Rheumatoid Arthritis + Methotrexate Study Guide Questions And Actual Answers.

Rheumatoid Arthritis + Methotrexate
Study Guide Questions And Actual
Answers.

are men or women more commonly affected - Answer women



when is peak age of onset - Answer 4th-5th decade of life



what would you commonly see on inspection (dorsal) - Answer - swelling of PIP and DIP joints

- ulnar deviation at MCP joints

- thin skin

- wasting of intrinsic muscles



what would you commonly see on inspection (lateral) - Answer - swan neck deformity

- boutonniere deformity

- volar subluxation at MCP and wrist joints

- rheumatoid nodules



what joints are commonly affected - Answer MCP

PIP



when is pain and stiffness normally worse - Answer morning



what extra articular manifestations might you see - Answer NODULES

- CNS

- elbows

- lungs

, - lymphadenopathy

- vasculitis



LUNGS

- pleural disease

- interstitial fibrosis

- organising pneumonia

- bronchiolitis



CARDIAC

- IHD

- pericarditis

- CTS

- pericardial effusion

- splenomegaly

- periphreal neuropathy



EYES

- episcleritis

- scleritis

- scleroderma

- osteoporosis



what initial investigations should you carry out - Answer FBC

ESR

CRP

Kidney and LFTs

Rheumatoid factor

radiography of hands and feet