Question 1

A disease characterized by polyarthritis,urethritis,conjunctivitis,fever and weight loss,sacroiliitis,and skin lesions on the feet,hands,and genitals is:

Accepted Answer

The constellation of symptoms described is characteristic of Reiter's syndrome, which is a type of reactive arthritis usually triggered by a bacterial infection. Osteoarthritis/osteoarthrosis and rheumatoid arthritis are not associated with all of the symptoms listed, while Still's disease typically presents with high fever and rash but not the other features mentioned.

Question 2

Boutonniére's deformity is characterized by:

Accepted Answer

Boutonniére's deformity is a condition where there is damage to the central slip of the extensor tendon, causing the PIP joint to bend towards the palm (flexion) and the DIP joint to bend away from the palm (hyperextension). This results in a characteristic deformity where the finger appears bent at the PIP joint and extended at the DIP joint. The MCP joint can either be extended or flexed depending on the severity of the condition. Therefore, option B is the correct answer as it describes the characteristic features of Boutonniére's deformity.

Question 3

Which statement regarding rheumatoid arthritis (RA)is NOT true?

Accepted Answer

Early morning stiffness is a common symptom of RA, but it typically lasts longer than 30 minutes. It may last for several hours or even most of the day.

Question 4

Sjögren's syndrome is characterized by a whitening of the skin of the hands in response to cold.

Accepted Answer

Sjögren's syndrome is an autoimmune disorder that primarily affects the glands that produce tears and saliva. It is not associated with a whitening of the skin in response to cold.

Question 5

Polymyalgia rheumatica is associated with aching,stiffness,and pain in multiple areas of the body.The diagnostic criteria for the condition include depression,morning stiffness,and weight loss,as well as these other symptoms.Patients must have all of the signs and symptoms included in the diagnostic criteria to be diagnosed with polymyalgia rheumatica.

Accepted Answer

Patients must have a combination of the signs and symptoms included in the diagnostic criteria, but it is not necessary to have all of them. The criteria include age over 50, bilateral shoulder pain and stiffness, hip pain and stiffness, morning stiffness lasting over 45 minutes, erythrocyte sedimentation rate greater than 40 mm/hour, and rapid response to low-dose glucocorticoids.

Question 6

Which statement regarding rheumatoid arthritis (RA)is TRUE?

Accepted Answer

RA is an inflammatory, systemic, connective tissue, and autoimmune disease. It affects multiple joints in the body and can cause damage to other organs as well. While medications can help manage symptoms, there is currently no cure for RA.

Question 7

People with sarcoidosis may have symptoms of fatigue,chest pain,shortness of breath,skin lesions,and joint pains.Approximately 60% to 70% of people with the condition experience spontaneous healing within 24 to 36 months of the onset of the condition.

Accepted Answer

This statement is true.

Question 8

Physical therapy interventions for people with rheumatoid arthritis (RA)are extensive.Which of the following should NOT be included in a physical therapy intervention plan for a person with RA?

Accepted Answer

Low repetition and high weights exercise programs may cause excessive stress on already inflamed joints and could potentially exacerbate RA symptoms. Instead, physical therapy intervention plans for people with RA should focus on low-impact exercises, range of motion exercises, and gentle strengthening exercises. Resting splints at night (A), finger and thumb splints (B), and the use of modalities such as neuromuscular stimulation, ultrasound, and heat (D) are all appropriate interventions for people with RA.

Question 9

Myasthenia gravis is a chronic autoimmune disease in which the body produces antibodies that destroy the acetylcholine receptors at the synapse in the neuromuscular junctions.This destruction of the receptors slows or stops the transmission of impulses across the synapse and results in weakness of the muscles.

Accepted Answer

This statement is true. Myasthenia gravis is a chronic autoimmune disease that results in weakness of the muscles due to the production of antibodies that destroy acetylcholine receptors at the neuromuscular junctions.

Question 10

Rheumatoid arthritis (RA)is often associated with other syndromes and phenomena.Which description best describes Raynaud's phenomenon?

Accepted Answer

Raynaud's phenomenon is a condition where there is a sudden constriction of blood vessels, leading to decreased blood flow to certain parts of the body, usually the fingers and toes. This can cause white or bluish discoloration of the skin in those areas. It is often associated with autoimmune diseases like RA.

Question 11

Which of the following characteristics is indicative of fibromyalgia?

Accepted Answer

One of the main characteristics of fibromyalgia is widespread pain and tenderness in specific areas of the body known as tender points. These tender points are typically located in 18 specific spots on the body, and a diagnosis of fibromyalgia is often made if the patient experiences pain in at least 11 of these points. Hypersensitivity to palpation is a common symptom of fibromyalgia.

B, C, and D are not indicative of fibromyalgia. Subchondral cysts are associated with conditions such as osteoarthritis, rheumatoid arthritis, and traumatic joint injury. Skin nodules may be seen in conditions such as rheumatoid arthritis, gout, or psoriatic arthritis. Ankylosis of the spine is associated with conditions such as ankylosing spondylitis.

Question 12

Which signs and symptoms are typical of rheumatoid arthritis (RA)?

Accepted Answer

Pannus formation in the joints, boutonnière's and swan-neck deformities are classic signs of RA. Heberden's and Bouchard's nodes, subchondral cysts are associated with osteoarthritis. Bamboo spine and tophi are associated with ankylosing spondylitis and gout, respectively. Referred pain into the arm along a dermatome distribution is associated with nerve root lesions, not RA.

Question 13

Duchenne muscular dystrophy is an X-linked,recessive,inherited,genetic disease that causes weakness and atrophy of muscles.The genetic defect causes a lack of dystrophin in the muscle.

Accepted Answer

Duchenne muscular dystrophy is indeed an X-linked, recessive, inherited genetic disease that is caused by a lack of dystrophin in the muscles.

Question 14

Complex regional pain syndrome (CRPS)is also known as reflex sympathetic dystrophy (RSD),reflex sympathetic dystrophy syndrome,shoulder hand syndrome,and causalgia.The condition affects the upper or lower extremities but is most commonly found in the upper extremities.Which of the following statements regarding CRPS is TRUE?

Accepted Answer

CRPS is a chronic pain condition that can occur after an injury, surgery or even without any obvious cause. It is characterized by severe pain, swelling, changes in skin color/texture/temperature, excessive sweating or hair growth, and stiffness in the affected limb. It can also affect joint mobility and muscle function. The exact cause of CRPS is unknown and treatment involves a combination of medication, physical therapy, and psychological support. It is not limited to only people who have severe trauma, and it does not resolve spontaneously without treatment. While physical therapy can provide relief, it may not necessarily resolve the problem completely.

Question 15

Ankylosing spondylitis (AS)is one of the rheumatoid-associated conditions.Which of the following is NOT typical of a person with AS?

Accepted Answer

Physical therapy interventions can help manage symptoms and maintain mobility, but they cannot reverse the effects of joint ankylosis in AS. The other options listed are typical of a person with AS.

Question 16

Which of the following conditions is associated MOST with trigger points in the muscles?

Accepted Answer

Myofascial pain syndrome is a condition that is characterized by the development of trigger points in the muscles. These trigger points are areas of muscle fibers that have become overly contracted and are causing localized pain, tenderness, and restricted movement. Giant cell arteritis, polyarteritis nodosa, and polymyalgia rheumatica are conditions that are not directly associated with trigger points in the muscles.

Question 17

Which of the following signs and symptoms is indicative of psoriatic arthritis?

Accepted Answer

Pencil-in-cup deformity of the fingers is a characteristic radiographic finding in psoriatic arthritis, where the bones of the fingers appear to fit into each other like a pencil in a cup. Bamboo spine is a radiographic finding more commonly associated with ankylosing spondylitis, tophi with gout, and Heberden's nodes with osteoarthritis.

Question 18

A disease characterized by a combination of signs and symptoms,including calcium deposits in the skin (calcinosis),sclerodactyly (thickening and tightening of the skin of fingers and toes),esophageal hypomotility (reduced ability of the esophagus to propel food),tightening of the skin of the face,joint stiffness,weakness,and muscle atrophy is:

Accepted Answer

The combination of signs and symptoms described in the question is characteristic of scleroderma, also known as systemic sclerosis. Reiter's syndrome is a type of reactive arthritis, systemic lupus erythematosus is an autoimmune disease that can have a variety of symptoms including joint pain and muscle weakness, and Still's disease is a rare inflammatory disorder that primarily affects the joints.

Question 19

A disease characterized by a combination of signs and symptoms,including a malar rash on the face (butterfly rash),a discoid rash on the body,fatigue,weight loss or weight gain,Raynaud's phenomenon,arthritis symptoms of several joints,internal organ involvement,gastrointestinal symptoms,and anemia is:

Accepted Answer

The answer of A disease characterized by a combination of...

Question 20

Rheumatoid arthritis (RA)also affects children.Which statement regarding juvenile forms of RA is NOT true?

Accepted Answer

The statement "Juvenile RA only affects one joint, usually the hip, and does not affect the internal organs" is not true. Juvenile forms of RA can affect multiple joints and can also cause systemic symptoms and affect internal organs.

Quiz 6: Rheumatoid Arthritis and Related Conditions

A disease characterized by polyarthritis,urethritis,conjunctivitis,fever and weight loss,sacroiliitis,and skin lesions on the feet,hands,and genitals is:

Boutonniére's deformity is characterized by:

Which statement regarding rheumatoid arthritis (RA) is NOT true?

Sjögren's syndrome is characterized by a whitening of the skin of the hands in response to cold.

Which statement regarding rheumatoid arthritis (RA) is TRUE?

People with sarcoidosis may have symptoms of fatigue,chest pain,shortness of breath,skin lesions,and joint pains.Approximately 60% to 70% of people with the condition experience spontaneous healing within 24 to 36 months of the onset of the condition.

Physical therapy interventions for people with rheumatoid arthritis (RA) are extensive.Which of the following should NOT be included in a physical therapy intervention plan for a person with RA?

Rheumatoid arthritis (RA) is often associated with other syndromes and phenomena.Which description best describes Raynaud's phenomenon?

Which of the following characteristics is indicative of fibromyalgia?

Which signs and symptoms are typical of rheumatoid arthritis (RA) ?

Duchenne muscular dystrophy is an X-linked,recessive,inherited,genetic disease that causes weakness and atrophy of muscles.The genetic defect causes a lack of dystrophin in the muscle.

Ankylosing spondylitis (AS) is one of the rheumatoid-associated conditions.Which of the following is NOT typical of a person with AS?

Which of the following conditions is associated MOST with trigger points in the muscles?

Which of the following signs and symptoms is indicative of psoriatic arthritis?

Rheumatoid arthritis (RA) also affects children.Which statement regarding juvenile forms of RA is NOT true?