Ortho/rheumatology

Question 1

Juvenile idiopathic arthritis (JIA) age of onset

Answer 1

• Onset <16yo

Question 2

Pain in JIA

Answer 2

referred pain
Hip to knee
costovertebral to sternum

Question 3

JIA with silent arthritis

Answer 3

look for uveitis

Question 4

Mx of JIA

Answer 4

NSAIDs
Methotrexate
Biologics
Joint injections

Question 5

Uveitis presentations

Answer 5

cells and protein on slit lamp

Question 6

Uveitis complications

Answer 6

posterior synechiae
cataract
glaucoma
band keratopathy

Question 7

Management of uveitis

Answer 7

steroids

Question 8

reactive arthritis presentations

Answer 8

• post infection (URTI, GI, Chlamydia)

- acute onset of oligoarticuar arthritis (knees and ankles)

Question 9

Mx of reactive arthritis

Answer 9

self limiting

pain relief

Question 10

Most common cause of hip pain in under 5y?

Answer 10

• transient synovitis

- 50% have hx of URTI

Question 11

Most common cause of hip pain in 5-10?

Answer 11

• Perthes

- AVN of the prox femoral head resulting from vascular compromise of blood

Question 12

Most common cause of hip pain in >10yo

Answer 12

SUFE

• Hip/medial thigh pain etc
• Decreased range of movement
• Reduced internal rotation

Question 13

Duration of sx of JIA

Answer 13

• at least 6 wks of sx

Question 14

JIA sx

Answer 14

Salmon pink ash
Oligoarthritis
Uveitis

Question 15

Growing pains

Answer 15

NEVER in the morning
Worse after vigorous activity
No limp/limitation

Question 16

Still’s disease

Answer 16

systemic JIA
Rash
Fever