MARYVILLE NURS 623 EXAM 3 COMPLETE
TEST QUESTIONS AND ANSWERS
◉ Topical NSAIDs
-
Acetaminophen first line oral
-
Oral NSAIDS: OTC or prescribed
•
COX1 and COX2 vs. selective COX2
•
Consider gastric acid reduction / protection therapy
•
Monitor renal baseline and toxicity
•
Permeant platelet inhibition
-
bleeding risk.
Answer: Pharmacotherapy for OA includes
◉ Rheumatoid arthritis.
,Answer: Chronic, systemic inflammatory disease
•
Primarily targets synovial tissues
•
Higher risk of coronary artery disease and
heart failure
•
Untreated results in joint destruction and
reduced life
expectancy
•
Early and aggressive treatment
◉ Women > men
•
Risk increases with age
-
Uncommon for men to present age < 45
-
Prevalence in women
plateaus
~ age 60.
,Answer: Risk factors for RA
◉ Anti
-
CCP antibodies highest specificity
-
Rheumatoid factor (less specific)
-
20% can be antinuclear antibody negative
-
ESR, CRP may help with diff dx
-Elevated platelets common.
Answer: Labs for diagnosis
◉-
Normal early in disease
-
Symmetrical distribution of abnormalities both bilateral and within
joint space.
Answer: X Ray of RA pt
◉ ≥ 6 weeks.
, Answer: In regards to RA, First 4 symptoms last
◉ Morning stiffness ≥ 1 hour
-
Swelling (soft tissue) ≥ 3 joints
-
Swelling (soft tissue) of hand joints (PIP, MCP, or wrist)
-
Symmetrical soft tissue swelling
-
Subcutaneous nodules
-
Serum RF
-
Radiograph erosions / periarticular osteopenia in hands or wrist
joints.
Answer: 4 of 7 items below required for diagnosis
◉ DMARDs
-
Disease
-
TEST QUESTIONS AND ANSWERS
◉ Topical NSAIDs
-
Acetaminophen first line oral
-
Oral NSAIDS: OTC or prescribed
•
COX1 and COX2 vs. selective COX2
•
Consider gastric acid reduction / protection therapy
•
Monitor renal baseline and toxicity
•
Permeant platelet inhibition
-
bleeding risk.
Answer: Pharmacotherapy for OA includes
◉ Rheumatoid arthritis.
,Answer: Chronic, systemic inflammatory disease
•
Primarily targets synovial tissues
•
Higher risk of coronary artery disease and
heart failure
•
Untreated results in joint destruction and
reduced life
expectancy
•
Early and aggressive treatment
◉ Women > men
•
Risk increases with age
-
Uncommon for men to present age < 45
-
Prevalence in women
plateaus
~ age 60.
,Answer: Risk factors for RA
◉ Anti
-
CCP antibodies highest specificity
-
Rheumatoid factor (less specific)
-
20% can be antinuclear antibody negative
-
ESR, CRP may help with diff dx
-Elevated platelets common.
Answer: Labs for diagnosis
◉-
Normal early in disease
-
Symmetrical distribution of abnormalities both bilateral and within
joint space.
Answer: X Ray of RA pt
◉ ≥ 6 weeks.
, Answer: In regards to RA, First 4 symptoms last
◉ Morning stiffness ≥ 1 hour
-
Swelling (soft tissue) ≥ 3 joints
-
Swelling (soft tissue) of hand joints (PIP, MCP, or wrist)
-
Symmetrical soft tissue swelling
-
Subcutaneous nodules
-
Serum RF
-
Radiograph erosions / periarticular osteopenia in hands or wrist
joints.
Answer: 4 of 7 items below required for diagnosis
◉ DMARDs
-
Disease
-
