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Orthopaedics General 9954ea45

Which is true regarding rheumatoid arthritis -

A
Small and large joints are affected mostly
B
Younger females are affected more commonly
C
Diagnosed only if Rheumatoid factor is positive
D
Life expectancy is unchanged
High-Yield Explanation
Small joints of hand & feet and large joints like elbow, knee and ankle are involved. Women are affected 3 times more commonly than men. Older women (> 60 years) are 6 times more commonly involved than younger one. A positive RA factor in the absence of other features is not sufficient evidence for RA. Life expectancy is shortened 3-7 years. Hepatosplenomegaly is not seen except in Felty's syndrome, where RA is associated with splenomegaly.

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