Arthropathies Flashcards

1
Q

What allele is associated with ankylosing spondylitis

A

HLA-B27

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the extra-articular manifestations of ankylosing spondylitis

A

OAAA -

  • Osteoporosis
  • Acute iritis/anterior uveitis
  • Aortic valve incompetence
  • Apical pulmonary fibrosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What triad of symptoms is associated with reactive arthritis

A

Post-infectious arthritis
Non-gonococcal urethritis
Conjunctivitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the most common cause of reactive arthritis

A

Chlamydia species esp. C trachomatis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Causes of monoarthritis

A

Septic arthritis
Gout/pseudogout
Osteoarthritis
Trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Causes of oligoarthritis

A
Psoriatic arthritis
Reactive arthritis
Gout/pseudogout
Osetoarthritis
Ankylosing spondylitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Causes of symmetrical polyarthritis

A

RA
Osteoarthritis
Viruses - Hep A, B, C, mumps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Causes of asymmetrical polyarthritis

A

Psoriatic arthritis

Reactive arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Lesion at the root of L2 causes

A

Weakness in hip flexion and adduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lesion at the root of L3 causes

A

Weakness of knee extension and hip adduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lesion at the root of L4 causes

A

Weakness of foot inversion and dorsiflexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Lesion at the root of L5 causes

A

Weakness of great toe dorsiflexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Lesion at the root of S1 causes

A

Weakness of foot eversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Organisms involved in septic arthritis

A

Staph - (commonest), Gonococcus (commonest in young sexually active), Streps, Gram -ve bacilli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Genetic association of RA

A

HLA-DR4/DR1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Felty’s Syndrome

A

Combination of RA, splenomegaly and neutropenia

17
Q

Side effects of sulfasalazine

A

Hepatotoxic, Stephen Johnson Syndrome, Decreased sperm count

18
Q

Side effects of hydroxychloroquine

A

Retinopathy, Seizures

19
Q

Side effects of methotrexate

A

Hepatotoxic, pulmonary fibrosis

20
Q

What crystals are in gout

A

Monosodium urate crystals

21
Q

What is seen under polarised light microscopy in gout

A

Negatively birefringent needle-shaped crystals

22
Q

Why crystals are in pseudogout

A

Calcium pyrophosphate crystals

23
Q

What is seen under polarised light microscopy in pseudogout

A

Positively birefringent rhomboid-shaped crystals