Which of the following are common signs and symptoms that can be present when your patient has Rheumatoid Arthritis? (Select all that apply)

Malar rash

Morning stiffness

Swan neck deformities

Bilateral joint deformities

Joint pain at rest

Answer and Explanation

Correct Answer : B,C,D

A.   This is primarily associated with Systemic Lupus Erythematosus (SLE), not Rheumatoid Arthritis. While some RA patients may have skin changes, a malar rash is not a typical manifestation of RA.
B.   Morning stiffness is a hallmark symptom of Rheumatoid Arthritis. Patients often experience stiffness in their joints after periods of inactivity, particularly in the morning, which typically lasts for at least 30 minutes and can improve with movement.
C.   Swan neck deformities are specific joint deformities seen in RA, where there is hyperextension of the proximal interphalangeal joints and flexion of the distal interphalangeal joints. This is a common feature in advanced cases of RA.
D.   : RA typically presents with symmetrical joint involvement. This means that if one side is affected, the opposite side is likely to be similarly affected, leading to bilateral joint deformities.
E.   While joint pain can occur at rest, RA is more characterized by pain and stiffness during periods of inactivity and improvement with movement. However, as the disease progresses, patients may experience pain even at rest.

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Correct Answer is A

Explanation

A. PT (Prothrombin Time) and INR (International Normalized Ratio) are tests primarily used to evaluate blood coagulation and the effectiveness of anticoagulant therapy. While they can provide some insight into a patient's overall health, they are not specific indicators of inflammation.
B. CRP is a protein produced by the liver in response to inflammation. It is a well-established marker for detecting acute inflammation and is commonly used in clinical settings to assess inflammatory conditions.
C. ESR measures how quickly red blood cells settle at the bottom of a test tube. An elevated ESR is a classic indicator of inflammation in the body and is commonly used in diagnosing various inflammatory conditions.
D. Procalcitonin is a biomarker that can indicate bacterial infections and systemic inflammation. It is increasingly used in clinical practice to assess the severity of infection and inflammation, particularly in cases of sepsis.

A. High serum Iron and Low MCV B. High serum Iron and Mean Corpuscular Volume (MCV) C. High Total Iron Binding Capacity: Low serum Iron and MCV D. None of the above

Correct Answer is C

Explanation

A. In iron deficiency anemia, serum iron levels are typically low due to a deficiency in iron. Additionally, the Mean Corpuscular Volume (MCV) is often low because the red blood cells produced are smaller than normal (microcytic).
B. Similar to option A, serum iron levels in iron deficiency anemia would be low, not high. The MCV may be low or normal, but it would not be high due to the production of microcytic red blood cells.
C. In iron deficiency anemia, TIBC is usually high because the body is trying to maximize iron transport in response to low iron levels. Serum iron is low, and the MCV is low due to the production of smaller red blood cells.
D. This option is incorrect because option C accurately describes the expected lab results in iron deficiency anemia.

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Which of the following are common signs and symptoms that can be present when your patient has Rheumatoid Arthritis? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

Which of the following lab tests is NOT commonly ordered to ascertain whether the patient is experiencing large amounts of inflammation?

Correct Answer is A

Explanation

Your patient has Iron deficiency anemia because of their pica. Which of the following lab results is EXPECTED in this condition?

Correct Answer is C

Explanation

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