MSK- spondyloarthropathies Flashcards

1
Q

HLA B27 ‘PAIR’

A

psoriatic arthritis, ankylosing spondylitis, IBS (+ enteropathtic arthritis), reactive arthritis

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2
Q

dactylitis

A

‘sausage’ digits

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3
Q

enthesitis

A

inflammation where the tendons/ligaments insert to the bone

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4
Q

Ankylosing spondylitis- the A disease (7)

A

axial arthritis
anterior uveitis
aortic regurgitation
apical fibrosis
amyloidosis/igA nepropathy
Achilles tendinitis
plAntar fasciitis

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5
Q

tests for ankylosing spondylitis

A

occiput to wall
schobers test
chest expansion

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6
Q

Reiter’s syndrome

A

urethritis
conjunctivitis/uveitis
arthritis

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7
Q

is ankylosing spondylitis more common in men or women

A

men

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8
Q

first like medication in ankylosing spondylitis

A

NSAIDs- prescribed with PPI

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9
Q

when are DMARDs useful in patients with ankylosing spondylitis

A

patients with peripheral joint disease- do not improve spinal inflammation

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10
Q

complication of ankylosing spondylitis that requires regular screening

A

osteoporosis

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11
Q

gold standard test for ankylosing spondylitis

A

MRI scan

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12
Q

first line investigation for ankylosing spondylitis

A

XRAY spine and pelvis

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13
Q

is psoriatic arthritis usually symmetrical/assymetrical

A

symmetrical polyarthritis
assymetrical oligoarthritis

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14
Q

where does psoriatic arthritis predominantly affect

A

joints of hands and feet

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15
Q

psoriatic arthritis on XRAY

A

marginal erosions and “whiskering”
osteolysis
enthesitis

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16
Q

psoriatic arthritis typically affects which joints of the hands

A

distal interphalangeal joints

17
Q

pencil in cup deformity

A

most severe case of psoriatic arthritis- involves ‘telescoping’ of affected fingers and toes

18
Q

most common reactive arthritis infections

A

urogenital eg chlamydia, neisseria
enter-genie eg salmonella, campylobacter