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LIEK Review > MS 2 > Flashcards

MS 2 Flashcards

1
Q

imaging - OA

A

x ray

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2
Q

imaging - joint space narrowing

A

x ray

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3
Q

imaging - bleeding

A

CT

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4
Q

imaging - aneurysms

A

CT

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5
Q

imaging - pelvic and bone trauma

A

CT

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6
Q

imaging - gold standard for injuries of cartilage, menisci, tendons, ligaments, or joints

A

MRI

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7
Q

imaging - soft tissue

A

MRI

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8
Q

imaging - joints

A

MRI

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9
Q

imaging - occult fractures

A

MRI

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10
Q

ankylosing spondylitis

A

chronic inflammatory disorder (seronegative arthritis) that affects mainly the spine and sacroiliac joints

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11
Q

chronic inflammatory disorder (seronegative arthritis) that affects mainly the spine and sacroiliac joints

A

ankylosing spondylitis

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12
Q

ankylosing spondylitis - early s/sx

A

neck pain

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13
Q

ankylosing spondylitis - classic case

A

male patient, c/o neck pain that gradual goes down spine, impaired spinal mobility, wakes him up at night, pain diminished with exercise but not rest

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14
Q

ankylosing spondylitis obj findings
3

A
  1. marked loss of ROM of the spine when bending forward, rotation, lateral bending
  2. decreased respiratory excursion
  3. uveitis - eye irritation, photosensitivity, eye pain
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15
Q

loss of ROM in spine mobility with eye irritation - think

A

ankylosing spondylitis

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16
Q

ankylosing spondylitis - refer to

A

rheumatologist

17
Q

ankylosing spondylitis - initial pharm tx

A

NSAIDs; if risk of bleeding, then add PPI

18
Q

ankylosing spondylitis - tx for severe causes
4

A

TNF
biologics
DMARDS
spinal fusion

19
Q

bamboo spine is pathognomic for

A

ankylosing spondylitis

20
Q

ankylosing spondylitis - uveitis tx with

A

topical steroids; oral if resistant to initial therapy

21
Q

lateral epicondylitis aka

A

tennis elbow

22
Q

medial epicondylitis aka

A

golfer’s elbow

23
Q

gradual onset of pain on the outside of elbow that can radiate to forearms; pain worse with twisting or grasping movements

A

lateral epicondylitis/tennis elbow

24
Q

gradual onset of aching pain on the medial area of the elbow, can last a few weeks to months; mild to severe pain

A

medial epicondylitis/Golfer’s Elbow

25
Q

gout

A

deposits of uric acid crystals inside joints and tendons d/t genetic excess production or low excretion of purine crystals

26
Q

gold standard tx to dx gout

A

joint aspiration of the synovial fluid of the joint

27
Q

gout elevated serum uric acid value

A

> 6.8

28
Q

uric acid target goal value

A

<6

29
Q

gout - uric acid level during acute phase

A

normal; uric acid level doesn’t begin to rise until after the acute phase

30
Q

most accurate time to assess for serum urate is when

A

2 weeks or more after a gout flare subsides

31
Q

conditions that increase serum uric acid levels
2

A

chemo
radiation

32
Q

medications that increase uric acid
2

A

hydrochlorothiazide
furosemide

33
Q

during gout flare, if the patient is taking a daily urate lowering therapy should they continue

A

yes, continue

34
Q

gout flare meds
3

A

NSAIDs
steroids
cholchicine

35
Q

gout flare - steroids

A

glucocorticoids such as prednisone or prednisolone 7-10 days, or short 5 days course; taper off

36
Q

colchicine - avoid what food/drink

A

grapefruit

37
Q

colchicine side effects
5

A

diarrhea
abd pain
cramps
NV

LIEK Review (44 decks)

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