Ch. 52

The pain of nonarticular rheumatism ("growing pain") is worse

. during the night.

In contrast to osteoarthritis, rheumatoid arthritis may be associated with

. systemic aching in the musculoskeletal system.

To avoid the progression of cutaneous lesions, a patient diagnosed with systemic lupus erythematosus (SLE) should

a. avoid sun exposure.

The pathophysiology of rheumatoid arthritis involves

a. immune cells accumulating in pannus and destroying articular cartilage.

It is true that scleroderma involves

a. inflammation and fibrosis of connective tissue.

Ankylosing spondylitis is characterized by

a. inflammation, stiffness, and fusion of spinal joints.

Ankylosing spondylitis causes

a. intervertebral joint fusion.

Polymyositis involves inflammation and necrosis of _____ tissue.

a. muscle

A clinical finding consistent with a diagnosis of rheumatoid arthritis would be

a. systemic manifestations of inflammation.

The final stage of gout, characterized by crystalline deposits in cartilage, synovial membranes, and soft tissue, is called

a. tophaceous gout.

1. Gouty arthritis is a complication of

d. inadequate renal excretion of uric acid.

Systemic disorders include

d. rheumatoid arthritis.

Rheumatoid arthritis is commonly associated with the presence of rheumatoid factor autoantibodies in the bloodstream. This indicates that rheumatoid arthritis is likely to be

b. an autoimmune process.

Tophi are

b. deposits of urate crystals in tissues.

Enteropathic arthritis is associated with

b. inflammatory bowel disease.

The most common presenting sign/symptom with rheumatic fever is

b. polyarthritis.

"Please explain the pathophysiology of osteoarthritis to me," says another nurse. "Is it just wear and tear so that the cartilage wears out?" Your best response is

c. "No; cells in bone, cartilage, and the synovial membrane all get activated and secrete inflammatory mediators that destroy cartilage and damage bone."

Rheumatoid arthritis involves joint inflammation caused by

c. autoimmune injury.

The chief pathologic features of osteoarthritis are

c. degeneration of articular cartilage, destruction of the bone under the cartilage, and thickening of the synovium.

Prosthetic joint infection is most often due to

c. hematogenous transfer.

Individuals diagnosed with systemic lupus erythematosus (SLE) are at risk for developing numerous complications of various organs because of

c. immune injury to basement membranes.

A laboratory test result that helps confirm the diagnosis of systemic lupus erythematosus (SLE) is

c. positive antinuclear antibodies.

"Tell me again the name of that chemical that makes crystals when my gout flares up," asks the client. The nurse's best response is a. calcium phosphate. b. urea. c. uric acid. d. beta-hydroxybutyric acid. ANS: C Gout occu

c. uric acid.

The earliest manifestation of scleroderma is

d. Raynaud phenomenon.

Although skin manifestations may occur in numerous locations, the classic presentation of systemic lupus erythematosus (SLE) includes

d. a butterfly pattern rash on the face across the bridge of the nose.

Systemic lupus erythematosus (SLE) is a rheumatic disease attributed to

d. autoimmune mechanisms.

8. A patient diagnosed with systemic lupus erythematosus (SLE) is treated with low-dose oral steroids to reduce joint inflammation

d. effectively suppress a variety of immune responses.