Musculoskeletal

Question 1

hyperuricemia

Answer 1

cell turn over,
cyclosporine
dehydratation
diabetes insipidus
diet
diuretics
lead poisoning
lesch-nyhan syndrome
salicylate3s
starvation

Question 2

rheumatoid arthritis HLA?

Answer 2

HLA-DR4

Question 3

CREST Sx

Answer 3

calcinosis
raynaud phenomenon
esophageal dysmotility
sclerodactyly
telangiectasias

Question 4

SLE
specific isolated skin and joint involvement?
severe cases?

Answer 4

skin and joint=hydroxychloroquine

severa cases=cyclophosphamide

Question 5

best initial test in dermatomyosis

Answer 5

CPK and aldolase

Question 6

best initial test for ankylosing spondyliyis

Answer 6

sacroileac X ray (look ofr sacroileac joint narrowing)

Question 7

witch part of the complemente is decrease in SLE and HEP C

Answer 7

SLE=C3

Hep C= C4

Question 8

SLE flare

Answer 8

hypocloment and increase adn increase in DS-Ab

Question 9

wegeners best place for biopsy

Answer 9

lung biopsy

Question 10

worst complication of sjogren

Answer 10

lymphoma

Question 11

best i nitial test for sjogren and confirmatory test

Answer 11

initial test= Schirmer test

confirmatory= lip biopsy

Question 12

best initial test for antiphospholipd syndrome

Answer 12

Mixing study

you confirm with russell viper venom

Question 13

young women with fever spikes and salmo colored rash on chest and abdomen

Answer 13

junenile rheumatoid arthritis

Question 14

most common type of glomerulonephritis in lupus

Answer 14

membranous glomerulonephritis

Question 15

initla fibromyalgia treatment

Answer 15

amitiptyline

Question 16

antihipertensive election in gout

Answer 16

Losartan

Question 17

medication to avoid in gout

Answer 17

Thiazides, Aspirine and niacin

Question 18

shoulder anterior dislocation nerve damage

Answer 18

axillary nerveinjury

Question 19

posterior dislocation of the hip nerver damage

Answer 19

sciatic nerve

Question 20

anterior dislocation fo the hip nerve damage

Answer 20

obturador nerve

Question 21

hip fracture phisical finding

Answer 21

shortened and externally rotated leg

Question 22

Felty syndrom

Answer 22

RA
splenomegaly
neutropenia

Question 23

caplan syndrome

Answer 23

RA

neumoconiosis(antracosis)

Question 24

hydroxychloroquine tox

Answer 24

retinal toxicity

Question 25

best initial step for osteomyelitis

Answer 25

X-ray
most accurate: MRI
if MRI its contraindicated DO A NUCLEAR TRIPHASIC BONE SCAN

Question 26

tennis elbow

Answer 26

CLINICA: pain with extension of forearm and wrist

-extensor carpi radialis brevis

Question 27

golf elbow

Answer 27

• flexor carpi radialis

- pronator teres

Question 28

U1-RNP(ribonucleoprotein) Ab

Answer 28

mixed-connective-tissue disease

Question 29

epecific therapy for fibromyalgia

Answer 29

FIRTS LINE: amitriptiline

SSRI specifically for fibromyalgia: milnacipran

Question 30

most accurate test for carpal tunnel syndrome

Answer 30

electromyography and nerve conduction testing

Question 31

most common cause of death in RA

Answer 31

coronary artery disease

Question 32

cancer related to dermatomyositis

Answer 32

ovary
lung
gastrointestinal
lymphoma

Question 33

osteoporosis

Answer 33

decreased bone MATRIX and decrease mineralization

Question 34

osteomalacia

Answer 34

INTACTMATRIX but decrease mineralization