Family Nurse Practitioner II: Module 7 Rheumatology questions with correct answers

ankylosing spondylitis CORRECT ANSWER chronic, inflammatory joint disease that causes joint pain/swelling, which primarily affects the spine and SI joints; however, larger peripheral joints can also be affected gradual onset of LBP with initial onset in early 20s; SI joint pain; > 3 months pain; morning stiffness; dactylitis; enthesitis; < ROM in joints/back/neck; fatigue, weight loss, SOB, psoriasis CORRECT ANSWER What are the s/s of ankylosing spondylitis? dactylitis CORRECT ANSWER inflammation of the fingers and/or toes; "sausage digits" enthesitis CORRECT ANSWER Inflammation at tendon/muscle attachment HLA-B27 commonly positive; RF usually negative; CRP, ESR, CBC, CMP, CK, alk phos, complement levels (C3, C4) CORRECT ANSWER What are the blood diagnostic tests associated with the diagnosis of ankylosing spondylitis? squaring of the vertebral bodies; sclerosis of the SI joint CORRECT ANSWER What is seen on radiographs of the CTLS and pelvis in ankylosing spondylitis? high incidence of osteoporosis CORRECT ANSWER What is noticed on bone mineral density screening for patients with ankylosing spondylitis? NSAIDS < 4 week duration; non-opioid analgesics; anti-TNF meds may be prescribed by a rheumatologist after failed NSAID use CORRECT ANSWER What are the treatments for ankylos