Immunology Flashcards

1
Q

fluctuating muscle weakness worse with exercise, ptosis, autoantibodies against Ach

A

myasthenia gravis

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2
Q

workup for myasthenia gravis

A

edrophonium (Tensilon) test: inhibits Acetylcholinesterase, increasing Ach and reversing ptosis.
CT/MRI to look for thymomoa
EMG: deccreased response

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3
Q

tx myesthenia gravis

A

acetylcholinesterase inhibitors (doneprezil, rivastigmine)
immunosuppressive meds
thymectomy

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4
Q

necrotizing medium vessel vasculitis
weight loss
neuropathy

A

polyarteritis nodosa

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5
Q

symmetrical, proximal muscle weakness
racoon eyes
Gottron’s patches (purpule patches over knuckles)

A

polymyositis

dermatomyositis

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6
Q

initial GU or GI infection

noninfectious urethritis, arthritis, conjunctivitis

A

Reactive Arthritis

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7
Q

tx for reactive arthritis

A

none
antibiotics for infections
coticosteroids and TNF alfpha for inflammation
sulfasalazine (anti-inflammatory) for chronic cases
*usually self-limited course in 3-12 months

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8
Q

morning stiffness
symmetric joint involvement
Boutonniere defomity
positive RF

A

rheumatoid arthritis

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9
Q

what antibiotics are CI in pregnancy

A

Doxy

TMP/Sulpha

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10
Q

rifampin

A

TB tx

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11
Q

dose of Epi for anaphylaxis

A

IM 1:1000 .3-.5mg

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12
Q

position for anaphylactic reaction

A

trendelenburg position

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13
Q

complication of SLE

A

osteoporosis

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14
Q

pharamceutical for SLE

A

hydroxychloroquine

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15
Q

test for Mono

A

heterophile ab titer

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16
Q

tx for allergic rhinitis

A

oxymetazoline: adrenergic agonist, vasoconstriciton of nasal mucosa

17
Q

HIV supportive botanicals

A

hypericum, glycerhiza, echinacea

18
Q

what drug inhibits complement dependent ag ab reaction

A

hydrochychloroquine

can be used in SLE or RA

19
Q

what dose of epi is indicated for child with anaphylaxis

A

.01mg/kg 1:1000 IM

20
Q

tx for fibromyalgia

A

cyclobenzaprine: muscle relaxant

21
Q

5HTP is not safe with what pharamceutical

A

fluoxetine due to serotonin syndrome

22
Q

yergosens test

A

bicipital tendonitis

23
Q

test for sacroilitis

A

Yeomans

24
Q

effects asymetrical, larger joints with osteophyte involvement

A

osteoarthritis

25
Q

Heberdenes nodes seen in

A

osteoarthritis

26
Q

botanicals for osteoarthritis

A

harpagophytum
smilax
curcuma
boswelia

27
Q

workup for guillan barret

A

CSF analysis

28
Q

schirmers test

A

for eye involvement in sjogrens syndrome

29
Q

complication of guillan barret

A

interstitial lung disease