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* Indicates required question
Name *
Your answer
First Phone number *
Your answer
Second Phone Number (If available)
Your answer
I give my consent to participate in the study. *
Yes
What causes rheumatoid arthritis? *
Effects of food, alcohol, tobacco etc.
Germs
Mental Stress
No concrete reason has been found till date
I don't know
Rheumatoid arthritis disease has a very high chance of inheriting from parents *
to children.
True
False
I don't know
Which of the following has been directly linked with causation of RA? *
Alcoholism
Smoking
Tobacco chewing
Coffee / Tea consumption
I don't know
Joint pain in rheumatoid arthritis is always due to the activity of the disease. *
True
False
I don't know
Which food items are scientifically forbidden in rheumatoid arthritis? *
Things made of curd and milk
Sour items like lemon, orange etc.
Vegetables like brinjal and rice
Cold items
There is no need of any kind of dietary restrictions
I do not know
Rheumatoid arthritis disease affects only the joints, not the rest of the organs. *
True
False
I don't know
Which of the following symptoms is unlikely to be caused by RA? *
Cervical pain
Low backache
Red eye
Leg ulcers
Interstitial Lung Disease
I do not know
Rheumatoid arthritis disease can be cured by giving medicine in most people. *
True
False
I don't know
On follow-up investigations, what is the upper limit of liver enzymes levels *
for withdrawing of DMARDs when the normal limit from the laboratory is 0-40
IU/L?
Any value which is > 40 IU/L
1.5 times of normal i.e. > 60 IU/L
Twice the normal upper limit i.e. >80 IU/L
Thrice the normal upper limit i.e. >120 IU/L
I do not know
A patient forgot to take the weekly methotrexate on the scheduled day *
and remembered it the next day. What would be your advice to him/her?
Skip this dose and be regular from next time
Take the dose the next day when he/she remembered it
Skip this dose and take double the dose the next week
Take half the dose this time and full from next week
I do not know
A patient of RA who was doing well on methotrexate / Leflunomide *
/ Sulfasalazine for 5 years, was incidentally noted to have TLC of 3500/mm3 on
a routine follow-up visit. He was asymptomatic. What should be the next step
in management?
Withhold DMARDs and start again after TLC has normalized
Withhold DMARDs and never re-challenge with the same drug, change to other
DMARD after TLC has normalized
Withhold DMARDs and do a bone marrow examination, start steroids
Withhold DMARDs, give GM-CSF, change to biological drugs once TLC normalizes
I do not know
A patient of RA who was doing well on methotrexate / Leflunomide *
/ Sulfasalazine for 10 years, was incidentally noted to have ALT (SGPT) 100 IU/L
on a
routine follow-up visit. He was asymptomatic. What should be the next step
in management?
Withhold DMARDs and start again after ALT has normalized
Withhold DMARDs and never re-challenge with the same drug, change to other
DMARD after ALT has normalized
Withhold DMARDs and test for Hep B, Hep C or HIV infection, start steroids
Withhold DMARDs, change to biological drugs once ALT normalizes
I do not know
A patient of RA who was doing well on methotrexate / Leflunomide *
/ Sulfasalazine for 10 years, was incidentally noted to have platelets of
70000/mm3
on a routine follow-up visit. He was asymptomatic. What should be the next step
in
management?
Withhold DMARDs and start again after platelets have normalized
Withhold DMARDs and never re-challenge with the same drug, change to other
DMARD after platelets have normalized
Withhold DMARDs and do a bone marrow examination, start steroids
Withhold DMARDs, give platelet transfusion, change to biological drugs once
platelets have normalized
I do not know
A young patient of newly diagnosed RA had following investigations *
available with him at baseline before starting DMARDs.
Hb=11.8 (10-12 gm%), TLC=11500 (4000-11000/mm3), Platelets=4.2 (1.5-4.5
Lakhs/mm3), AST=28 (0-40 IU/L), ALT=38 (0-40 IU/L), Creatinine=0.7 (0.6-1.0
mg%).
Apart from active arthritis, he has no other complaints. What is the
most appropriate next step in his management?
Start DMARDs with steroids
No DMARDs/steroids, work-up for infections in view of high TLC
DMARDs with steroids and a short course of broad-spectrum antibiotics
DMARDs can not be given but steroids can be given with antibiotics
I do not know
A patient of RA newly initiated on DMARDs had following investigations available *
with him at baseline and after 1 month of treatment. His arthritis is better.
Normal range: Hb (10-12 gm%), TLC (4000-11000/mm3), Platelets (1.5-4.5
Lakhs/mm3), AST (0-40 IU/L), ALT (0-40 IU/L), Creatinine (0.6-1.0 mg%).
What is the most appropriate step in management at 1 month?
Stop all DMARDs in view of fall in TLC/Platelets and start on GM-CSF
Stop all DMARDs and give high dose steroids
Stop all DMARDs and do a bone marrow examination
Continue same treatment
I do not know
A patient of RA newly initiated on DMARDs had following investigations available *
with him at baseline and after 1 month of treatment. His arthritis is better.
Normal range: Hb (10-12 gm%), TLC (4000-11000/mm3), Platelets (1.5-4.5
Lakhs/mm3), AST (0-40 IU/L), ALT (0-40 IU/L), Creatinine (0.6-1.0 mg%).
What is the most appropriate step in management at 1 month?
Stop all DMARDs in view of rise in AST/ALT
Stop all DMARDs and give high dose steroids
Stop all DMARDs and test for HIV, Hep B & Hep C infection
Continue same treatment
I do not know
It is necessary to get the Rheumatoid factor and anti-CCP antibodies *
tested repeatedly so that when their levels have reduced to normal, it can be
inferred that
the arthritis has been cured / adequately controlled.
True
False
I don't know
What is the role of ESR and CRP in rheumatoid arthritis? *
In correctly diagnosing the disease
To stop the drug after they have normalized
To know the activity of the disease
To know the adverse effects of medicine
I do not know
A patient of RA who was doing well on methotrexate / Leflunomide *
/ Sulfasalazine for 10 years, was incidentally noted to have high ESR of 70 mm/hr
on
a routine follow-up visit. He was asymptomatic. What should be the next step
in management?
Increase steroid dose for 2 weeks with a slow taper thereafter
Increase the dose of DMARDs but not steroids
Short course of NSAIDs
No intervention in terms of medications
I do not know
In rheumatoid arthritis, which of the following medicines can be consumed *
in pregnancy / lactation without causing harm to the child?
Methotrexate
Sulfasalazine
Leflunomide
I do not know
How long do you think the medications for RA need to be consumed? *
6 months
1 years
2 years
5 years
Throughout life
I do not know
In which alternative method of medicine, RA can be completely cures by its *
definitive treatment?
English medicine
Ayurvedic
Homeopathic
Unani (Greek)
Not by any method
I do not know
What is true about biological medicine? *
Medicines are cheaper than general medicine
After taking 6 months to 1 year, there is no need to take more
Taking it continuously can end the disease
Available in the form of Injections
I do not know
What should be done if the patients does not get the effect within a week *
after starting csDMARDs?
Discontinue the medicine and change to other csDMARD
The dose of medicine should be increased
Other types of medicine such as Ayurvedic / Homeopathic should be started with it.
Should advise doing hard exercise
Should continue the same medication without any change
I do not know
What is true about exercise in rheumatoid arthritis? *
Must exercise hard everyday
Exercise should also be done from swollen and painful joints.
Exercise increases joint weakness
Exercise can eliminate arthritis disease completely
I do not know
What is true about exercise in rheumatoid arthritis? *
Going to the gym is the best exercise
Exercise reduces the possibility of joint deformity
If you have no problem in any joint anywhere, then do not exercise
Adequate exercise of any joint occurs only when pain starts in it.
I do not know
In Rheumatoid arthritis, what kind of exercise should be done with a *
swollen painful joint?
Do not exercise at all
Must exercise hard
The joint should be kept in the same position
The joint must be moved several times a day to its limits.
I do not know
What should you advise your patients to prevent further damage to their joints *
in rheumatoid arthritis?
Using the joint during pain: In spite
of pain, the joint should be used
continuously.
Opening containers: To open the lid
of a jar, small fingers should be
used instead of the palm.
Use of various joints: Large joints
(such as shoulders and hip) should
be used more
Lifting objects: Do not take the load
on multiple joints at the same time
and take it on a single joint.
I do not know
What should you advise your patients to conserve their energy in day-to-days *
works so that they can work more efficiently throughout the day?
Lifting: Should lift heavy weight Carrying things: Should carry the
away from the body and not close bag/purse on the shoulder and not
to your body in the palm
Getting up from chair: To stand up
Moving things at home/workplace: from the chair, you should push its
Try to lift things and not push arms with palms and not arms
I do not know
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