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WorksheetsRheumatology Nursing
Total questions: 73
Worksheet time: 1hrs 13mins
- Progressive deterioration of cartilage and bone in 1 or more joints
Rheumatoid Arthritis
Osteoarthritis
Gout Arthritis
Synovium is inflamed
Rheumatoid arthritis
Osteoarthritis
Gout arthritis
May be unilateral single point
Rheumatoid arthritis
Osteoarthritis
Gout arthritis
It affects weight bearing joints, spine, hands, metacarpophalangeal and is non- systemic
Rheumatoid arthritis
Osteoarthritis
Gout arthritis
It is the breakdown the articular matrix due to joint injury or overuse
Stromyelisin
Stromelysin
Stormelysin
The cartilage with osteoarthritis changes from normal bluish white translucent to
yellowish brown
yellowish green
yellowish blue
yellowish red
It is a manifestation of the osteoarthritis that creates a grating or crackling sound or sensation upon movement
Crepitus
Swollen and deformed joints
Crackles
This is an example of:
heberden's nodes
Bouchard’s nodes
Swan neck
Heberden's nodes
Bouchard's nodes
Swan neck
Heberden's nodes is characterized as:
distal interphalangeal
proximal interphalangeal
medial interphalangeal
frontal interphalangeal
Bouchard's nodes is characterized as:
distal interphalangeal
proximal interphalangeal
median interphalangeal
posterior interphalangeal
Diclofenac (Voltaren) is given to patients to relieve pain who has:
rheumatoid arthritis
osteoarthritis
gout arthritis
Cortisone injection is given to patients with osteoarthritis to relieve pain and swelling every
3 months
6 months
1 month
2 months
Hyaluronate (Hyalgan) is given to patient with osteoarthritis in:
weekly for 5 doses
every other week 5 doses
every 2 weeks 3 doses
every 5 days 5 doses
________ 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
Hyaluronate
Hyalin injection
Hyalganuronate
Hyalgunoate
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?
Total Hip arthroplasty
Total joint arthroplasty
Total arthroplasty
Knee joint arthroplasty
What assistive device would you advice a patient to use if he is already able to do fast walking
Single cane
Walker
Quad cane
Crutches
What assistive device would you advice a patient to use if he is still in need of stability
single cane
quad cane
walker
crutches
A crutch should be:
3 fingers below armpit
5 fingers below armpit
2 fingers below armpit
3 cm below armpit
The angle for crutches is:
30 degree angle
45 degree angle
90 degree angle
360 angle
It is a procedure where damaged bone and cartilage is removed and replaced with prosthetic components
Total hip arthroplasty
Total joint arthroplasty
Total arthroplasty
It is used for patient to avoid moving and maintain the alignment after surgery
abductor pillow
abduction pillow
abducting pillow
abductory pillow
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
Ankle arthrodesis
Ankle arthrodesia
Ankle artheodelyasis
Ankle arthroliasis
It is a disease process that is inflammatory
that affects bilateral systemic multiple joints either distal interphalangeal joints or hands and is systemic
Osteoarthritis
Rheumatoid arthritis
Gout arthritis
This type of arthritis normally affects people who is 50 yrs or older
osteoarthritis
rheumatoid arthritis
gout arthritis
This type of arthritis normally affects people who is 35-45 yrs old
osteoarthritis
rheumatoid arthritis
gout arthritis
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
Synovitis
Sinusitis
Synovialitis
Sinovitis
It is a destructive vascular granulation tissue
pannus formation
pannus
pannusitis
pannutrophy
It results in decrease joint mobility
ankylosis
anklyosis
ankleitis
anklyotis
It is a type of protein that is produced by your immune system where it targets the healthy tissue
rheumatoid factor
coagulation factor
osteoblasts factor
gout factor
o It a diagnostic for rheumatoid arthritis that fights foreign substances
Increase ANA (Anti-Nuclear Antibody)
Rheumatoid factor
Increased ESR (Erythrocyte Sedimentation Rate)
Arthrocentesis
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
Rheumatoid factor
Increase ANA (Anti-Nuclear Antibody)
Increased ESR (Erythrocyte Sedimentation Rate)
Arthrocentesis
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
Arthrocentesis
Increased ESR (Erythrocyte Sedimentation Rate)
Arthroplasty
Hyaluronate (Hyalgan)
Patients who undergo arthrocentesis may produce ________________ as a result
cloudy, milky or dark yellow fluid
cloudy, brownish or yellowish fluid
milky, yellowish or brownish fluid
reddish, cloudy or brownish fluid
§ Joint at the base of the finger bends in (flexes), the middle joint straighten out (extends)
Swan neck deformity
Boutonniere deformity
Ulnar Deviation
§ 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)
Swan neck deformity
Boutonniere deformity
Ulnar Deviation
§ Fingers to become displaces, tend the little finger due to swelling
Swan neck deformity
Boutonniere deformity
Ulnar Deviation
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
Etanercept (Enbrel)
Diclofenac (Voltaren)
Hyaluronate (Hyalgan)
Cortisone injection
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
Leflunomide (Avara)
Etanercept (Enbrel)
Diclofenac (Voltaren)
Probenacid (Benemid)
This corrects the Rheumatoid arthritis deformities
Abductor pillow
Splinting
Exercise
Physical Therapy
It is a chemical that is used to relax the muscle through heat
Parafin wax
Floor wax
Bleach powder
Baking soda
Painful metabolic disorder involving an inflammatory reaction of the joints
Osteoarthritis
rheumatoid arthritis
gout arthritis
also known as the "Disease of the kings"
gout arthritis
rheumatoid arthritis
osteoarthritis
It is a type of disease that you want to control by modifying in food
Involves Hyperurecemia
osteoarthritis
rheumatoid arthritis
gout arthritis
The location of pain in this type of arthritis is normally in the big toe
gout arthritis
rheumatoid arthritis
osteoarthritis
o Most common type
o Inborn error in purine metabolism
Primary gout
Secondary gout
o Hyperurecemia
primary gout
secondary gout
o Urate crystal collection found in cartilage of outer ear (pinna), great toe and hands
Tophi
Crystal urine
Big toe
Podagra
o Gout with big toe involvement
Tophi
Podagra
Swan neck
Heberden's node
It is a medication given for uricosurics to decrease uric acid production
Allopurinol (Zyloprim, Llanol)
Probenacid (Benemid)
Colchicine
Leflunomide (Avara)
It is a medication given for uricosurics to increase renal excretion of uric acid
Allopurinol (Zyloprim, Llanol)
Probenacid (Benemid)
Colchicine
Diclofenac (Voltaren)
Naproxen is given to patient who have
Gout arthritis
rheumatoid arthritis
osteoarthritis
Low purine is recommended to patients who have
Osteoarthritis
Rheumatoid arthritis
Gout arthritis
It is an intraarticular injection which is inject directly to the site within the joint
Methylprednisolone
Prednisone
Hyaluronate (Hyalgan)
Cortisone injection
o Traditional 1st line treatment
o It helps to alleviate the inflammation
Colchicine
Corticosteroid
Hyalin injections
Uricosurics
These have to be avoided to prevent the trigger of gout
Alcohol, aspirin, and diuretics
Alcohol, sugar, and coagulating agents
Sugar, fats and acidic food
Purine, alcohol and diuretics
o If uric acid is too much, the kidney will have hard time excreting and results to:
Urinary crystals
Kidney stones
Uricosuria
Hyperurecemia
It is a type of arthritis that you want to control by modifying in food
gout arthritis
osteoarthritis
rheumatoid arthritis
The important nursing intervention for rheumatoid arthritis are the following except:
Do Range of Motion exercises
Adequate rest interspaced with activities
Ensure proper posture
Drink plenty of fluid
All are manifestations for rheumatoid arthritis except:
Joint pain
Warmth and swelling
Mobility limitation/stiffness
Disuse
Increase uric acid
- Inflamed synovium
- Loss of cartilage
- Pannus-filled erosion
osteoarthritis
rheumatoid arthritis
gout arthritis
The following are avoided in ankle arthrodesis except:
Post x-ray is needed
Decrease ability of up and down motion
Running is avoided
Ensure proper posture
a term for arthritis where the joint pain goes to different parts of the body
migratory arthritis
gout arthritis
rheumatoid arthritis
osteoarthritis
The following are the allowed activity for a patient who undergo total hip arthroplasty except:
Avoid sitting and standing for prolonged periods of time
Do not cross your legs beyond the midline
Do not bend your hips > 90 degrees
Stand but maintain and ensure proper posture
The aim of this surgery for osteoarthritis is to manage the pain and increase mobility
Total joint arthroplasty
Total hip arthroplasty
Total arthroplasty
Arthroplasty
The goal of this surgery is to remove and replace damaged bone and cartilage with prosthetic components
Total hip arthroplasty
Total joint arthroplasty
Total arthroplasty
Arthroplasty
The following are diagnostics for arthritis except:
Bone scan
CT scan and MRI/ X-ray
Joint aspiration
None
- Synovium is inflamed
- Joint capsule are inflamed and edematous
- Cartilage splits and is eroded
- Joint space is narrowed by loss of hyalin cartilage
osteoarthritis
rheumatoid arthritis
gout arthritis
These is a classification of drugs that promote the excretion of uric acid and are used in patients who have gout
Uricosurics
Uric acid agent
Diuretics
Uricosuria
salt of uric acid
Uric crystals
Urate
Urine
Uricosuria
an elevated uric acid level in the blood
hyperuricosuria
hyperurea
hyperuricemia
hyperurea
_______ attacks the hyalin cartilage in rheumatoid arthritis
cytokine
T killer cells
CD4
rheumatoid factor
All needs to be watched out for after surgery except:
CBC
surgical site
pulses away from the surgical site
infection
pulses near the surgical site
