approach to Rheuma patients and hx and PE

Question 0

cause of pain in subchondral bone in chondrocytes?

Answer 0

intraosseus hpn,microfractures

Question 1

Loss of Full movement resulting froms fixed sitance Caused by either by tonic spasm of muscle (reversible) or to fibrosisof periarticular structres (permanent)

Answer 1

Contracture

Question 2

what source of joint pain appears as pain,tenderness,swelling LOCALIZED to a particular structure

Answer 2

Articular joint

Nonarticular presents with point or focal tenderness in regions adjacent to articular structures

Question 3

Greater than 6 WEEKS of onset pain,give differentials

Answer 3

OA , RA, FIBROMYALGIA

Question 4

MEdications that exacerbate Gout pain

Answer 4

thiazide diuretics,pyrazinamide, cotrimoxazole,aspirn,hctz,ethanol

Question 5

consideration for RAdiation/ REgion

Answer 5

1. Localized vs diffused
2. Regional vs Generalized
3. Sym vs Assymetric (RA VS spondyloarhtropathies)
   4, Peripheral vs CEntral

Question 6

consideration for nocturnal pain

Answer 6

TB or Pott’s disease, CA

Question 7

pain with Gastrointestinal involvement

Answer 7

Scleroderma, IBD

Question 8

Associated with Skin with salt and pepper apperance

Answer 8

Scleroderma

Question 9

halux valgus

Answer 9

RA

Question 10

MCP and PIP affected, disease is probably…

Answer 10

Inflammatory arthritis, Rheumatoid arthritis

VS if DIP and CMC joints affected OSteoarthritis

Question 11

HLA b27 predisposes ain individual to

Answer 11

Ankylosing Spondylitis

Question 12

pathognomonic of gout

Answer 12

Podagra

Question 13

PE findings: Swelling of PIJ, Dausage Digit, Onycholysis

Answer 13

Psoriatic arthritis

Question 14

(+) RA would increase risk of what extraarticular manifestations?

Answer 14

Dry Eye and Interstitial Lung Disease

Question 15

medication can cause blindness if given

Answer 15

Chloroquine

Question 16

swan neck deformity

Answer 16

hyperextension of the PIP and fixed flexion of DIP. Seen in RA