Intro to Rheum

Question 1

Diagnosis

Answer 1

Joint aspiration

Question 2

Joints affected in septic arthritis

Answer 2

1 - monoarthritis

Question 3

Treatment septic arthritis

Answer 3

Lavage and IV antibiotics

Question 4

Gout deposition of

Answer 4

Urate (uric acid) crystals

Question 5

High levels uric acid called

Answer 5

Hyperuricaemia

Question 6

Pseudogout deposition of

Answer 6

Calcium pyrophosphate dihydrate (CPPD) crystals

Question 7

Crystal deposits called

Answer 7

Tophi

Question 8

Gout of first MTPJ called

Answer 8

Podagra

Question 9

Gout x-rays show

Answer 9

Jutxa-articular ‘rat bite’ erosions of MTPJ of great toe

Question 10

Crystal arthritis diagnosis

Answer 10

Synovial fluid analysis

Question 11

Gout synovial fluid analysis

Answer 11

Needle shaped crystals. Negative birefringence

Question 12

Pseudogout synovial fluid analysis

Answer 12

Rhomboid shaped crystals. Positive birefringence

Question 13

Rheumatoid arthritis key features

Answer 13

Symmetrical synovitis. Polyarthritis. >30mins early morning stiffness.

Question 14

Rheumatoid arthritis diagnosis

Answer 14

Rheumatoid factor. IgM against IgG (Fc portion)

Question 15

Joint no movement

Answer 15

Synarthroses

Question 16

Joint very limited movement

Answer 16

Amphiarthroses

Question 17

Joint free movement

Answer 17

Diarthroses