Family Nurse Practitioner Questions and Verified Answers, 100% Score Guarantee Pass (Latest 2025) RA causes - Correct Answers ✅Unknown
Suspected: Infection, Genetic, and Smoking
OA - causes - Correct Answers ✅Idiopathic or secondary to injury or inflammatory pathway RA- Signs and Symptoms - Correct Answers ✅WAXES and WANES morning stiffness that lasts more than 1 hour before able to move Maliase usually symmetrical, starting with smaller joint of hands, feet, wrists and then moving to bigger joints OA - Signs and Symptoms - Correct Answers ✅asymmetric
joint pain, insidiously: slow without s/s at 1st
follows physical activity, morning stiffness last less than 1 hour, WORSE at the end of the day, crepitus (bone on bone), cool joints, limited ROM, nodes MC in fingers, thumbs, neck, knees, hips, lower back 1 / 3
Family Nurse Practitioner Questions and Verified Answers, 100% Score Guarantee Pass (Latest 2025) RA - Differentials - Correct Answers ✅Lupus, psoriatic arthritis, fibromyalgia OA - Differentials - Correct Answers ✅joint injury, RA, gout RA - Diagnostics - Correct Answers ✅CBC, ESR, WBC, CMP, Rheumatoid Factor Synovial Fluid - cloudy and WBC Anti-CCP OA - Diagnostics - Correct Answers ✅GOLD - xray - used to r/o other arthritis shows the osteophytes and joint narrowing **usually diagnose based off S/S
NEGATIVE: sed rate, rheumatoid factor, ANA
RA - Pharm Dose - Correct Answers ✅1st line - NSAIDS or DMARDS (Celebrex) 400 mg day one, then 200mg daily after (maybe add PPI) methotrexate 7.5mg PO once a week 2 / 3
Family Nurse Practitioner Questions and Verified Answers, 100% Score Guarantee Pass (Latest 2025) RA - Pharm SE - Correct Answers ✅1st line Celebrex
SE: increased risk for MI/Stroke, and fatal GI events
methotrexate
SE: elevated LFTs, nausea, infection, anemia, abdominal
discomfort !!!Can cause hepatotoxicity, monitor CBC, liver profile THIS IS
ESSENTIAL !!!!!
OA - Pharm and SE - Correct Answers ✅conservative tx first- exercise and heat
THEN:
-NSAIDS, SE: gastric ulceration, renal impairment, fluid
retention ** give PPI if long-term
-steroid injection, SE: wt gain, increased appetite, mood
changes RA - nonpharm - Correct Answers ✅rest with flare-ups exercise when no flare-ups
- joint replacement if extensive damage
- / 3