N4 test New Rheumatoid Arthritis Treatments

http://www.nursingcenter.com/prodev/ce_article.asp?tid=579909
Here's the test. anyone want to post the answers?

1.
The group of people most affected by RA is
a. elderly men.
b. male children.
c. middle-aged women.
d. young adult females.

2.
Which of the following is a true statement about RA?
a. Problems that cause RA include cartilage tears and congenital defects.
b. RA is an autoimmune disease that usually attacks synovial tissue.
c. RA is representative of a group of mechanical joint problems.
d. The target of RA is usually articular cartilage, which protects the bone.

3.
How can the NP distinguish between joint edema due to RA versus OA?
a. The RA joint will be warmer in temperature upon palpation.
b. There is more soft tissue swelling in OA joints than RA.
c. When moving the affected joint, the NP will usually hear crepitation with RA.
d. With RA, there is more bony swelling at the joints than with OA.

4.
Medications such as aspirin, aceta-minophen, and nonsteroidal anti-inflammatory drugs (NSAIDs)
a. are usually used for RA patients as the primary treatment.
b. can have life-threatening side effects for RA patients.
c. help patients with RA control pain and stiffness.
d. provide control of the actual disease process of RA.

5.
With RA, the NP will commonly hear a patient complain about
a. morning stiffness that lasts for 30 minutes or less.
b. pain and limited movement when bending one knee.
c. period of stiffness that lasts for an hour or more.
d. sudden sharp pain in one hand and wrist.

6.
When diagnosing RA, the NP should remember that
a. inflammatory arthropathies usually have a slower onset over the course of years.
b. joint enlargements with RA consist of hypertrophied bone and are firmer to the touch.
c. laboratory findings and x-rays are always helpful to diagnose RA.
d. patients can have both inflammatory and mechanical disease at the same time.

7.
Which is currently the primary treatment of RA?
a. biologic response modifiers (BRMs) only
b. disease-modifying antirheumatic drugs (DMARDs) only
c. injectable gold and NSAIDs
d. use of both DMARDs and BRMs

8.
Which statement is true about BRMs?
a. BRMs activate cytokines that promote inflammation in the presence of infection.
b. BRMs include products such as leflunomide (Arava), methotrexate, and sulfasalazine.
c. They are mostly tumor necrosis factor-alpha (TNF-[alpha]) promoting medications.
d. Tuberculosis testing needs to be performed prior to initiating a BRM medication.

9.
An important aspect for the NP to consider when treating an RA patient is to
a. have the patient discontinue exercises throughout RA treatment.
b. emphasize osteoporosis prevention and calcium supplementation.
c. continue long-term steroid use during TNF-[alpha] treatment.
d. teach patients not to provide any protection to an inflamed joint.

10.
Mrs. Q, a 60-year-old female, complains that she has extreme fatigue, generalized weakness, and morning stiffness that lasts 2 to 3 hours. The NP realizes that these symptoms
a. could be either RA or OA.
b. are not related to RA or OA.
c. are typical symptoms of OA.
d. are typical symptoms of RA.

11.
Which test is not usually ordered when diagnosing RA?
a. C-reactive protein (CRP)
b. erythrocyte sedimentation rate (ESR)
c. purified protein derivative (PPD)
d. x-rays of the patient’s joints

12.
The best choice for early treatment of RA includes
a. aquatic therapy, rest, and biofeedback.
b. a combination of etanercept (Enbrel) with methotrexate.
c. long-term steroids and injectable gold.
d. rituximab (Rituxan), and interleukin-6 antagonist.

13.
Mr. W’s treatments are going well, however he still has recurrent pain in his right knee. The NP suggests that the best adjunct treatment to help decrease acute pain and inflammatory activity would be
a. fusion proteins (CTLA4-Ig).
b. intra-articular steroids.
c. strengthening exercises.
d. biofeedback treatments.

14.
Which of the following statements is true for RA?
a. Mild cases of RA should be treated with self-help measures prior to initiating medications
b. Osteophytes develop due to compensatory bone reactions that occur as joint cartilage is lost.
c. RA afflicts most elderly people at some point, and is considered the most common form of arthritis.
d. Synovium becomes inflamed and produces enzymes that attack and destroy cartilage and bone.

15.
Which of the following correctly summarizes the x-ray findings of RA?
a. Joint spaces narrow symmetrically, but sometimes x-rays are normal.
b. Presence of abnormal growths of bone at the joint margins are seen on x-ray.
c. Regardless of disease severity, there are no x-ray abnormalities seen in RA patients.
d. X-ray findings always show an asymmetrical loss of joint spaces.