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  2. In the first section, enter your full name in the provided space. Ensure that the spelling is correct.
  3. Next, input your admission number. This unique identifier will allow for accurate tracking of your examination.
  4. Fill in your school name in the designated area. Double-check the name for any typos to avoid issues.
  5. Indicate your class by selecting the appropriate option from the dropdown menu provided.
  6. Enter the date of the examination in the specified format. This is crucial for record-keeping.
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  8. At this stage, review all entries for accuracy. Make sure every field is filled properly.
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Although ideally all joints should be assessed when monitoring a patient with RA, joint counts are often reported on 28 joints, which corresponds to the upper limbs and knees (Fig. 5.1), as studies have shown that the information provided by feet examination is most often redundant with the upper limbs [8].

Joint Examination means an examination and/or investigation of a DCE under a Supervisory Program developed for such DCE conducted by two or more Joint Examination Participating Regulators that share information and combine examination and other resources under a single EIC.

Joints are gently palpated, noting the presence and location of tenderness, warmth, and swelling. Determining whether tenderness is present along the joint line or over tendon insertions or bursae is particularly important.

With a coronal view of the patient, take note of joint malalignment, which may result in valgus or varus deformities. Palpation of the joints is used to assess for signs of inflammation (eg, warmth, synovial hypertrophy, joint effusion, and tenderness) and signs of joint damage (eg, bony swelling and crepitus).

There are four essential steps in the examination of joints: inspection, palpation, active and passive range of motion, and the assessment of supporting structures and special testing. Inspect the joint for asymmetry, erythema, swelling, and deformity.

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