Deck 6: Rheumatoid Arthritis and Related Conditions

Question 1

A disease characterized by polyarthritis,urethritis,conjunctivitis,fever and weight loss,sacroiliitis,and skin lesions on the feet,hands,and genitals is:

A) osteoarthritis/osteoarthrosis.
B) Reiter's syndrome.
C) rheumatoid arthritis.
D) Still's disease.

Answer 1

Reiter's syndrome.

Question 2

Boutonniére's deformity is characterized by:

A) flexion of the MCP joint,hyperextension of the PIP joint,and flexion of the DIP joint.
B) extension of the MCP joint,flexion of the PIP joint,and hyperextension of the DIP joint.
C) flexion of the MCP joint,flexion of PIP joint,and flexion of the DIP joint.
D) extension of the MCP joint,extension of the PIP joint,and flexion of the DIP joint.

Answer 2

extension of the MCP joint,flexion of the PIP joint,and hyperextension of the DIP joint.

Question 3

Which statement regarding rheumatoid arthritis (RA)is NOT true?

A) Many people with RA have rheumatoid factor in their blood.
B) The joints most affected in the early stages of RA are the proximal interphalangeal joints (PIPs)and the metacarpophalangeal joints (MTPs).
C) Joints are usually affected symmetrically.
D) Early morning stiffness generally lasts less than 30 minutes.

Answer 3

Early morning stiffness generally lasts less than 30 minutes.

Question 4

Sjögren's syndrome is characterized by a whitening of the skin of the hands in response to cold.

Question 5

Polymyalgia rheumatica is associated with aching,stiffness,and pain in multiple areas of the body.The diagnostic criteria for the condition include depression,morning stiffness,and weight loss,as well as these other symptoms.Patients must have all of the signs and symptoms included in the diagnostic criteria to be diagnosed with polymyalgia rheumatica.

Question 6

Which statement regarding rheumatoid arthritis (RA)is TRUE?

A) RA usually affects only one joint in the body at a time.
B) RA is mainly an arthritic disease of the bones.
C) RA is an inflammatory,systemic,connective tissue and autoimmune disease.
D) RA is curable with appropriate pharmacological medications.

Question 7

People with sarcoidosis may have symptoms of fatigue,chest pain,shortness of breath,skin lesions,and joint pains.Approximately 60% to 70% of people with the condition experience spontaneous healing within 24 to 36 months of the onset of the condition.

Question 8

Physical therapy interventions for people with rheumatoid arthritis (RA)are extensive.Which of the following should NOT be included in a physical therapy intervention plan for a person with RA?

A) The use of resting splints at night to keep the knees in an extended position
B) The use of finger splints and thumb spica splints to correct hand deformities
C) The use of low repetition and high weights exercise programs for strengthening muscles
D) The use of neuromuscular stimulation,ultrasound,and heat modalities during subacute and chronic stages of the disease

Question 9

Myasthenia gravis is a chronic autoimmune disease in which the body produces antibodies that destroy the acetylcholine receptors at the synapse in the neuromuscular junctions.This destruction of the receptors slows or stops the transmission of impulses across the synapse and results in weakness of the muscles.

Question 10

Rheumatoid arthritis (RA)is often associated with other syndromes and phenomena.Which description best describes Raynaud's phenomenon?

A) Dry eyes and photophobia (sensitivity to light)
B) Weight loss,muscle atrophy,and fatigue
C) White or bluish discoloration of the hands
D) Skin ulcers,gangrene,and glove paresthesias

Question 11

Which of the following characteristics is indicative of fibromyalgia?

A) Out of a possible 18 points on the body,11 are hypersensitive to palpation.
B) Subchondral cysts develop in the bone ends.
C) Skin nodules form around the elbows,feet,and hands.
D) Ankylosis of the spine occurs with restriction of rib motion.

Question 12

Which signs and symptoms are typical of rheumatoid arthritis (RA)?

A) Pannus formation in the joints,and boutonnière's and swan-neck deformities
B) Heberden's nodes,Bouchard's nodes,and subchondral cysts
C) Bamboo spine,tophi,and uric acid crystals in the joints
D) Referred pain into the arm along a dermatome distribution as a result of a nerve root lesion

Question 13

Duchenne muscular dystrophy is an X-linked,recessive,inherited,genetic disease that causes weakness and atrophy of muscles.The genetic defect causes a lack of dystrophin in the muscle.

Question 14

Complex regional pain syndrome (CRPS)is also known as reflex sympathetic dystrophy (RSD),reflex sympathetic dystrophy syndrome,shoulder hand syndrome,and causalgia.The condition affects the upper or lower extremities but is most commonly found in the upper extremities.Which of the following statements regarding CRPS is TRUE?

A) Only people who have severe trauma develop CRPS.
B) CRPS always resolves spontaneously without any medications.
C) Physical therapy provides relief for the signs and symptoms associated with CRPS and resolves the problem.
D) The signs and symptoms include severe pain,edema,and skin changes,including excessive hair growth,sweating,and loss of wrinkles in the skin of the affected limb.

Question 15

Ankylosing spondylitis (AS)is one of the rheumatoid-associated conditions.Which of the following is NOT typical of a person with AS?

A) The person is likely to have a forward head position and stiffness of the spine.
B) The onset of the condition is often associated with pain and stiffness in the low back and fatigue.
C) The progression of the condition is often associated with exacerbations and remissions,but the patient does not return to prior functional levels after the exacerbations.
D) Physical therapy interventions can reverse the effects of the ankylosis of the joints of the spine.

Question 16

Which of the following conditions is associated MOST with trigger points in the muscles?

A) Giant cell arteritis
B) Myofascial pain syndrome
C) Polyarteritis nodosa
D) Polymyalgia rheumatic

Question 17

Which of the following signs and symptoms is indicative of psoriatic arthritis?

A) Bamboo spine
B) Tophi
C) Pencil-in-cup deformity of the fingers
D) Heberden's nodes

Question 18

A disease characterized by a combination of signs and symptoms,including calcium deposits in the skin (calcinosis),sclerodactyly (thickening and tightening of the skin of fingers and toes),esophageal hypomotility (reduced ability of the esophagus to propel food),tightening of the skin of the face,joint stiffness,weakness,and muscle atrophy is:

A) Reiter's syndrome.
B) scleroderma.
C) systemic lupus erythematosus.
D) Still's disease.

Question 19

A disease characterized by a combination of signs and symptoms,including a malar rash on the face (butterfly rash),a discoid rash on the body,fatigue,weight loss or weight gain,Raynaud's phenomenon,arthritis symptoms of several joints,internal organ involvement,gastrointestinal symptoms,and anemia is:

A) Reiter's syndrome
B) scleroderma.
C) systemic lupus erythematosus.
D) Still's disease.

Question 20

Rheumatoid arthritis (RA)also affects children.Which statement regarding juvenile forms of RA is NOT true?

A) The etiology of juvenile arthritis and Still's disease is unknown.
B) The onset of juvenile forms of RA is usually more acute in nature than the adult type.
C) Juvenile RA is usually seronegative for rheumatoid factor in the blood.
D) Juvenile RA only affects one joint,usually the hip,and does not affect the internal organs.