Romaisa Bashir

20-Arid-3378
HND (4th Evening)
Arthritis
1) The types of arthritis include
A. Gout
B. Osteoarthritis
C. Rheumatoid arthritis
D. all of above
2) What type of arthritis would you have if the lining of your joint becomes inflamed?
A. Rheumatoid arthritis
B. Osteoarthritis
C. Psoriatic arthritis
3) Rheumatoid arthritis is an inherited disease. This statement is
A. True
B. False
4) Osteoarthritis, characterized by the breakdown of cartilage, is associated with aging alone.
A. True
B. False
5) Spondylitis is a type of
A. Rheumatoid arthritis
B. Osteoarthritis
C. Psoriatic arthritis
6) Your child may have juvenile arthritis if she/he complains of:
A. Pain and stiffness in joint
B. Swelling and redness of the skin
C. Fever along with fatigue
D. All of the above
7) Which food is / are beneficial for arthritis pain and inflammation? –
A. Dairy products
B. Citrus fruits
C. Omega-3 foods
D. All of the above
8) Consuming tomatoes and potato will aggravate arthritis. This is a –
A. Fact
B. Myth
9) High cooking temperature can increase inflammation.
A. True
B. False
10) Arthritis related pain and disability can be prevented or reduced by
 A. Early diagnosis
B. Physiotherapy and occupational therapy
C. Weight control and physical activity
D. All of above
11) Acupuncture can help relieve pain and tenderness in arthritis.
A. True
B. False
12) Lifestyle goals to complement your arthritis treatment should include
A. Jogging regularly, avoiding fruits and vegetables, and sleeping for 8 to 10 hours a day.
B. A healthy diet, regular physical activity, 8 to 10 hours of sleep, and stress reduction.
C. Heavy exercising, meditation and minimal food consumption.
13) Depression can worsen arthritic pain in older people.
A. True
B. False
14) Which part of a joint does osteoarthritis usually affect?
A. Bone
B. Cartilage
C. Tendon
D. All of the above
15) Which of these makes it more likely to get osteoarthritis?
A. Young age
B. Excess body weight
C. Too little body weight
D. Back pain
E. None of the above
16) When a person gets osteoarthritis of the hip, where else might the pain show up?
A. Arm
B. Groin
C. Feet
D. Shoulders
E. All of the above
17) How can an X-ray help a healthcare provider diagnose osteoarthritis?
A. It can show cartilage loss
B. It can show bone damage
C. It can show bone spurs
D. All of the above
18) Which of these medicines is used to treat osteoarthritis?
A. Aspirin
B. Acetaminophen
C. Corticosteroid injections
D. All of the above
19) Which of these can help prevent osteoarthritis?
A. Maintain a healthy weight
B. Use good posture
 C. Start new activities slowly
D. All of the above
20) Surgery can sometimes be done to treat arthritis.
A. True
B. False
21) Which of the following is NOT a first-line option for the pharmacologic treatment of acute gout?
A. NSAIDs
B. Corticosteroids
C. Oral colchicine
D. Aspirin
22) How long after the onset of an acute gout attack should pharmacologic therapy be initiated?
A. Within 1 hour
B. Within 24 hours
C. After 24 hours
D. After 48 hours
23) What joints are most often affected by osteoarthritis?
A. Hands
B. Hips
C. Both hands and hips
D. Shoulders
24) What are risk factors for developing osteoarthritis?
A. High blood pressure
B. Weight loss
C. Age over 55
D. Steroid use
25) What are symptoms of osteoarthritis?
A. Joint pain
B. Joint stiffness
C. Joint swelling
D. All of the above
26) What are home remedies that can ease osteoarthritis symptoms?
A. Weight loss
B. Shoe inserts
C. Fish oil
D. Acupuncture
27) What medications are used to treat osteoarthritis?
A. Acetaminophen (Tylenol)
B. Nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Hyaluronate injections
D. Narcotic pain medications
28) Types of surgery used to treat osteoarthritis include…
A. Realignment
B. Fusion
C. Replacement
 D. All of the above
29) What is the best exercise for osteoarthritis?
A. Yoga
B. Running
C. Basketball
D. Boxing
30) What are the best foods to eat for osteoarthritis?
A. Citrus fruits
B. Meat
C. Bread
D. Cookies
31) What foods should I avoid if I have osteoarthritis?
A. Refined wheat
B. Fried foods
C. Salt
D. All of the above
32) All of the following statements are true about the pathogenesis of osteoarthritis (OA) EXCEPT:
A. It is simply a “wear and tear” process.
B. Risk factors include aging, joint injury, obesity, and genetics.
C. X-rays may be normal despite significant pain from OA early in the process.
D. Current treatments for OA are directed to controlling pain, and none have been proven to alter
the progression of the disease.
33) All of the following statements are true about the clinical manifestations and diagnosis of OA
EXCEPT:
A. OA may be diagnosed on clinical grounds alone.
B. Without radiographic evidence of OA, the diagnosis cannot be made.
C. OA has a predilection for the knees, hips, and hand joints.
D. Prolonged morning stiffness or rapidly progressive pain might indicate a different pathology.
34) All of the following statements are true about typical management of OA EXCEPT:
A. Goals of OA management are to minimize pain, optimize function, and tailor care to the
individual’s needs, goals, and values.
B. Nonpharmacologic interventions are the mainstay of OA management and should be tried first.
C. Pharmacologic management of OA includes oral and topical nonsteroidal anti-inflammatory
drugs (NSAIDs), topical capsaicin, duloxetine, and intraarticular glucocorticoids.
D. Pharmacologic management of OA includes opioids.
35) All of the following statements are true about total knee arthroplasty (TKA) EXCEPT:
A. A TKA typically lasts 10 to 20 years.
B. Clinical improvement compared with preoperative status generally begins between 2 and 3
weeks postoperatively.
C. Patients can usually walk with assistive devices on postoperative Day 1.
D. The length of hospitalization ranges from 1 to 3 days.
36) Which of the following statements is TRUE regarding total hip arthroplasty (THA)?
A. THA is only performed with general anesthesia.
B. Hospital length of stay is typically 1 to 3 days.
 C. Typically, weight-bearing is allowed 3 to 5 days after surgery.
D. The most widely used combination is a polyethylene femoral head (ball) with a ceramic
acetabular liner.
37) True or false? Ice packs can be effective adjuncts to the management of an acute gout attack.
A. True
B. False
38) The initial goal of urate-lowering therapy is to reduce and maintain the serum uric acid at or below
what recommended level to prevent further crystal formation and to dissolve existing crystals?
A. 100 µmol/L
B. 200 µmol/L
C. 300 µmol/L
D. 400 µmol/L
39) Which of the following is the recommended first-line urate-lowering therapy to consider?
A. Febuxostat
B. Allopurinol
C. Probenecid
D. Benzbromarone
40) True or false? Established pharmacologic urate-lowering therapy should be continued, without
interruption, during an acute attack of gout.
A. True
B. False
41) Which antihypertensive has been shown to have mild uricosuric effects in patients with gout?
A. Lisinopril
B. Amlodipine
C. Propranolol
D. Losartan
42) True or false? Consumption of fructose- or sugar-sweetened soft drinks is an established risk factor
for the development of gout.
A. True
B. False
43) Consumption of which of the following fruits was associated with a statistically significant 35% lower
risk of gout attacks?
A. Apple
B. Peach
C. Cherry
D. Banana
44) True or false? Vitamin C supplements have a weak uric acid-lowering effect.
A. True
B. False
45) The term arthritis refers to stiffness in the joints.
A. True
B. False
46) What are early signs and symptoms of rheumatoid arthritis (RA)?
A. Joint pain, tenderness, redness, and swelling
 B. Loss of joint range of motion
C. Limping
D. All of the above
47) Rheumatoid arthritis (RA) is different from some other forms of arthritis because it…
A. Is more painful than other forms
B. Occurs below the waist
C. Is symmetrical, affecting the right and left sides of the body
D. Generally occurs above the waist
48) Rheumatoid arthritis is more severe in…
A. Men
B. Women
49) People with rheumatoid arthritis experience the most stiffness at night.
A. True
B. False
50) Rheumatology is the branch of medicine that involves the study of…
A. The immune system
B. Musculoskeletal (muscles and bones) system
C. Rheumatic diseases
D. All of the above
51) Surgery is the only way to treat RA.
A. True
B. False
52) Rheumatoid arthritis can be cured if diagnosed and treated early.
A. True
B. False
53) The sudden appearance or worsening of RA symptoms is referred to as a(n)…
A. Outbreak
B. Flare
C. Burst
D. Eruption
54) With rheumatoid arthritis, deformity of the joints is caused by chronic inflammation.
A. True
B. False
55) Which of the following is the most common area affected by rheumatoid arthritis?
A. Temporomandibular joints (TMJ)
B. Metatarsophalangeal (MTP) joints
C. Wrist joints (radiocarpal, ulnocarpal, and distal radioulnar joints)
D. Metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints
56) Regarding rheumatoid arthritis (RA), the incidence
A. Is higher in men.
B. Decreases with age
C. Is equal in men and women.
D. Is approximately 53 per 100,000 for women annually, and about half that for men.
57) Which of the following statements related to comorbid conditions and arthritis is TRUE?
 A. One-fifth of the premature deaths in patients with RA are due to increased cardiovascular
disease.
B. There is no correlation with increased depression rates and RA.
C. The risk of developing RA is nearly double for current smokers compared with nonsmokers.
D. Studies have found similar mortality rates in patients with RA as compared with the
general population.
58) Which of the following is TRUE about the etiology of RA?
A. It is likely an autoimmune disease.
B. It is believed that infectious, genetic, and hormonal factors may be contributing factors.
C. If one monozygotic twin has RA, there is a 1 in 2 chance that the other twin will develop the
same disease.
D. Both A and B
59) In the classic symptomatic presentation of rheumatoid arthritis,
A. joint pain is most often localized to one region.
B. joint stiffness is most prominent in the evening.
C. there is decreased muscle strength and range of motion in joints.
D. physical exam most often shows a markedly elevated body temperature.
60) Which laboratory finding is NOT often seen in patients with RA?
A. Thrombocytosis
B. Normocyctic normochromic anemia
C. C-reactive protein level <0.5 pg/mL
D. Anti-cyclic citrullinated peptide (anti-CCP) antibody
61) Which statement is TRUE regarding the differential diagnosis of RA?
A. Chronic tophaceous gout rarely mimics severe nodular RA.
B. Sarcoidosis is not a condition that should be considered in the differential diagnosis.
C. Systemic lupus erythematosus, psoriatic arthritis, and reactive arthritis should be
considered in both early and late RA.
D. In later disease, self-limited viral syndromes such as hepatitis B and C, parvovirus, rubella,
and Epstein-Barr virus should be considered.
62) Which of the following most correctly describes the classification of RA?
A. Arthritis should affect at least two joints.
B. At least one of the swollen joints should be in the large joints.
C. A duration of symptoms of seven weeks is scored as 1 point.
D. According to the American College of Rheumatology (ACR) scale, there are 10 criteria for
classification.
63) With optimal treatment of RA, what percentage of patients will achieve sustained remission?
A. 17% to 20%
B. 30% to 40%
C. 40% to 50%
D. 60% to 70%
64) Regarding the pharmacologic management of RA,
A. no difference has been noted between the outcomes of single and combination
DMARD therapy.
B. more than 75% of patients studied have shown remission with methotrexate and biologic
therapy.
C. severe disability and life-threatening complications have increased with current treatment
modalities.
D. None of the above
65) Which of the following is not a criterion for remission in rheumatoid arthritis (RA) according to the
ACR/EULAR 2011 criteria?
A. C-reactive protein (CRP) #8804;1 mg/dL
B. Swollen joint count ≤1
C. Tender joint count ≤1
D. Physician global assessment ≤1
66) A 45-year-old female complaints of increasing widespread joint pains which are worse in the
evening after a stressful day at work. She describes puffy hands and feet and a painful neck. Her
concentration is very poor and she has recently suffered from marital problems. Rheumatoid
factor is mildly positive. Examination reveals an increased body mass index and global
restriction of movement due to pain, but no synovitis. Which of the following investigations would
be useful in this case?
A. Anti-cyclic citrullinated peptide antibody
B. Ultrasound scan hands and feet
C. Anti-JO-I antibody
D. Erythrocyte sedimentation rate and C reactive protein
E. A B & D
67) Which of the following drugs is most likely to cause systemic lupus-like syndrome?
A. Baclofen
B. Isoniazid
C. Methotrexate
D. Procainamide
E. Sulfasalazine
68) A 25-year-old female gives birth to a baby with complete heart block who subsequently requires
pacemaker insertion. Which of the following antibodies is most likely to be detected in the
maternal serum?
A. Anti-double-stranded deoxyribonucleic acid (dsDNA) antibodies
B. Anti-endomysial antibodies
C. Anti-Ro/SSA antibodies
D. Anti-SCL70 antibodies
E. Rheumatoid factor
69) Which of the following is a pro-inflammatory cytokine?
A. CRP
B. Interleukin 4 (IL-4)
C. IL-10
D. Serum amyloid precursor protein
E. Tumour necrosis factor-alpha
70) A 72-year-old man presents with an acutely painful right knee. On examination, he had a
temperature of 37΀C with a hot, swollen right knee. Of relevance amongst his investigations,
was his white cell count which was 12.6 Χ 10 9 /l and a knee X-ray revealed reduced joint space
and calcification of the articular cartilage. Culture of aspirated fluid revealed no growth. What is
the most likely diagnosis?
A. Gout
B. Psoriatic monoarthropathy
C. Pseudogout
D. Rheumatoid arthiritis
E. Septic arthritis
71) Which of the following regarding Infliximab is most true?
A. Is a monoclonal antibody to the glycoprotein IIb-IIIa receptor
 B. Is authorized for the treatment of severe ulcerative colitis
C. Is licensed for the treatment of RA
D. It prevents relapse of Crohn’s disease in patients who are in remission
E. Must not be used in combination with methotrexate due to increased toxicity
72) A 25-year-old lady with known systemic lupus erythematosus (SLE) presents with the nephrotic
syndrome. A renal biopsy is performed and this confirms diffuse proliferative glomeronephritis
(WHO Class IV). Which of the following treatment regimens would you advise?
A. Azathioprine alone
B. Prednisolone alone
C. Azathioprine and prednisolone
D. Prednisolone and intravenous cyclophosphamide
E. Prednisolone and methotrexate
73) Which of the following auto-antibodies may have a role in monitoring disease activity?
A. Rheumatoid factor in RA
B. Antinuclear antibodies in SLE
C. Anti-Sm antibodies in SLE
D. Anti-dsDNA antibodies in SLE
E. Anti-Ro (SSA) antibodies in Sjogren’s syndrome
74) A 69-year-old woman taking hydralazine for hypertension presents with joint pain and chest pain.
On cardiac examination, the patient has a pericardial rub. What is the diagnosis?
A. Dermatomyositis
B. SLE
C. Polymyalgia rheumatic
D. Felty syndrome
75) Osteoarthritis occurs as a result of:
A. Deficiency of calcium in young people.
B. Gradual degeneration of the movable joints, due to wear and tear of the articular
cartilage,with the advancing age.
C. Low levels of estrogen in older women.
76) Osteoarthritis of the finger joints is more common in the females, while in males hip or knee are
commonly affected. Is this statement true or false?
A. True
B. False
77) Osteoarthritis affecting the distal inter phalangeal joints (i.e. first finger joint from the finger tip) is
known as:
A. Bouchard’s nodes
B. Richard’s nodes
C. Heberden’s nodes
78) Osteoarthritis, when involves the thumb base, gives it a:
A. Squared appearance
B. Oval appearance
C. Triangular appearance
79) Hip osteoarthritis is never attributed to congenital defect in the anatomy of the hip joint.
A. True
B. False
80) Bony crepitus’ which is heard on moving the knee affected with osteoarthritis is a:
A. Sensation of bone rubbing against bone
B. Sensation of weakness in the bone
C. Sensation of bubbles in the bone
81) Osteoarthritis of spine occurs as a result of degenerative changes in the apophyseal joints while
spondylosis refers to degenerative disk disease. Is this statement true or false?
A. True
B. False
82) The term ‘Generalized Osteoarthritis’ is used when:
A. All joints of the body are involved
B. More than one joint is involved
C. Three or more joints are involved
83) Typical pain of osteoarthritis is
A. Aggravated by rest and relieved by use.
B. Aggravated by use and relieved by rest.
C. Aggravated by use as well as from rest.
84) Stiffness of the involved joint upon arising in the morning or after immobility (e.g. following a long
ride in a car) is a prominent symptom of osteoarthritis. Is this statement true or false?
A. True
B. False
85) Osteoarthritis most often affects the wrists and elbows.
A. True
B. False
86) Who is most likely to experience osteoarthritis?
A. A man over 65
B. A woman over 65
C. A 25-year-old distance runner
87) You can develop osteoarthritis by being physically inactive or physically overactive.
A. True
B. False
88) Exercise, weight control, joint care, and pain relief are all treatment and management options for
osteoarthritis.
A. True
B. False
89) With proper treatment, osteoarthritis is curable.
A. True
B. False
90) What are the diseases that promote gout?
A. Instant fatigue and heart failure
B. Sickle cell disease
C. Diabetes and kidney diseases
D. Flu or cough
91) What types of food expose you to gout?
A. Meat seafood, ethanol, soft drinks, and fructose
B. Dried fruits and meat
C. Raw chicken and eggs
D. Sausages and rice
92) What are the known symptoms of gout?
A. High blood pressure and nervousness
B. Severe fatigue
C. Severe pain, swelling, tenderness
D. Temporary blindness
93) What are examples of nonpharmacologic treatments?
 A. Diet, lifestyle modification, etc.
B. Workout
C. Exposure to the sun
D. Walking
94) What’s an example of pharmacologic treatment?
A. Vitamin prescription
B. Venipuncture
C. Urate -lowering therapies
D. Veniculture
95) What’s the purpose of using urate-lowering therapies?
A. It’s to prevent acute gouts attacks and the development of tophi
B. To help the patient digestive system
C. It to prevents patients from having diahrrea
D. It prevents patients from having puss
96) How does Colchicine work?
A. It reduces pain caused by leukocytes
B. It reduces inflammation by leukocytes
C. It reduces puss creation by leukocytes
D. It reduces lactic acid production by leukocytes
97) What do NSAIDs do?
A. They reduce white blood cells production
B. They inhibit the cyclooxygenase enzymes
C. They stop the pain
D. They kill blood cells
98) What is COX?
A. It stands for cyclooxygenase
B. It sands for gocyclooxygenase
C. It stands for coxxy
D. It stands for coocite
99) How many NSAIDs are approved by the FDA?
A. 2
B. 3
C. 4
D. 5
100) Gina notices that whenever she gets up from sitting after a period of time she experiences
stiffness in her knee, that is accompanied with a grinding sensation and noise. This is known as
A. Crepitus
B. Rheumatoid arthritis
C. Osteoarthritis
101) Which of the following is NOT true regarding osteoarthritis?
A. Obesity and stress from repetitive motion can increase the risk of developing this disease.
B. This disease only affects individuals age 65 and over.
C. Osteoarthritis is called OA for short.
D. An individual who enjoys playing sports is at greater risk of developing this disease.
102) How does osteoarthritis occur?
A. People’s bodies stop producing collagen as they age.
B. Individuals’ cartilage begins to break down at an increasing rate.
C. Cartilage loses proteoglycans, cracks, and breaks apart which results in bony changes.
D. Peoples’ bodies begin to produce an excess amount of collagen due to MMPs.
103) An important part of effectively dealing with stress of a chronic condition such as
osteoarthritis is
A. Web searching for mortality rate
B. Worrying
C. Drinking coffee
D. Learning to relax
104) What other health professionals treat osteoarthritis
A. Orthopedic surgeons
B. Occupational therapists
C. All of the above
D. Physical therapists
105) How many people in the U.S. are affected by osteoarthritis?
A. 15 millions
B. Only your patients
C. 21 millions
D. 1 million
106) If a patient has cartilage that has worn thin, bones rubbing against each other causing
stiffness, pain, and difficulty in movement. What do they have?
A. Osetoedema
B. Osteoarthritis
C. Osteopenia
D. Osteoporosis
107) The development of osteoarthritis is usually
A. Gradual
B. Rapid
C. Instantaneous
D. None of the above
108) Osteoarthritis gradually breaks down what over time?
A. Nerves
B. Cartilage
C. Bone
D. Muscle
109) Which factors are associated with osteoarthritis?
A. Exercise
B. Depression
C. Exercise and depression
D. None
110) Which is a symptom of osteoarthritis?
A. Joint soreness after overuse of inactivity
B. Pain cause by weakening of muscle surrounding the joint due to inactivity
C. Difficulty with posture and walking due to pain and stiffness
D. All of the above
111) Which parts of the body are most commonly affected by osteoarthritis?
A. Knees, hip, neck, and lower back
B. Knees, hip, back, fingers, neck
C. Knees, hip, back, elbow, fingers, neck
D. Knees, hip, back, ankles, neck

112) Where would you refer someone with osteoarthritis

 A. Podiatry
B. Cardiology
C. Rheumatology
D. Dermatology
113) When diagnosing JA, healthcare providers look for joint inflammation that begins before age
16 and continues for at least 6 weeks.
A. True
B. False
114) Most forms of JA are autoimmune disorders.
A. True
B. False
115) Juvenile arthritis runs in families and is passed from one generation to the next.
A. True
B. False
116) JA comes in several types. The types are marked by the number of joints affected.
A. True
B. False
117) Limping in the morning may be the first sign of JA.
A. True
B. False
118) Symptoms of JA may come and go.
A. True
B. False
119) Healthcare providers suspect JA when a child has joint pain or swelling that doesn’t go away.
A. True
B. False
120) The overall goal of JA treatment is to control symptoms and stop joint damage from
happening.
A. True
B. False
121) Children with JA should skip all sports.
A. True
B. False
122) Rheumatoid arthritis is a chronic condition that causes inflammation of the joints. The pain,
stiffness, and swelling of the joints may make daily activities, such as tying shoes, difficult.
A. True
B. False
123) Juvenile rheumatoid arthritis, or JRA, is a form of arthritis in children ages 16 or younger. It is
_____.
A. A complication of obesity
B. An indicator of poor bone health
C. An autoimmune disorder
D. A result of trauma to the joints
124) One type of JRA is called pauciarticular, and it affects 4 or fewer joints. About __ percent of
children with JRA have this type.
A. 10
B. 15
C. 30
D. 50
125) Like adult rheumatoid arthritis, JRA is chronic and lifelong.
A. True
B. False
126) If your child has JRA, you can help best by _____.
A. Making sure your child sticks to the doctor’s treatment plan
B. Finding ways to make physical therapy fun
C. Working with your child’s school to make sure help is available as needed
D. Encouraging your child to get enough exercise and sleep
E. All of the above
127) Which of the following is the most common type of JIA?
A. Psoriatic
B. Oligoarticular
C. Polyarticular
D. Enthesitis-related
128) Which of the following therapies has dramatically changed the therapeutic approach to JIA?
A. Intra-articular corticosteroids
B. NSAIDs
C. Methotrexate and biologic agents
D. Physical therapy and adaptive devices
129) Although remissions occur in 50 to 70% of treated patients, a less favorable prognosis is
seen in which of the following types of JIA?
A. Extended oligoarticular JIA
B. RF-positive polyarticular JIA
C. Psoriatic JIA
D. Systemic JIA
130) Pharmacologic therapy can be initiated after how long, once the acute gout attack has taken
place?
A. After 48 hours
B. Within 1 hour
C. within 24 hours
D. After 24 hours
131) The accumulation of this substance in the body causes gout.
A. Blood plasma
B. WBC
C. Uric acid
D. Synovial fluid
132) Which of the following is a symptom of gout?
A. Purple or red skin
B. Severe pain, warmth and swelling in joints
C. Itching skin, peeling at the site of a gout attack
D. All of these
133) Gout attack commonly occurs at this ________site.
A. Knee
B. Foot
C. Ankle
D. Big toe
134) ________is recommended for considering as first-line therapy for gout.
A. Probenecid
B. Allopurinol
 C. Febuxostat
D. Benzbromarone
135) Gout is known as the “diseases of kings” because _______.
A. It was diagnosed by a king’s doctor
B. It is hereditary
C. Of its association with rich food
D. Gout is not the “diseases of kings”
136) Which of the following factors increasing the cause of developing gout?
A. A diet having a high salt content
B. Genetics – family history
C. Asthma
D. All of these
137) It is recommended to avoid __________ for people with gout
A. Dairy products
B. Alcohol
C. Both (a) and (b)
D. None of the above
138) Generally, uric acid is eliminated from the body through
A. Sweat
B. Breathing
C. Urine
D. Metabolization of liver
139) This is not a first-line option for pharmacological treatment of gout
A. Corticosteroids
B. Aspirin
C. Oral colchicine
D. NSAIDS
140) Gout usually affects the 1st metatarsophalangeal joint and is a result of hypouricemic serum
uric acid levels less < 6.8 mg/dl.
A. True
B. False
141) When monitoring a patient with gout, which test would not be needed?
A. Renal function test
B. Glucose levels
C. Urinalysis
D. CBC
142) When educating a patient about managing gout, the nurse recommends that the patient
avoid foods high in purine. What are the foods that the patient should limit. (Check all that apply)
A. Beer
B. Organ meats
C. Dried beans
D. Shellfish
E. All of the above
143) When assessing the patient with gout, the nurse notices subcutaneous nodules and that
cause the patient pain. These nodules are called
A. Gout bodies
B. Lewy bodies
C. Tophi
D. Uric acid stones
144) Overproduction or underexcretion of urate or both can cause hyperuricemia (too much uric
acid in the blood). A genetic factor called Lesch-Nyan Syndrome that can lead to hyperuricemia.
How does hyperuricemia occur in patients with this syndrome?
A. Patients overproduce uric acid due to in inherited enzyme defect.
B. Patients have an inherited kidney disorder that leads to the overexcretion of uric acid.
C. Patients have trisomy of the 21 chromosome and are unable to excrete uric acid.
D. Patients have an inherited gene that causes addiction and they can’t stop drinking beer.
145) During an acute gouty arthritis attack, treatments to lower urate levels should be
administered within the next 24 hours. The patient is receiving treatment and is feeling better
within hours. He does not want to take any more of this medicine and wishes to return home.
What should the nurse do first?
A. Advise the patient to avoid meats and alcohol and she will be back to normal in a few days.
Take NSAIDs for pain as needed.
B. Restrain the patient and force her to take her medications.
C. Explain that during an acute gout attack, urate lowering therapy should not be
interrupted even if you are feeling better, it is important to follow the protocol.
D. Ask the provider if the patient will be ok just taking corticosteroids
146) Sometimes patients present with similar symptoms of severe joint pain with gout and septic
arthritis. What test would help differentiate the two illnesses.
A. Radiograph of the kidney to check for kidney stones
B. Synovial fluid analysis of WBC in order to rule out infection
C. Ultrasound of the joint to see the anatomy
D. Serum Uric Acid levels in order to see if the patient has gout
147) Rheumatoid arthritis affects more than ------- people in the United States.
A. 1.3 million
B. 2 million
C. 2.3million
D. 4 million
148) It’s -------- more common in people designated female at birth than in people designated
male at birth.
A. 2times
B. Half
C. 2.5 times
D. 3 times
149) What is psoriatic arthritis?
A. A type of arthritis seen in people with psoriasis
B. Arthritis of the hands only
C. Arthritis of the hands and feet
D. Arthritis of the spine
150) Who is more at risk for psoriatic arthritis: men, or women?
A. Men
B. Women
C. Both men and women are equally at risk.
D. Doctors are not sure.
151) What are risk factors for developing psoriatic arthritis?
A. Age
B. Diet
C. Genetics
D. Hygiene
152) What are common symptoms of psoriatic arthritis?
A. Scales, itching skin, and joint pain
B. Skin redness and joint swelling
C. Thickening of the skin and reduced joint movement
D. All of the above
153) Which is affected first, skin, or joints?
A. Skin
B. Joints
154) What kind of doctor can best diagnose psoriatic arthritis?
A. Dermatologist
B. Rheumatologist
155) How many types of psoriatic arthritis are there?
A. 2
B. 3
C. 4
D. 5
156) How is psoriatic arthritis treated?
A. NSAIDs/OTC pain relievers
B. Corticosteroid injections
C. Prescription medications
D. Any or all of the above
157) True or false: Psoriatic arthritis commonly affects the nails.
A. True
B. False
158) Which of the following is the most appropriate treatment of psoriatic arthritis?
A. Hydroxychloroquine
B. Ibuprofen
C. Methotrexate
D. Prednisone
E. Sulfasalazine
159) Most people with psoriasis get psoriatic arthritis.
A. True
B. False
160) You’re more likely to have psoriatic arthritis if:
A. Your parent has it
B. You’re fair-skinned
C. You’re a woman
161) A frozen bag of peas can help with the pain.
A. True
B. False
162) Psoriatic arthritis often causes problems with:
A. Teeth
B. Hair
C. Nails
163) How many different patterns of joint problems are there for people with psoriatic arthritis?
A. One
B. Three
C. Five
164) Which usually comes first?
 A. Skin problems
B. Joint problems
165) What’s the best exercise for psoriatic arthritis?
A. Swimming
B. Soccer
C. You shouldn’t exercise
166) There is a cure for psoriatic arthritis.
A. Yes
B. No
167) What happens to skin cells in a person with psoriasis?
A. Skin cells pile up on the surface of the skin before they are mature
B. Mature skin cells can’t make their way to the surface of the skin
C. Skin cells die before becoming mature
D. B and C
168) Which body parts are often affected by psoriasis?
A. Elbows
B. Scalp
C. Knees
D. Chest, back, and abdomen
E. All of the above
169) What is a health problem that also may occur with psoriasis?
A. Hives
B. Gingivitis
C. Conjunctivitis
D. Arthritis
170) Psoriasis falls into which category of disease?
A. Infectious disease
B. Genetic disease (passed down through families)
C. Autoimmune disease
D. Neoplasm
E. B and C
171) What can make psoriasis worse?
A. Beta blocker medicines
B. Stress
C. Dry climate
D. All of the above
172) Itching is a common symptom of psoriasis (and other skin disorders). Which of these
suggestions can help relieve the itching?
A. Apply hot packs
B. Spend brief periods of time in the sun
C. Use a skin moisturizer
D. B and C
173) Psoriasis can interfere with quality of life. In what way?
A. Itching can interfere with sleep
B. Plaques that appear on the hands can make it difficult to work
C. Plaques and itching may make people self-conscious about their appearance
D. All of the above
174) How is psoriasis treated?
A. Topical medicines
 B. Phototherapy
C. Immune system treatment
D. All of the above
175) One characteristic of RA is that it usually affects the same joints on both sides of the body. If
one hand is involved, the other one is, too.
A. True
B. False
176) RA always gets worse over time.
A. True
B. False
177) RA is an autoimmune disease.
A. True
B. False
178) RA is 2 to 3 times more common in women than in men.
A. True
B. False
179) If you have a family history of RA, you are more likely to get it yourself.
A. True
B. False
180) RA may be difficult to diagnose when symptoms first show up.
A. True
B. False
181) The medical specialist who treats people with RA is the endocrinologist.
A. True
B. False
182) Having RA may raise your risk for osteoporosis.
A. True
B. False
183) Eating certain foods can help ease RA symptoms.
A. True
B. False
184) What is Psoriasis?
A. It is a chronic autoimmune disease that appears on the skin
B. It is a fungal skin infection
C. It is a type of skin cancer
D. It is a rash caused by insect bites
185) You may get Psoriasis if you –
A. Come in contact with another person having rashes
B. Have the combination of genes for this disease
C. Eat Mushroom
D. Inhale the spores of certain ferns
186) The most prevalent form of psoriasis is the plaque psoriasis. It is characterized by –
A. Flaky white to yellowish scales formed on the scalp or inside the ear
B. White blisters of pus surrounded by red skin localized to hands and feet
C. Raised, inflamed, thick, red lesions covered by a silvery white scale found on the
elbows, knees, scalp and lower back
D. Pimples all over the face
187) The type of psoriasis that often starts in childhood or young adulthood and is characterized
by small, red, individual spots on the trunk and limbs is called
 A. Inverse psoriasis
B. Guttate psoriasis
C. Pustular psoriasis
D. Erythrodermic psoriasis
188) See a doctor ASAP if you experience the symptoms of –
A. Erythrodermic psoriasis
B. Plaque psoriasis
C. Pustular psoriasis
D. Inverse psoriasis
189) Which type of psoriasis can be more troublesome in overweight people?
A. Plaque psoriasis
B. Pustular psoriasis
C. Inverse psoriasis
D. None of the above
190) Stress can trigger psoriasis.
A. True
B. False
191) Which medication can trigger psoriasis?
A. Lithium
B. Inderal
C. Indomethacin
D. All of the above
192) Pregnant women with psoriasis have a significantly increased risk of –
A. Spontaneous abortion
B. Pre-term birth
C. Pre-eclampsia and eclampsia
D. All of the above pregnancy complications
193) Avoid psoriasis treatments altogether or use only the safest forms during conception,
pregnancy and nursing. This statement is –
A. True
B. False
194) About 30 percent of people with psoriasis also develop –
A. Asthma
B. Psoriatic arthritis
C. Obesity
D. All of the above
195) Psoriasis is currently not curable but it can be treated with –
A. Phototherapy (light therapy)
B. Topical corticosteroids
C. Oral or injected medications
D. All of the above therapies
196) Where would you refer someone with osteoarthritis
A. Podiatry
B. Cardiology
C. Rheumatology
D. Dermatology
197) The development of osteoarthritis is usually
A. Gradual
B. Rapid
 C. Instantaneous
D. None of the above
198) How many NSAIDs are approved by the FDA?
A. 1
B. 2
C. 3
D. 5
199) When monitoring a patient with gout, which test would not be needed?

A. Renal function test

B. Glucose levels
C. Urinalysis
D. CBC
200) Which antihypertensive has been shown to have mild uricosuric effects in patients with gout?
A. Lisinopril
B. Amlodipine
C. Propranolol
D. Losartan

Key:
1. D
2. A
3. A
4. B
5. C
6. D
7. C
8. B
9. A
10. D
11. A
12. B
13. A
14. B
15. B
16. B
17. A
18. A
19. D
20. A
21. D
22. B
23. C
24. C
25. D
26. A
27. B
28. D
29. A
30. A
31. D
32. A
33. B
34. D
35. B
36. B
37. A
38. C
39. B
40. A
41. D
42. A
43. C
44. A
45. B
46. D
47. C
48. B
49. B
50. D
51. B
52. B
53. B
54. A
55. D
56. D
57. D
58. D
59. D
60. B
61. C
62. C
63. A
64. A
65. D
66. E
67. D
68. C
69. E
70. C
71. C
72. D
73. D
74. B
75. B
76. A
77. C
78. A
79. B
80. A
81. A
82. C
83. B
84. A
85. B
86. B
87. A
88. A
89. B
90. C
91. A
92. C
93. A
94. C
95. A
96. D
97. B
98. A
99. B
100. C
101. D
102. B
103. D
104. D
105. C
106. B
107. A
108. B
109. C
110. D
111. A
112. C
113. A
114. B
115. A
116. A
117. A
118. B
119. B
120. B
121. B
122. A
123. C
124. D
125. B
126. E
127. B
128. C
129. B
130. C
131. C
132. D
133. D
134. B
135. C
136. B
137. B
138. C
139. B
140. B
141. B
142. A
143. D
144. A
145. C
146. B
147. A
148. C
149. A
150. C
151. C
152. D
153. A
154. B
155. D
156. D
157. A
158. C
159. B
160. A
161. A
162. C
163. C
164. A
165. A
166. B
167. A
168. E
169. D
170. E
171. D
172. D
173. D
174. D
175. A
176. B
177. A
178. B
179. A
180. A
181. B
182. A
183. B
184. A
185. B
186. C
187. B
188. A
189. C
190. A
191. D
192. D
193. A
194. B
195. D
196. C
197. A
198. C
199. D
200. B