MSK

Question 1

what is Ottawa rule for ankle injury

Answer 1

should have an X-ray if the pt have pain in the malleolar region and any of the following;
bone tenderness at the tip of the lateral malleolus or medial mallelous
or if they are unable to bear wt at any time

Question 2

a medication used for RA that causes irreversible retinopathy/visual disturbance

Answer 2

Hydroxycholroquine

Question 3

which rheumatological medication can cause increased in BP

Answer 3

Leflunomaide;l
it also causes diarrhoea and hepatitis;dh
LDH

Question 4

which medication given for RA can cause a low sperm count

Answer 4

sulfasalazine

Question 5

other side effects of Sulfasalazine

Answer 5

mouth ulcers, depression, hepatitis and agranulocytosis

Question 6

examples of DMARDS

Answer 6

Leflunomaide,hydroxycholroquine,sulfasalazine or penicillamine

Question 7

vit d def causes

Answer 7

osteomalacia in adults
and rickets in kids

Question 8

risk factors for osteoporosis

Answer 8

low BMI(<19)
Height loss more than 3cm
family hx of maternal hip fracture <75
any conditions associated with prolonged immobility
chronic conditions associated with bone loss(celiac,RA and T1DM)

Question 9

high BMI is a risk factor for OA

Question 10

how do we diagnose Ankylosing Spondyltiis

Answer 10

diagnostic criteria should include radiological finding and atleast one of the clinical criteria

Question 11

Felty’s syndrome

Answer 11

RA,Spleenomegaly,Neutropenia

Question 12

Ehler’s Danlos Syndrome features

Answer 12

Autosommal Dominant
Blue sclera
it is associated with both tall and short stature
hyperelasticity of the skin
hypermobility of the joint shape in type 3 of it

Question 12

antibodies associated with Antiphospholipd Syndrome

Answer 12

Anti Cardiolipin
Anti b2 Glycoprotein
Lupus Anticoagulant

Question 13

antibodies for Limited Cutaneous SS/CREST

Answer 13

anti centromere

Question 14

antibodies for diffused SS

Answer 14

Anti Scl70/anti RNA Polymerase antibodies

Question 15

drugs that can cause lupus

Answer 15

hydralazine
methyldopa
isoniazid
penicillamine
minocycline

Question 15

osteoporosis mein alpaca and phosphate sub kaisay hotly hain

Answer 15

sb normal hotly hain

Question 16

high ALP,normal ca and phos?
high ALP,low ca and phos?

Answer 16

Pagets
osteomalacia

Question 17

RA effects all joints;polyarticluar
morning stiffness is present

Question 18

when 2DmARDS are not working for a pt for RA then what should be added and when

Answer 18

anti TNF therapy after. following tests are done;
hiv,hepaitits,cxr

Question 19

when are anti malarial indicated for SLE

Answer 19

when NSAIDS and low dose corticosteroids are not working we can start of hydroxycholorquine

Question 20

treatment of felty’s syndrome

Answer 20

Rituximab and leflunomide

Question 21

Caplan’s synd?
tx?

Answer 21

usually happens in coal miners and who had an exposure of silica and asbestos.
Pul fibrosis=multiple round nodules resembling TB+RA
tx;steroids,control of RA and smoking cessation