22 - 145 - RAYNAUD PHENOMENON

Question 1

Which is not true with Raynaud phenomenon?

a. Thumbs are most commonly affected

b. 90% of patients have systemic sclerosis

c. Often in 2 nd decade of life

d. F>M

Answer 1

A

Question 2

In Raynaud Phenomenon, if pain is present during this phase/s, a secondary cause is more likely.

a. Cyanotic

b. Pallor/Pale

c. Hyperemia/bright red

d. A and B

Answer 2

B

Question 3

What is the critical part of evaluation in Raynaud phenomenon?

a. Inspect the capillaries in the proximal nailfold

b. Inspect for hand edema

c. Inspect for telangiectasias

d. Inspect for sclerodactyly

Answer 3

A

Question 4

Potential diagnosis of systemic sclerosis, except?

a. Inspect the capillaries in the proximal nailfold

b. Inspect for hand edema

c. Inspect for telangiectasias

d. Inspect for sclerodactyly

Answer 4

A

Question 5

All are true descriptions of Allen test in Raynaud phenomenon, except:

a. assess arterial and venous function of the hands

b. simultaneously compresses the radial and ulnar arteries

c. Patient open and closes the fist to induce blanching of the palm

d. Positive test should be confirmed with a more definitive diagnostic evaluation such as doppler or angiogram

Answer 5

A

p. 2614 (arterial and capillary function)

Question 6

Variety of medications can cause or exacerbate RP, examples are as follows, except:

a. Vinblastine

b. Clonidine

c. Oral contraceptives

d. Amphotericin B

e. None

Answer 6

E

Question 7

Helpful adjunctive tool to predict progression of RP to SSc.

a. Thermal imaging

b. Nailfold capillaroscopy

c. Doppler imaging

d. Finger systolic pressure measurement

Answer 7

B

Question 8

Not a feature of Raynaud crisis:

a. Rapidly progressive nailfold

b. Chronic

c. Catastrophic tissue ischemia

d. Medical emergency

Answer 8

B