Ortho / Rheum Flashcards
Which STI is most likely to lead to reactive arthritis?
- chlamydia
- gonorrhoea
Chlamydia
Which STI is most likely to lead to septic arthritis?
- chlamydia
- gonorrhoea
Gonorrhoea
Can’t see, pee or climb a tree makes you think of what condition
Reactive arthritis
inability to dorsiflex the foot after a blow to the knee
Which nerve is likely to be injured?
Common peroneal nerve
Foot drop.
Which nerve is likely to be injured?
Common peroneal nerve
Which nerve supplies the serratus anterior?
Long thoracic nerve
Which cranial nerves are present in the cerebellopontine angle?
V, VII, VIII
60 year old woman walks with a drop foot and a high stepping gait shortly after a hip replacement. Which nerve is responsible for this?
- femoral
- sciatic
Sciatic nerve
A broad based unstable gait with veering to the right side.
Cerebellar disease
34 year old woman falls to the ground after hearing some bad news suggests a vasovagal syncope. True or false>
True
First line DMARD in RA?
Methotrexate
How is disease activity in RA measured?
DAS 28 score
- score > 5.1 then eligible for biologic therapy
DMARDs are useful in ankylosing spondylitis. True or false?
False
- not useful in spinal disease
RA is usually symmetrical. True or false?
True
Psoriatic arthritis is usually symmetrical / asymmetrical ?
Asymmetrical
Reactive arthritis mainly affects large / small joints?
Large joints
- commonly the knee
- presents few weeks after illness
In SLE there is low complement / raised complement?
Low complement
How does systemic sclerosis come around?
Excess collagen deposition in the skin
Which medication is used to manage raynauds phenomenon?
CCB
Anti phospholipid syndrome
- prolonged PT / APTT
APTT
Lupus anticoagulant +ve
Anticardiolipin +ve makes you think
Anti phospholipid syndrome
Patients who are found to have positive antibodies for anti-phospholipid syndrome but who have never had had an episode of thrombosis do not require anti-coagulation. True or false?
True
Gout - synovial fluid sample shows
Needle shaped monosodium urate crystals
Negative bifringence
Polymyalgia rheumatica - use high dose / low dose steroids?
Low dose steroids (15mg)