Question Details

Rheumatoid arthritis is different from some other forms of arthritis as it

Options

A

occurs below the waist

B

is more painful than other forms

C

generally occurs above the waist

D

is symmetrical, affecting the right and the left sides of the body

Correct Answer :

is symmetrical, affecting the right and the left sides of the body

Solution :

The correct answer is "is symmetrical, affecting the right and the left sides of the body".

Rheumatoid arthritis (RA) is a chronic, systemic autoimmune disease characterized by inflammation of the synovial membrane lining the joints. A hallmark clinical feature that distinguishes rheumatoid arthritis from many other forms of arthritis, particularly osteoarthritis (which is degenerative and often asymmetrical), is its symmetrical pattern of joint involvement.
This means that if a joint on one side of the body is affected (for example, the left wrist or knee), the corresponding joint on the opposite side (the right wrist or knee) is also likely to be affected.

Let us break down why this option is correct and why the others are not:
Symmetry: The autoimmune nature of rheumatoid arthritis causes a systemic (body-wide) immune response. When the immune system mistakenly attacks the joint linings, it typically targets the same joints bilaterally. This symmetrical distribution is a key diagnostic criterion for RA.
Location (Above/Below the waist): Rheumatoid arthritis commonly affects small joints of the hands and feet, but can also affect larger joints like wrists, elbows, shoulders, ankles, and knees. It is not restricted to being exclusively above or below the waist.
Pain levels: While rheumatoid arthritis is highly painful and debilitating, pain is subjective and other forms of arthritis (such as acute gout or severe osteoarthritis) can also cause extreme pain. Therefore, pain intensity alone is not the defining clinical differentiator.

Unlock Our Free Library

Access expert-curated educational resources and study materials—completely free.