Chapter 29. Rheumatic Diseases
1. A 7-year-old is having on and off knee, ankle, wrist, and hip pain. The family history is
positive for rheumatoid arthritis. No injury has taken place, and the child has occasional
swelling of joints. Pain resolves with rest, ice, and NSAIDs. The primary care physician ran labs
with positive rheumatoid factor ANA and ESR. This child is a soccer player and a violinist. Your
differential diagnosis would be:
1. Juvenile Idiopathic Arthritis (JIA), septic arthritis, osteomyelitis, and fracture.
2. Juvenile Idiopathic Arthritis (JIA), toxic synovitis, osteomyelitis, and Developmental
Dislocated Hips (DDH).
3. Juvenile Idiopathic Arthritis (JIA), chronic inflammatory arthritis, chronic osteomyelitis, and
Developmental Dislocated Hips (DDH).
4. Juvenile Idiopathic Arthritis (JIA) only.
ANS: 4
Feedback
, Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain
and swelling to more than one joint. This can be hereditary. Lab oratory tests are
1. normal in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).
2. All are factors in Juvenile Idiopathic Arthritis.
Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain
and swelling to more than one joint. This can be hereditary. Laboratory tests are
3. normal in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).
Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain
and swelling to more than one joint. It can be hereditary. Laboratory tests are
normal
4. in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).
2. If a child is diagnosed with Juvenile Idiopathic Arthritis (JIA), which of the following
statements is true?
1. Usually, a child outgrows the disorder.
2. NSAIDs are the treatment of choice.
3. The child should not participate in sports.
4. All of the children of these parents will have the disorder.
ANS: 2
Feedback
1. The disorder lasts for the life of the child.
Activity helps the joints stay mobile, and anti-inflammatory medications are the
2. treatment of choice for Juvenile Idiopathic Arthritis.
3. Participation in sports will help maintain mobility.
1. A 7-year-old is having on and off knee, ankle, wrist, and hip pain. The family history is
positive for rheumatoid arthritis. No injury has taken place, and the child has occasional
swelling of joints. Pain resolves with rest, ice, and NSAIDs. The primary care physician ran labs
with positive rheumatoid factor ANA and ESR. This child is a soccer player and a violinist. Your
differential diagnosis would be:
1. Juvenile Idiopathic Arthritis (JIA), septic arthritis, osteomyelitis, and fracture.
2. Juvenile Idiopathic Arthritis (JIA), toxic synovitis, osteomyelitis, and Developmental
Dislocated Hips (DDH).
3. Juvenile Idiopathic Arthritis (JIA), chronic inflammatory arthritis, chronic osteomyelitis, and
Developmental Dislocated Hips (DDH).
4. Juvenile Idiopathic Arthritis (JIA) only.
ANS: 4
Feedback
, Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain
and swelling to more than one joint. This can be hereditary. Lab oratory tests are
1. normal in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).
2. All are factors in Juvenile Idiopathic Arthritis.
Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain
and swelling to more than one joint. This can be hereditary. Laboratory tests are
3. normal in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).
Juvenile Idiopathic Arthritis (JIA) is characterized by a long-standing history of pain
and swelling to more than one joint. It can be hereditary. Laboratory tests are
normal
4. in chronic osteo, toxic synovitis, and Developmental Dislocated Hips (DDH).
2. If a child is diagnosed with Juvenile Idiopathic Arthritis (JIA), which of the following
statements is true?
1. Usually, a child outgrows the disorder.
2. NSAIDs are the treatment of choice.
3. The child should not participate in sports.
4. All of the children of these parents will have the disorder.
ANS: 2
Feedback
1. The disorder lasts for the life of the child.
Activity helps the joints stay mobile, and anti-inflammatory medications are the
2. treatment of choice for Juvenile Idiopathic Arthritis.
3. Participation in sports will help maintain mobility.
