How Severe is Your Rheumatoid Arthritis?

Question 1 of 10

Which of the following describes your x-ray results?

ALoss of bone density around the joints
BErosions or deformity of the first and second vertebrae
CNormal
ALoss of bone density around the joints
BErosions or deformity of the first and second vertebrae
CNormal
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Question 2 of 10

What is your highest functional status?

AUnable to care for self
BAble to perform normal activities
CUnable to do hobbies and unable to work
AUnable to care for self
BAble to perform normal activities
CUnable to do hobbies and unable to work
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Question 3 of 10

Have you had surgery on any of the following?

Aa large joint
Bany hand or foot joint
CFirst and second vertebral bones of the neck
Dno surgery
Aa large joint
Bany hand or foot joint
CFirst and second vertebral bones of the neck
Dno surgery
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Question 4 of 10

How many RA flares do you have each month?

Amore than 5
B2 to 4
C0
Amore than 5
B2 to 4
C0
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Question 5 of 10

Does your RA also cause any of the following?

Ainflammation of the blood vessels
BNodules under the skin or in the lungs
CEye inflammation
DNone of the above
Ainflammation of the blood vessels
BNodules under the skin or in the lungs
CEye inflammation
DNone of the above
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Question 6 of 10

How much energy do you have?

AI want to sleep all the time
BI feel the need to take a 2 or 3 hour nap in the afternoon
CI feel no sense of fatigue or I feel tired after a long day of work.
AI want to sleep all the time
BI feel the need to take a 2 or 3 hour nap in the afternoon
CI feel no sense of fatigue or I feel tired after a long day of work.
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Question 7 of 10

What are your lab results?

ASedimentation rate of 30
BPositive CCP antibody
CNegative rheumatoid factor
DSedimentation rate of 60
ASedimentation rate of 30
BPositive CCP antibody
CNegative rheumatoid factor
DSedimentation rate of 60
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Question 8 of 10

What kind of medications are you taking?

AMethotrexate only
BMethotrexate and Rituxan
CPlaquenil only
DMethotrexate and Humira
AMethotrexate only
BMethotrexate and Rituxan
CPlaquenil only
DMethotrexate and Humira
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Question 9 of 10

How many swollen and tender joints do you have?

ANone
BTwo tender joints
CFive swollen joints and six tender joints
DTwenty tender joints and eighteen swollen joints
ANone
BTwo tender joints
CFive swollen joints and six tender joints
DTwenty tender joints and eighteen swollen joints
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Question 10 of 10

What is your hemoglobin?

A14.5
B11.0
C8.9
A14.5
B11.0
C8.9
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