ACE Review - Rheum

Question 1

Questions.

Answer 1

Answers.

Question 2

Most common finding in SLE

Answer 2

Asymptomatic pericarditis.

Question 3

SLE Arrythima

Answer 3

Sinus tach, afib, av block

Question 4

Hydroxychloroquine tx of SLE causes what

Answer 4

QT prolongation

Question 5

SLE vascularity?

Answer 5

Increase atherosclerosis 2ndry to immune mediated and increased c reactive protein.

Question 6

Methotrexate of SLE causes what.

Answer 6

Pulm infiltrates.

Question 7

Cyclophosphamide of SLE Tx causes what

Answer 7

Renal insufficiencies.

Question 8

can you give neuromusclar blocking drugs non depolarizers for myotonic dystrophy

Answer 8

yes..they are not contraindicated

Question 9

what worry do we have about myotonic dystrophy patients

Answer 9

myotonic episodes

Question 10

what can potentiate a myotonic episode..hyperthermia vs hypothermia?

Answer 10

hypothermia, bc shivering can precipitate it

Question 11

why is regional anesthesia better for myotonic patients?

Answer 11

because your use of opiods and respiratory depressants can be decreased. Myotonic patients have been shown to have an increased sensitivity to opiods and narcotics

Question 12

what is a myotonic episodde

Answer 12

period of prolong muscle contracture

Question 13

what is the hereditary of myotonic dystrophy

Answer 13

it is autosomal dominant

Question 14

what happens to the muscles in myotonic dystrophy

Answer 14

muscles become wasted

Question 15

what other organ is affected in myotonic dystrophy

Answer 15

cardiac and smooth muscle are affected

Question 16

what anesthetic drug is a risk factor for causing myotonia in myotonic dystrophy

Answer 16

succinylcholine

Question 17

what is another drug that may cause myotonia in myotonic dystrophy

Answer 17

etomidate

Question 18

besides meds, what else can cause myotonia in myotonic dystrophy

Answer 18

hypothermia and direct surgical stimuli to the muslcle

Question 19

can you use anesthetic gases to treat the myotonia

Answer 19

it can be attempted, but the cradiac conditions in these patients might not tolerate the gases

Question 20

what is the treatment for myotonic dystrophy myotonia

Answer 20

quinine, procainamide, or phenytoin

Question 21

what can surgeons do to a muslcle that is in myotonia

Answer 21

local anesthesia infiltration may relax the muscle

Question 22

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Answer 22

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Question 23

What cardiac problems are in sle

Answer 23

Atherosclerosis, pericarditis, mitral and aortic valve thickening leading to stenosis/regurge,

Question 24

What pulm issues occur with sle

Answer 24

Pleuritic chest pain,Pleural effusions, interstitial lung disease, pulmonary hypertension

Question 25

Why do sle get pulm hypertension

Answer 25

Because of recurrent pulmonary embolisms

Question 26

What happens to sle kidneys

Answer 26

Nephrotic syndromes

Question 27

What blood disorders are associated with sle

Answer 27

Pancytopenia…they also have antiphospholipid antibodies and are at increase risk for emboli