate)

d)

Arthrocentesis

32.

  It a diagnostic for rheumatoid arthritis that measures the erythrocytes and RBC separate from a blood sample.

It can only be used to with patients who is already diagnosed with rheumatoid arthritis

a)

Rheumatoid factor

b)

Increase ANA (Anti-Nuclear Antibody)

c)

Increased ESR (Erythrocyte Sedimentation Rate)

d)

Arthrocentesis

33.

It is a type of aspiration of synovial fluid that is commonly taken from the knee

It is a joint aspiration that only uses local anesthesia

a)

Arthrocentesis

b)

Increased ESR (Erythrocyte Sedimentation Rate)

c)

Arthroplasty

d)

Hyaluronate (Hyalgan)

34.

Patients who undergo arthrocentesis may produce ________________ as a result

a)

cloudy, milky or dark yellow fluid

b)

cloudy, brownish or yellowish fluid

c)

milky, yellowish or brownish fluid

d)

reddish, cloudy or brownish fluid

35.

§  Joint at the base of the finger bends in (flexes), the middle joint straighten out (extends)

a)

Swan neck deformity

b)

Boutonniere deformity

c)

Ulnar Deviation

36.

§  Middle finger joint is bent in a fixed position inward (toward the palm) and the outermost finger joint is bent excessively outward (away form the palm)

a)

Swan neck deformity

b)

Boutonniere deformity

c)

Ulnar Deviation

37.

§  Fingers to become displaces, tend the little finger due to swelling

a)

Swan neck deformity

b)

Boutonniere deformity

c)

Ulnar Deviation

38.

This can reduce inflammatory response

It is to slow down or regulate the response of the immune system reacting to inflammation

You cannot give live vaccine when you give this medication

a)

Etanercept (Enbrel)

b)

Diclofenac (Voltaren)

c)

Hyaluronate (Hyalgan)

d)

Cortisone injection

39.

This medication is a disease modifying anti-rheumatic drugs

It inhibits structural changes in arthritis

§  It also tries to suppress the immune system so the body won’t react too much and lessen the pain

a)

Leflunomide (Avara)

b)

Etanercept (Enbrel)

c)

Diclofenac (Voltaren)

d)

Probenacid (Benemid)

40.

This corrects the Rheumatoid arthritis deformities

a)

Abductor pillow

b)

Splinting

c)

Exercise

d)

Physical Therapy

41.

It is a chemical that is used to relax the muscle through heat

a)

Parafin wax

b)

Floor wax

c)

Bleach powder

d)

Baking soda

42.

Painful metabolic disorder involving an inflammatory reaction of the joints

a)

Osteoarthritis

b)

rheumatoid arthritis

c)

gout arthritis

43.

also known as the "Disease of the kings"

a)

gout arthritis

b)

rheumatoid arthritis

c)

osteoarthritis

44.

It is a type of disease that you want to control by modifying in food

Involves Hyperurecemia

a)

osteoarthritis

b)

rheumatoid arthritis

c)

gout arthritis

45.

The location of pain in this type of arthritis is normally in the big toe

a)

gout arthritis

b)

rheumatoid arthritis

c)

osteoarthritis

46.

o   Most common type

o   Inborn error in purine metabolism

a)

Primary gout

b)

Secondary gout

47.

o   Hyperurecemia

a)

primary gout

b)

secondary gout

48.

o   Urate crystal collection found in cartilage of outer ear (pinna), great toe and hands

a)

Tophi

b)

Crystal urine

c)

Big toe

d)

Podagra

49.

o   Gout with big toe involvement

a)

Tophi

b)

Podagra

c)

Swan neck

d)

Heberden's node

50.

It is a medication given for uricosurics to decrease uric acid production

a)

Allopurinol (Zyloprim, Llanol)

b)

Probenacid (Benemid)

c)

Colchicine

d)

Leflunomide (Avara)

51.

It is a medication given for uricosurics to increase renal excretion of uric acid

a)

Allopurinol (Zyloprim, Llanol)

b)

Probenacid (Benemid)

c)

Colchicine

d)

Diclofenac (Voltaren)

52.

Naproxen is given to patient who have

a)

Gout arthritis

b)

rheumatoid arthritis

c)

osteoarthritis

53.

Low purine is recommended to patients who have

a)

Osteoarthritis

b)

Rheumatoid arthritis

c)

Gout arthritis

54.

It is an intraarticular injection which is inject directly to the site within the joint

a)

Methylprednisolone

b)

Prednisone

c)

Hyaluronate (Hyalgan)

d)

Cortisone injection

55.

o   Traditional 1st line treatment

o   It helps to alleviate the inflammation

a)

Colchicine

b)

Corticosteroid

c)

Hyalin injections

d)

Uricosurics

56.

These have to be avoided to prevent the trigger of gout

a)

Alcohol, aspirin, and diuretics

b)

Alcohol, sugar, and coagulating agents

c)

Sugar, fats and acidic food

d)

Purine, alcohol and diuretics

57.

o   If uric acid is too much, the kidney will have hard time excreting and results to:

a)

Urinary crystals

b)

Kidney stones

c)

Uricosuria

d)

Hyperurecemia

58.

It is a type of arthritis that you want to control by modifying in food

a)

gout arthritis

b)

osteoarthritis

c)

rheumatoid arthritis

59.

The important nursing intervention for rheumatoid arthritis are the following except:

a)

Do Range of Motion exercises     

b)

Adequate rest interspaced with activities

c)

Ensure proper posture

d)

Drink plenty of fluid

60.

All are manifestations for rheumatoid arthritis except:

a)

Joint pain

b)

Warmth and swelling

c)

Mobility limitation/stiffness

Disuse

d)

Increase uric acid

61.

-          Inflamed synovium

-          Loss of cartilage

-          Pannus-filled erosion

a)

osteoarthritis

b)

rheumatoid arthritis

c)

gout arthritis

62.

The following are avoided in ankle arthrodesis except:

a)

Post x-ray is needed

b)

Decrease ability of up and down motion

c)

Running is avoided

d)

Ensure proper posture

63.

a term for arthritis where the joint pain goes to different parts of the body

a)

migratory arthritis

b)

gout arthritis

c)

rheumatoid arthritis

d)

osteoarthritis

64.

The following are the allowed activity for a patient who undergo total hip arthroplasty except:

a)

Avoid sitting and standing for prolonged periods of time  

b)

Do not cross your legs beyond the midline

c)

Do not bend your hips > 90 degrees

d)

Stand but maintain and ensure proper posture

65.

The aim of this surgery for osteoarthritis is to manage the pain and increase mobility

a)

Total joint arthroplasty

b)

Total hip arthroplasty

c)

Total arthroplasty

d)

Arthroplasty

66.

The goal of this surgery is to remove and replace damaged bone and cartilage with prosthetic components

a)

Total hip arthroplasty

b)

Total joint arthroplasty

c)

Total arthroplasty

d)

Arthroplasty

67.

The following are diagnostics for arthritis except:

a)

Bone scan

b)

CT scan and MRI/ X-ray

c)

Joint aspiration

d)

None

68.

-          Synovium is inflamed

-          Joint capsule are inflamed and edematous

-          Cartilage splits and is eroded

-          Joint space is narrowed by loss of hyalin cartilage

a)

osteoarthritis

b)

rheumatoid arthritis

c)

gout arthritis

69.

These is a classification of drugs that promote the excretion of uric acid and are used in patients who have gout

a)

Uricosurics

b)

Uric acid agent

c)

Diuretics

d)

Uricosuria

70.

salt of uric acid

a)

Uric crystals

b)

Urate

c)

Urine

d)

Uricosuria

71.

an elevated uric acid level in the blood

a)

hyperuricosuria

b)

hyperurea

c)

hyperuricemia

d)

hyperurea

72.

_______ attacks the hyalin cartilage in rheumatoid arthritis

a)

cytokine

b)

T killer cells

c)

CD4

d)

rheumatoid factor

73.

All needs to be watched out for after surgery except:

a)

CBC

b)

surgical site

c)

pulses away from the surgical site

d)

infection

e)

pulses near the surgical site