onlinemeded rheum Flashcards

1
Q

septic arthritis has how many WBC in arthocentresis

A

> 50,000

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2
Q

anti histone

A

drug induced lupus

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3
Q

tx lupus

A

hydroxycloroquine

steroids during flares

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4
Q

tx for lupus nephritis

A

IV cyclophosphamide –> po mycophenolate mofetil

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5
Q

pannus part of which dz?

A

RA

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6
Q

at least how many joints involved in RA?

A

3

symmetric

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7
Q

tx RA

A

NSAIDS (sxs)

DMARDS-methotrexate (everyone)

Biologics (severe)- TNF inh

steroids (flares)

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8
Q

which dz? GERD, GI bleed, hurting hands

A

scleroderma crest

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9
Q

diffuse scleroderma sxs

A

CREST + viscera (constrictive peri, ILD, renal crisis)

–> pulm HTN

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10
Q

tx for scleroderma renal crisis

A

ACEI

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11
Q

heliotrope rash, shawl sign, grotten’s papule seen in

A

idiopathic myositis

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12
Q

dx of myosits

A

*bx
EMG
elevated CK
anti-jo, mi

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13
Q

tx myositis

A

steroids

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14
Q

tx for decreased elimination of uric acid gout

A

probenecid

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15
Q

tx for tumor lysis syndrome

A

rasburicase

ppx: IVF, allopurinol

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16
Q

tx for gonorrhea arthritis

A

IV ceftriaxone 7-14 days

+ doxy or azithro for chlamydia

17
Q

tx for seronegative arthritis

A

1) NSAIDS
2) local steroids
3) DMARDS
4) TNF alpha inh

18
Q

reactive arthritis

A

from STD

urethritis, arthritis
+ conjunctivits (rider syn)

tx: doxy/azzithro + ceftriaxone

19
Q

4 types of seonegative arthritis

A

anklyosing spondylitis
psoriatic
reactive
IBD related

20
Q

which vasculitis? pulselessness

A

takayasu

21
Q

dx takayasu and PAN

A

angiogram

22
Q

polyarteritis nodosum sxs

A

mesenteric ischemia
renal failure
purpura
mononeuritis multiplex- painful motor and sensory

23
Q

which vasculitis? hemoptysis, hematuria, nose involvement

A

Wegners

24
Q

cryoglybunemia assoaciated with

A

hep C

25
Q

tx of cryoglobunemia

A

severe–> plasmaphersis

steroids, cyclophos