©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
AHN 554 Exam 5 Study Guide 2024
Sx of RA - Ans:✔✔-- AM stiffness > 30min
- symmetric polyarthritis with small joints (hands/feet)
- middle age
- rheumatoid nodules (bony prominences)
RA initial lab results - Ans:✔✔-elevated CRP and ESR
Anemia
Elevated platelets
RA DX lab result - Ans:✔✔-Elevated anti-CCP present 70-805 of patients
Characteristic findings on xray for RA - Ans:✔✔-uxta-articular osteoporosis, joint erosions, space
narrowing
Best approach to mgmt of RA - Ans:✔✔-- early, aggressive tx
- DMARDs
Page 1/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- Methotrexate
- Refer to rheumatologist
- NSAIDs and low dose steroid
Sx of OA - Ans:✔✔-- pain relieved with rest, brief AM stiffness
- pain gets worse throughout day, asymmetrical
- WB joints, fingers, hands, wrists
OA findings on xray - Ans:✔✔-narrowing of the joint space and osteophyte/bone spurs
Name the OA nodules and their locations - Ans:✔✔-- Herbandens nodules (distal DIP)
- Buchards nodules (proximal PIP)
Treatment of OA - Ans:✔✔-- NSAIDs
- exercise
- weight loss
alternate ice/heat
- Cox2-inhibitors, Duloxetine, joint injections, topical, tylenol
Page 2/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
sx of GOUT - Ans:✔✔-- Swollen, tender, skin tense, warm/dusky red
- fever is common, intense pain
- sudden onset, frequently nocturnal
Diagnostic test of gout - Ans:✔✔-- serum uric acid can be normal
- WBC may be elevated
-***DX: sodium urate crystals in joint fluid
- xray: chronic punched-out erosions
Acute and chronic tx of gout - Ans:✔✔-acute: NSAIDs, colchicine (don't use in liver/kidney impairment),
corticosteroids, Interleukin-1 inhibitors
chronic: allopurinol ir febuxostat
- between attacks: colchicine, diuretics, ASA, niacin, avoid organ meats, ETOH, high fructose corn syrup
sx of septic arthritis - Ans:✔✔-*** acute onset of monoarticular joint pain, erythema, heat and
immobility
-limited ROM
Page 3/17
FIRST PUBLISH OCTOBER 2024
AHN 554 Exam 5 Study Guide 2024
Sx of RA - Ans:✔✔-- AM stiffness > 30min
- symmetric polyarthritis with small joints (hands/feet)
- middle age
- rheumatoid nodules (bony prominences)
RA initial lab results - Ans:✔✔-elevated CRP and ESR
Anemia
Elevated platelets
RA DX lab result - Ans:✔✔-Elevated anti-CCP present 70-805 of patients
Characteristic findings on xray for RA - Ans:✔✔-uxta-articular osteoporosis, joint erosions, space
narrowing
Best approach to mgmt of RA - Ans:✔✔-- early, aggressive tx
- DMARDs
Page 1/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
- Methotrexate
- Refer to rheumatologist
- NSAIDs and low dose steroid
Sx of OA - Ans:✔✔-- pain relieved with rest, brief AM stiffness
- pain gets worse throughout day, asymmetrical
- WB joints, fingers, hands, wrists
OA findings on xray - Ans:✔✔-narrowing of the joint space and osteophyte/bone spurs
Name the OA nodules and their locations - Ans:✔✔-- Herbandens nodules (distal DIP)
- Buchards nodules (proximal PIP)
Treatment of OA - Ans:✔✔-- NSAIDs
- exercise
- weight loss
alternate ice/heat
- Cox2-inhibitors, Duloxetine, joint injections, topical, tylenol
Page 2/17
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
sx of GOUT - Ans:✔✔-- Swollen, tender, skin tense, warm/dusky red
- fever is common, intense pain
- sudden onset, frequently nocturnal
Diagnostic test of gout - Ans:✔✔-- serum uric acid can be normal
- WBC may be elevated
-***DX: sodium urate crystals in joint fluid
- xray: chronic punched-out erosions
Acute and chronic tx of gout - Ans:✔✔-acute: NSAIDs, colchicine (don't use in liver/kidney impairment),
corticosteroids, Interleukin-1 inhibitors
chronic: allopurinol ir febuxostat
- between attacks: colchicine, diuretics, ASA, niacin, avoid organ meats, ETOH, high fructose corn syrup
sx of septic arthritis - Ans:✔✔-*** acute onset of monoarticular joint pain, erythema, heat and
immobility
-limited ROM
Page 3/17
