Aaron: MSK

Question 1

Pronation of the forearm, abduction and external rotation of the left arm, worsen with overhead movements, what is this?

Answer 1

SLAP, Superior Labrum anterior and posterior, pain worsens with abduction and external rotation

Question 2

Chronic muscular pain from M.S., what drug should be recommended?

Answer 2

Medical Cannabis

Question 3

What is the first line medication for chronic insomnia?

Answer 3

Doxepin, it is a TCA medication

Question 4

Once Ankylosing Spondylitis is diagnosed, what are the best monitoring tests?

Answer 4

X-ray in 3 months

Question 5

Ankylosing Spondylitis will or will not have a decrease in life expectancy?

Answer 5

Will not have a decreased life expectancy

Question 6

Gout attack, what is the first line treatment? Second line if there is a first line contraindication?

Answer 6

NSAIDs are first line, colchicine is second line if they have CKD

Question 7

Dermatomyositis has what disease associated with it?

Answer 7

Paraneoplastic Syndrome of Malignancy

Question 8

Dermatomyositis has what features besides Gottron sign/papules and Helitrope rash?

Answer 8

Interstitial Lung Disease, dysphagia, and myocarditis

Question 9

Gout attack with elevated CR and BUN, what is the best treatment?

Answer 9

Intra-articular corticosteroids

Question 10

Bisphosphonates prevent bone resorption, what should be checked before putting on the medication?

Answer 10

25-hydroxyvitamin D

Question 11

If I might Fibromyalgia, what is the first thing to check?

Answer 11

TSH

Question 12

Scleroderma renal crisis, what are the medications to lower blood pressure?

Answer 12

Captopril and IV nitroprusside

Question 13

Dry eyes, dry mouth, and oral candidiasis, young female, what should I think about?

Answer 13

Sjogren Syndrome

Question 14

True or False 75% of sarcoidosis patients will resolve after 12-24 months of oral steroids

Answer 14

True

Question 15

Rotator cuff tendonitis, where is the pain localized?

Answer 15

Laterally localized pain

Question 16

Raynaud’s does not improve with treatment, what is the next test?

Answer 16

ANA and RF

Question 17

Chronic adhesive Capsulitis main treatment is what?

Answer 17

Range of Motion exercises

Question 18

Dupuytren Contracture is associated with what disease?

Answer 18

Diabetes Mellitus

Question 19

Post menopause, DEXA scan shows osteopenia, what is the next important topic?

Answer 19

Calculate 10-year fracture risk

Question 20

Polymyalgia Rheumatica likely, what is the first test thing that should be done?

Answer 20

Look at ESR