FNP 3 EXAM 3 RHEUMATOLOGY QUESTIONS AND ANSWERS WITH SOLUTIONS 2024/25

FNP 3 EXAM 3 RHEUMATOLOGY QUESTIONS AND ANSWERS WITH SOLUTIONS 2024/25 Rheumatoid Arthritis Incidence - ANSWER Peaks in 40s-50s. 2.5 times more common in females than males. Rheumatoid Arthritis Scoring - ANSWER Applies to those who have at least 1 joint involved with definite clinical synovitis that isn't explained by other disease. Rheumatoid Scoring Categories - ANSWER Joint Involvement, Serology (RF and anti-CCP), Acute phase reactants (CRP, ESR), Duration of symptoms. **Need 6 out of 10 to be diagnosed with RA. Key Features of RA - ANSWER Sx > 6 weeks Inflammatory Synovitis- palpable swelling Morning stiffness for > 1 hour Fatigue Symmetrical Usually involves 3 joints: MCP, PIP, wrists **NOT SEEN IN THORACOLUMBAR SPINE, DIPs, IPs of toes. RA Serologies - ANSWER RF not specific, + in many diseases, but high titer early in disease is a bad sign. Anti-CCP: Most sensitive/specific marker for RA. *If both RF and CCP are +- higher correlation with erosive disease. RA on Xray - ANSWER Marginal Erosion Narrowing of joint space