CMCP Exam 5 UPDATED ACTUAL
Questions and CORRECT Answers
Rheumatological Disorders - CORRECT ANSWER - - rheumatoid arthritis
- osteoarthritis
- psoriatic arthritis
- systemic lupus erythematosus
- juvenile rheumatoid arthritis
- progressive systemic sclerosis/ scleroderma
- sjogren syndrome
- gout, ankylosing spondylitis, Lyme disease
- giant cell arthritis
- fibromyalgia syndrome
Characteristics of rheumatologic disorders - CORRECT ANSWER - tissues affected by
joint, synovium, cartilage, and connective tissues
arthritis is ______ - CORRECT ANSWER - inflammation of the joints
rheumatoid arthritis and osteoarthritis _________ - CORRECT ANSWER - are not the
same thing
Rheumatoid arthritis - CORRECT ANSWER - - autoimmune disease
- unknown etiology
- characterized by symmetric inflammation of joints in hands, feet, and knees
- onset between 35-50 years old
- more prevalent in women
- caused by antibody production and inflammatory reactions which injure the joint space
,Complications of RA - CORRECT ANSWER - - life expectancy shortened by 10-15 years
- shortened by infection, pulmonary and renal disease, gastrointestinal bleeding, digital gangrene,
skin ulcers, muscle atrophy and TMJ involvement
Signs and symptoms of RA - CORRECT ANSWER - preceded by general fatigue and
weakness, muscle and joint aches
More advanced symptoms of RA - CORRECT ANSWER - - painful joint swelling,
symmetrical
- immobility
- subluxation
- deviations
- deformities
Laboratory test for RA - CORRECT ANSWER - - increased erythrocyte sedimentation
rate (ESR)
- elevated C-reactive protein (CRP)
- positive rheumatoid factor (RF)
Medical management of RA - CORRECT ANSWER - - no cure
- minimize damage, treat pain
- disease-modifying antirheumatic drugs (DMARDS)
- anti inflammatory drugs (NSAIDS)
- selective Cox-2 inhibitors (celebrex)
- corticosteroids (rule of 2s)
- prosthetic joints
Dental management of RA - CORRECT ANSWER - - short appointments
,- ensure physical comfort
- joint prosthetics
- TMJ disfunction/ pain
- drug considerations
- asprin, NSAIDS (increased bleeding)
- corticosteroids (adrenal suppression)
Treatment modifications for RA - CORRECT ANSWER - brushing and flossing
techniques may need to be altered (electric TB, floss holder, etc.)
Oral and maxillofacial complications of RA - CORRECT ANSWER - - TMJ 45-75% of
all RA patients
- severe stomatitis from drugs administration
Osteoarthritis - CORRECT ANSWER - - degenerative joint disease
- most common form of arthritis
- cause unknown
- thought to be the end result of wear and tear on joints over long period
Complications osteoarthritis - CORRECT ANSWER - - pain
- disability
Signs and symptoms of osteoarthritis - CORRECT ANSWER - - pain localized to 1 or 2
joints (asymmetrical)
- dull ache
- stiffness usually in the morning or after a period of inactivity
- joint noise or grinding sounds (crepitus, TMJ, with movement)
, Dental management and treatment modifications of osteoarthritis - CORRECT
ANSWER - same as RA related to pain management, medications, extent of TMJ
involvement and self OHI
Systemic lupus erythematosus types - CORRECT ANSWER - - discoid lupus
erythematosus (DLE)
- systemic lupus erythematosus (SLE)
Discoid lupus erythematosus (DLE) - CORRECT ANSWER - affects the skin, face, scalp,
or ears
Systemic lupus erythematosus (SLE) - CORRECT ANSWER - - affects multiple organ
systems
- more serious form
Etiology of systemic lupus erythematosus - CORRECT ANSWER - - women of
childbearing age
- more common in African American and Hispanics as compared to whites
systemic lupus erythematosus - CORRECT ANSWER - - autoimmune disease
- antigen antibody complexes deposited in a wide variety of tissues
- clinical presentation varies from mild to severe
- exogenous and endogenous factors
- triggers can be infectious agents, stress, diet, toxins, drugs and sunlight
Complications of SLE - CORRECT ANSWER - - death
- infectious complications and clinical manifestations
- renal failure
- cardiovascular and pulmonary involvement
- acute vascular neurologic events
Questions and CORRECT Answers
Rheumatological Disorders - CORRECT ANSWER - - rheumatoid arthritis
- osteoarthritis
- psoriatic arthritis
- systemic lupus erythematosus
- juvenile rheumatoid arthritis
- progressive systemic sclerosis/ scleroderma
- sjogren syndrome
- gout, ankylosing spondylitis, Lyme disease
- giant cell arthritis
- fibromyalgia syndrome
Characteristics of rheumatologic disorders - CORRECT ANSWER - tissues affected by
joint, synovium, cartilage, and connective tissues
arthritis is ______ - CORRECT ANSWER - inflammation of the joints
rheumatoid arthritis and osteoarthritis _________ - CORRECT ANSWER - are not the
same thing
Rheumatoid arthritis - CORRECT ANSWER - - autoimmune disease
- unknown etiology
- characterized by symmetric inflammation of joints in hands, feet, and knees
- onset between 35-50 years old
- more prevalent in women
- caused by antibody production and inflammatory reactions which injure the joint space
,Complications of RA - CORRECT ANSWER - - life expectancy shortened by 10-15 years
- shortened by infection, pulmonary and renal disease, gastrointestinal bleeding, digital gangrene,
skin ulcers, muscle atrophy and TMJ involvement
Signs and symptoms of RA - CORRECT ANSWER - preceded by general fatigue and
weakness, muscle and joint aches
More advanced symptoms of RA - CORRECT ANSWER - - painful joint swelling,
symmetrical
- immobility
- subluxation
- deviations
- deformities
Laboratory test for RA - CORRECT ANSWER - - increased erythrocyte sedimentation
rate (ESR)
- elevated C-reactive protein (CRP)
- positive rheumatoid factor (RF)
Medical management of RA - CORRECT ANSWER - - no cure
- minimize damage, treat pain
- disease-modifying antirheumatic drugs (DMARDS)
- anti inflammatory drugs (NSAIDS)
- selective Cox-2 inhibitors (celebrex)
- corticosteroids (rule of 2s)
- prosthetic joints
Dental management of RA - CORRECT ANSWER - - short appointments
,- ensure physical comfort
- joint prosthetics
- TMJ disfunction/ pain
- drug considerations
- asprin, NSAIDS (increased bleeding)
- corticosteroids (adrenal suppression)
Treatment modifications for RA - CORRECT ANSWER - brushing and flossing
techniques may need to be altered (electric TB, floss holder, etc.)
Oral and maxillofacial complications of RA - CORRECT ANSWER - - TMJ 45-75% of
all RA patients
- severe stomatitis from drugs administration
Osteoarthritis - CORRECT ANSWER - - degenerative joint disease
- most common form of arthritis
- cause unknown
- thought to be the end result of wear and tear on joints over long period
Complications osteoarthritis - CORRECT ANSWER - - pain
- disability
Signs and symptoms of osteoarthritis - CORRECT ANSWER - - pain localized to 1 or 2
joints (asymmetrical)
- dull ache
- stiffness usually in the morning or after a period of inactivity
- joint noise or grinding sounds (crepitus, TMJ, with movement)
, Dental management and treatment modifications of osteoarthritis - CORRECT
ANSWER - same as RA related to pain management, medications, extent of TMJ
involvement and self OHI
Systemic lupus erythematosus types - CORRECT ANSWER - - discoid lupus
erythematosus (DLE)
- systemic lupus erythematosus (SLE)
Discoid lupus erythematosus (DLE) - CORRECT ANSWER - affects the skin, face, scalp,
or ears
Systemic lupus erythematosus (SLE) - CORRECT ANSWER - - affects multiple organ
systems
- more serious form
Etiology of systemic lupus erythematosus - CORRECT ANSWER - - women of
childbearing age
- more common in African American and Hispanics as compared to whites
systemic lupus erythematosus - CORRECT ANSWER - - autoimmune disease
- antigen antibody complexes deposited in a wide variety of tissues
- clinical presentation varies from mild to severe
- exogenous and endogenous factors
- triggers can be infectious agents, stress, diet, toxins, drugs and sunlight
Complications of SLE - CORRECT ANSWER - - death
- infectious complications and clinical manifestations
- renal failure
- cardiovascular and pulmonary involvement
- acute vascular neurologic events
