A 44-year-old patient describes stiffness and soreness in the hands, hips, and knees. Enlargement of

A 44-year-old patient describes stiffness and soreness in the hands, hips, and knees. Enlargement of the proximal interphalangeal (PIP) and distal interphalangeal (DIP) joints is noticeable in the patient’s hands. The nurse practitioner suspects arthritis. The question that is LEAST helpful in differentiating between rheumatoid arthritis (RA) and osteoarthritis (A) is: • A – Do the joints of your fingers ever feel particularly warm or hot? • B – Tell me about your usual energy level and any other systemic symptoms. • C – Does the soreness and stiffness get better or worse as the day progresses? • D – Have you noticed decreased joint movement or flexibility?

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