In-Class Musculoskeletal and Rheumatology

Question 1

Disseminated gonorrheea dz

Answer 1

Synovial biopsy and skin bipsy are often negative

Best chance is a mucosal biopsy where you will see gram neg diploccoci

Question 2

Ankylosing spondylitis including other risks

Answer 2

Insidous onset of pain

inc sensitivty to spine fracture

Hip and shoulders could be involved

Uveitis, aoritits, and apical pulmonary fibrosis may be found

Question 3

Joint of

RA
Psoriatic
Gout
Septic

Answer 3

MCP, PIP with sparing of DIP and 1st carpometacarpal

DIP and dactylitis…assymmetric

Metatarsal pha

Mono

Question 4

Rhumatoid nodule pathology

Answer 4

Almost always positve RA

Centra lnecoriss surrounded by palisading macrophages and granulation tissue

Higher likelihood of lung dz

Question 5

Scleroderma visceral involvement

Answer 5

Very often hypertension as part of renal involvement

Question 6

Reactive arthritis

Answer 6

Spondyloarthropathy that willl form 1-4 after STD or infectious diarrhea

Question 7

Morning stiffness

Answer 7

Worse in morning and over 60 minutes of stiffness is inflammatory

Question 8

CREST

Answer 8

Calcinosis
Raynaud
Esophageal 
Sclerodactyly
Telangiectasias 

Often anti-centromere