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Clinical Case Topics > Final > Flashcards

Final Flashcards

1
Q

X-ray findings - osteophyte, joint space narrowing, sclerosis, define OA

A

Grade 4

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2
Q

Most likely associated with RA

A

Carpal tunnel

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3
Q

RA

A

Systemic, progressive debilitating

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4
Q

X-rays most useful in monitoring RA

A

Mid-late stages

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5
Q

Presence of RH factor alone is able to diagnose RA

A

No

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6
Q

Chiropractors are suggested for treatment of OA

A

Yes

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7
Q

Why does diagnosis require referral for RA

A

Biologics can slow progression and need medical approval

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8
Q

Fats antiinflammatory needed

A

Olive oil

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9
Q

Exercise is contraindicated for OA

A

False

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10
Q

WOTF described joint destruction with OA

A

Asymmetrical loss of joint space, eburnation

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11
Q

Labs for OA

A

None

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12
Q

Pannus formation

A

Abnormal layer of fibrovascular tissue

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13
Q

WOTF most likely affects nervous system

A

RA

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14
Q

Direct method in which RA damages bone

A

Osteoclasts - pannus formation increases level of osteoclasts

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15
Q

CCP

A

Cyclic citrilluine peptide antibody

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16
Q

Damaged to which is first step in OA

A

Cartilage

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17
Q

Glucosamine and condoitine for OA these supplements do what

A

Decrease pain but doesn’t rebuild cartilage

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18
Q

Established pt used tetracycline no repiratory distress

A

Call prescribing doctor

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19
Q

Bulla vs vesicle

A

Change in size

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20
Q

Most common site for psoriasis in lower extremity

A

Knees

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21
Q

Caused by mites

A

Cabies

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22
Q

Brownish tan without sun

A

Addisons

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23
Q

Brownish hemosiderin deposits

A

Stasis dermatitis

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24
Q

Oval fawn

A

Pityriasis

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25
Q

Lesions on feet

A

Reiter’s

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26
Q

Allergic derm present following drug reaction cause macupapular rash

A

Antibiotics

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27
Q

Compress stasis ulcer

A

Can compress it

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28
Q

Not a risk for skin cancer

A

Single mole

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29
Q

Common lesion with acne vulgaris

A

Black heads

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30
Q

UK 7 point for skin cancer

A

Change in color

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31
Q

Urticaria

A

Hives

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32
Q

Ringworm other name

A

Tinea circinata

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33
Q

Macuole vs papule

A

Macuole is flate and papule is raised

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34
Q

Scratching that causes thickening

A

Lichenification

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35
Q

Flaking scales in psoriasis

A

Silver

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36
Q

Hyperpigmentation from drug reaction

A

Barbiturates

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37
Q

Most common in US

A

Roseola

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38
Q

Eczema vs seborrhic derm

A

Eczema itches

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39
Q

Rash with vesicles

A

Varicella

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40
Q

Below the skin lesion

A

Excoriation

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41
Q

Poison ivy is

A

Contact dermatitis

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42
Q

Vitiligo

A

Patch

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43
Q

Difference between vesicle and bulla

A

Size

44
Q

Rash with vesicles

A

Varicella

45
Q

Mc site of stasis dermatitis

A

Medial lower leg

46
Q

Poison ivy treatment

A

Calamine lotion

47
Q

Uk-7 skin cancer major criteria

A

Change in color

48
Q

Difference between seborrheic dermatitis and eczema

A

Eczema is itchy

49
Q

Patient rash from penicillin

A

Call prescribing doctor

50
Q

Compression contraindicated for stasis ulcer

A

False

51
Q

Below the skin lesion

A

Scratches/excoriation

52
Q

Single lesion on trunk and fawn color

A

Pityriasis rosea

53
Q

Psoriasis color

A

Silver

54
Q

Not a risk factor for skin cancer

A

Single mole

55
Q

In allergic dermatitis, hyperpigmented skin

A

Barbiturates

56
Q

MC in children in USA

A

Roseola

57
Q

Scabies caused by

A

Mites

58
Q

Causes subcutaneous nodules on extensors

A

RA

59
Q

Describes vitiligo

A

Patches

60
Q

Female with lesion in upper chest, changes in color/shape, bleeding occasionally

A

Refer to dermatologist

61
Q

Polyarthritic with keratogenous lesion of feet

A

Reiter’s

62
Q

MC in acne

A

Blackheads (comedome)

63
Q

Tinea circinata

A

Ringworm

64
Q

MC location for psoriasis in lower extremity

A

Knees

65
Q

Difference between papule and macule

A

Macule is flat

66
Q

Urticaria

A

Hives

67
Q

Melanoma skin cancer rate

A

Increasing

68
Q

What is the dx of RA referral

A

Biologic agents are believed to delay the progression of RA

69
Q

Which describes joint destruction in OA

A

Asymmetric joint space, eburnation, osteophytes

70
Q

Kellgren classification, no sclerosis or deformity, joint space narrowing, and osteophytes

A

Grade 2

71
Q

Primary method in which RA damages bone

A

Increased osteoclasts in joint damages bones

72
Q

X-rays are the most use in RA

A

Mid to late stages

73
Q

Presence of RA factor is enough to diagnose

A

False

74
Q

What is the pannus formation associated with

A

Layer of fibrovascular tissue

75
Q

Strength training is contraindicated with moderate RA

A

False

76
Q

Exercise is encouraged with OA

A

True

77
Q

Not contraindicated in an anti-inflammatory diet

A

Olive oil

78
Q

Normal for fasting blood glucose

A

70-99 mg/dl

79
Q

Which of the following foods improve insulin sensitivity

A

Brussel sprouts

80
Q

Which of the follwoing conditions is cold laser helpful for

A

Diabetic neuropathy

81
Q

Which fo the follwoing hormones releases sotred glucose from liver into blood through glycogenolysis

A

Glucagon

82
Q

Which fot eh follwoing statements is true regarding diabetes mellitus type 1

A

It requires medical intervention for survival

83
Q

Which of the following is not a common symptom of diabetes mellitus type 2

A

Excessive sweating

84
Q

When is teh best time for a woman with gestational diabetes to be tested for type 2

A

2 months post-partum

85
Q

Which of the following is for HbA (a1c) prediabetes

A

5.7-6.4%

86
Q

If a 2 hour glucose tolerance test was performed what is the minimum blood glucose level after 2 hours

A

200

87
Q

Which fo the following in urine is least likely to suggest diabetes mellitus

A

Bacteria

88
Q

Glycemic load

A

Measurement both teh glycemic index value and CHO in the meal

89
Q

What is definitive test for diabetes

A

A1C

90
Q

Breastfeeding and diabetes

A

Reduces risk for both mother and child

91
Q

Diagnosis with metformin

A

DM type 2

92
Q

Results of the study

A

Lifestyle modifications are more effective than metformin

93
Q

The difference in number of SDs above or below the mean BMD between a given patient and a group of patients your age, sex and size

A

Z-score

94
Q

All the following can be used in screening of osteoporosis except

A

Hip ROM

Ear to shoulder distance

95
Q

Which fo the following does NOT cause regional osteoporosis

A

Cushings disease

96
Q

Which of the following is a risk factor for osteoporosis

A

Low testosterone

97
Q

Bone mass

A

Amount of bone in the entire skeleton

98
Q

Which of the following is not a feature of a vertebral body with osteopenia

A

Blastic mets

Butterfly vertebrae

99
Q

Which exercise will not be recommended to a senior patient with osteoporosis

A

Abdominal crunches

100
Q

Which T score range indicates osteopenia

A

-1.0 and -2.5

101
Q

Which is the most ocmmon site of the DEXA test

A

Hip

102
Q

Which of the follwoing drugs does not have na increased risk for osteoporotic fractures

A

Estrogen replacement

103
Q

Which of the following is the female athlete triad

A

Disordered eating
Menstrual irregulatrity
Osteopenia

104
Q

Young adult with widespread terrible osteoporosis

A

Multiple myeloma

105
Q

Ethnic group with highest rate of osteoporosis

A

Asian american

106
Q

Weightlifting is contraindicated for an 80 yo with osteoporosis

A

False

107
Q

Which therapeutic modality can increase bone density

A

Power plate vibration

Clinical Case Topics (4 decks)

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