Clin Lab Med Flashcards

Question 1

Q

Lupus

Answer

A

Anti-ds DNA

Anti-Sm (smith)

Question 2

Q

RA

Answer

A

Anti-CCP*

RF

Question 3

Q

Sjogren Syndrome

Answer

A

Anti-Ro

Anti-La

Question 4

Q

Systemic Sclerosis

Answer

A

ACA

Anti-Scl-70

Question 5

Q

PMR

Question 6

Q

Ankylosing Spondy

Question 7

Q

> 2,000 WBC in effusion

Answer

A

Considered inflammatory

Question 8

Q

<2,000 WBC in effusion

Answer

A

Non-inflammatory

Question 9

Q

Septic joint classification

Question 10

Q

WBC differential in Joint effusion

Answer

A

> 75% Neutrophils: Septic

Question 11

Q

Gout

Answer

A

MSU

Negatively birefringent and Needle shaped

Question 12

Q

Pseudogout

Answer

A

CPPD

Positively birefringent and Rhomboid shaped

Question 13

Q

Lupus

Answer

A

Bilateral hands/feet/knees pain and swelling
Raynaud phen
Malar rash
Pleuritic, sharp CP
Discoid rash
Mouth ulcers

Question 14

Q

RA

Answer

A

SPARES DIPs
AM stiffness >1 hour
(no muscle pain)

Question 15

Q

Sjogren Syndrome

Answer

A

Sicca complex: dry eyes and mouth
Cavities
Diffuse myalgia and arthralgia

Question 16

Q

Systemic Sclerosis

Answer

A

Thickening and tightening of skin on hands and face
Esophageal issues- difficult to swallow
Telangiectasias
Raynaud

Question 17

Q

Systemic Sclerosis

Answer

A

Limited- CREST
ACA lab
Calcinosis, Raynaud, Esophogeal dysfx, Sclerodactylyl, Telangiect

Question 18

Q

PMR

Answer

A

Acute onset of PROXIMAL pain
Difficulty ADL- getting dressed
"Gel phenomenon"
Decreased ROM
Tx: PROMPT IMPROVEMENT with low dose steroids

Question 19

Q

Ankylosing Spondy

Answer

A

Ongoing low back pain
Progressive stiffness
Exercise helps
Plantar fasciitis
"Bamboo spine &amp; Sacroiliitis"

Question 20

Q

Gout

Answer

A

FEVER

prime rib, cocktails, drinking night before triggers

Question 21

Q

Pseudogout

Answer

A

No fever

X Ray: Chondrocalcinosis