08/01

Question 1

How do renal complications of systemic sclerosis present and how are they managed?

Answer 1

Present with hypertension and AKI

ACEis are used first line to treat

Question 2

What are the thresholds for osteopenia and osteoporosis?

Answer 2

T scores
>-1= normal
-1 to -2.5= osteopenia

Question 3

What are symptoms of polyarteritis nodosa?

Answer 3

Fever, malaise and arthralgia
Weight loss
HTN
Testicular pain
Livedo reticularis
Haematuria and renal failure
Signs of Hep B infection (jaundice and itchiness)

Question 4

What medications are safe to use in the treatment of lupus in pregnant women?

Answer 4

Azathioprine
Hydroxychloroquine
Steroids

Question 5

What are features of Ewing’s sarcoma?

Answer 5

Small round blue cell tumour
Seen in children and adolescents
Occurs in pelvis and long bones
Causes severe pain
EWS-FLI1 present
XR shows onion skin appearance

Question 6

What is greater trochanteric pain syndrome (trochanteric bursitis)?

Answer 6

Due to repeated movement of the fibroelastic iliotibial band
Pain and tenderness over the lateral side of the thigh
Most common in women aged 50-70

Question 7

What is iliotibial band syndrome?

Answer 7

Common cause of lateral knee pain in runners
Tenderness 2-3cm above lateral joint line

Treat with activity modification and iliotibial band stretches