OME - Day 19 Flashcards

1
Q

Before you start a biologic, what do you do?

A

Screen for TB

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2
Q

How do you treat rheumatoid arthritis?

A

Methotrexate

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3
Q

Pictures of fingers all bent out of shape, diagnosis?

A

Rheumatoid Arthritis

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4
Q

RA and the Spine?

A

C1 and C2

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5
Q

Refractory RA treatment?

A

Biologics = etanercept, infliximab or rituximab

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6
Q

Rheumatoid Arthritis + Neutropenia + Splenomegaly, diagnosis?

A

Felty syndrome

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7
Q

What antibodies should you order for RA?

A

RF and or CCP

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8
Q

X-ray shows erosions, diagnosis?

A

Rheumatoid Arthritis

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9
Q

Anti-Centromere Ab, diagnosis?

A

CREST

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10
Q

Anti-topoisomerase antibody

A

Systemic Sclerosis

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11
Q

Dry eyes and dry mouth, diagnosis?

A

Sjogren’s syndrome

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12
Q

How do you diagnose a myositis?

A

Biopsy the muscle

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13
Q

how do you treat scleroderma GERD?

A

PPI

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14
Q

Scleroderma renal crisis, treatment?

A

Ace-inhibitor

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15
Q

How do you treat Gout chronically?

A

Allopurinol (febuxostat also ok)

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16
Q

How do you treat gout?

A

NSAIDs

17
Q

How do you treat tumor lysis after it happens?

A

Rasburicase

18
Q

Inflamed big toe, diagnosis?

A

Podagra, Gout

19
Q

Needle shaped crystals, diagnosis?

A

Gout

20
Q

Negatively birefringent crystals, diagnosis?

A

Gout

21
Q

Positively Birefringent Crystals, diagnosis?

A

Pseudogout

22
Q

Rhomboid shaped crystals, diagnosis?

A

Pseudogout

23
Q

Septic joint and cultures are positive for gram positive cocci, diagnosis and next step?

A

Staph, start nafcillin

24
Q

Septic joint but no cultures are positive, diagnosis and next step?

A

Gonorrhea, send for pcr

25
Q

How do you handle Enteropathic arthritis?

A

Treat the inflammatory bowel disease (UC and Crohns)

26
Q

How do you treat reactive arthritis?

A

IM Ceftriaxone and Doxycycline

27
Q

Nail pitting and arthritis: diagnosis?

A

Psoriatic Arthritis

28
Q

On the test, a picture of a spine and a question about arthritis = ?

A

Ankylosing Spondylitis (Bamboo spine)

29
Q

Sexually active, cervicitis, joint pain: diagnosis?

A

Reactive arthritis

30
Q

Ulcerative Colitis and Arthritis: diagnosis?

A

Enteropathic arthritis