1. Who is more affected by RA and at what age does it start?
Ans: Women affected 3 times more than men, most common age of onset is between 30-50 years of age2. What is the pathogenesis of RA?
Ans:1)thickening of synovial membrane in affected joints 2) colonization of lymphocytes which synthesize the rheumatoid factor 3) subsequent erosion of cartilage and supporting structures
3. How long does morning stiffness last in joints affected by RA?
Ans: Greater than one hour
4. What clinical presentation will you find with joints affected by RA?
Ans: Symmetrical polyarthritis, Pain, and tenderness of affected joints, morning stiffness > 1 hour, warm joints, redness at joints
5. What type of onset typically presents with RA?
Ans: Onset may be gradual or immediate
6. What particular deformity of the joints occurs in joints affected by RA?
Ans: Boutonniere deformity-DIP extension, PIP flexion, Swan neck deformity-DIF flexion, PIP hyperextension
7. What is a Boutonniere deformity?
Ans:DIP extension, PIP flexion
8. What is a Swan neck deformity?
Ans: DIP flexion, PIP hyperextension
9. What are the systemic characteristics associated with RA?
Ans: Decrease in appetite, malaise, and increased fatigue
10. What types of modalities can be used on joints with RA?
Ans: Hydrotherapy, hot pack, paraffin, cold; AVOID deep heat