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1. Rheumatoid arthritis (RA) occurs when the immune system, which normally defends the body from invading organisms, turns its attack against the membrane lining the joints.
A. True
B. False
2. Rheumatoid arthritis generally occurs in an asymmetrical pattern, meaning that just one side of the body will be afflicted.
A. True
B. False
3. Which of the following may be diagnosed with RA?
A. Those in middle age and older
B. Older teenagers
C. Young Adults
D. All of the above
4. Which of the following statements about RA is not true?
A. As RA progresses, the inflamed synovium invades and destroys the cartilage and bone within the joint.
B. RA occurs much more frequently in men than in women.
C. The surrounding muscles, ligaments, and tendons that support and stabilize the joint become weak and unable to work normally.
D. Researchers studying RA now believe that it begins to damage bones during the first year or two that a person has the disease.
5. Many people with RA also experience issues related to which of the following?
A. Depression and anxiety
B. Feelings of helplessness
C. Low self-esteem
D. All of the above
6. Many scientists think that something must occur to trigger the disease process in people whose genetic makeup makes them susceptible to RA. A variety of factors have been suggested, but a specific agent has not been identified.
A. True
B. False
7. Contraceptive use may increase a person’s likelihood of developing RA.
A. True
B. False
8. All of those that test positive for rheumatoid factor and will go on to develop RA.
A. True
B. False
9. Which of the following is not true regarding rest and exercise for those with RA?
A. More exercise is needed when the disease is active and more rest is needed when it is not.
B. Rest helps to reduce active joint inflammation and pain and to fight fatigue.
C. Shorter rest breaks are more helpful than long times spent in bed.
D. All of the above are true.
10. An overall nutritious diet with enough, but not an excess of, calories, protein, and which mineral is important?
A. Magnesium
B. Iron
C. Calcium
D. Zinc
11. Those taking methotrexate may need to avoid alcohol altogether because one of the most serious long-term side effects of methotrexate is damage to which of the following?
A. Kidneys
B. Liver
C. Heart
D. Blood vessels
12. There is evidence that moving to a warm and dry climate will help a person’s rheumatoid arthritis long-term.
A. True
B. False
13. Which of the following medications is used for pain relief only?
A. Corticosteroids and nonsteroidal anti-inflammatory drugs.
B. Disease-modifying antirheumatic drugs.
C. Analgesics.
D. None of the above are for pain relief only.
14. Which of the following medications works by blocking the cytokine interleukin 6 to reduce inflammation in people with RA?
A. Anakinra
B. Tocilizumab
C. Rituximab
D. Etanercept
15. When overgrowth of the synovium occurs, which molecule plays a key role in eroding the cartilage, which causes permanent destruction to the joint?
A. Cadherin
B. IL-1
C. IL-6
D. JAK3
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