Ortho/Rheum

Question 1

Bilateral pain above and below waist for >3 months w/o another explanation

Answer 1

Fibromyalgia

Question 2

Synovial fluid: neg birefringence, rod-shaped crystals

Answer 2

Gout

Question 3

Calcium pyrophosphate dihydrate

Synovial fluid: pos birefringence, rhomboid crystals

Answer 3

Pseudogout

Question 4

Acute vs. Chronic gout tx

Answer 4

Acute: NSAID, colchicine, steroid inj
Chronic: allopurinol (2+ episodes, tophi, or uric acid stones)

Question 5

Pseudogout tx

Answer 5

NSAID, colchicine, steroid inj (same as gout)

Question 6

Boutonniere deformity, swan neck deformity

Answer 6

RA

Question 7

Symmetrical/bilateral joint pain w/ systemic sx

Answer 7

RA

Question 8

Tx for RA

Answer 8

DMARD (methotrexate) + NSAID

Question 9

Small artery inflam

Answer 9

Polyarteritis nodosa

Question 10

Polyarteritis nodosa tx

Answer 10

High dose steroids

Question 11

Painless proximal muscle weakness

Answer 11

Polymyositis

Question 12

Stiff neck, shoulders, pelvis

Answer 12

Polymyalgia rheumatica

Question 13

Tx for polymyalgia rheumatica

Answer 13

Low dose steroids

Question 14

Uveitis, urethritis, arthritis

Answer 14

Reactive arthritis (Reiters syndrome)

Question 15

Reactive arthritis may follow what?

Answer 15

Enteric infxn or STD

Question 16

+ANA, anti-Sm, anti-ds-DNA

Answer 16

SLE

Question 17

CREST syndrome

Answer 17

Calcinosis
Raynauds
Esophageal dysmotility
Sclerodactyly (thickening/tightening of fingers/toes)
Telangectasias

Question 18

+ANA, anti-Scl-70

Answer 18

Scleroderma

Question 19

Destruction of salivary and lacrimal glands → DRY

Answer 19

Sjogrens

Question 20

Anti-SS-A (Ro antibodies)

Answer 20

Sjogrens