other arthritis, reiters

Question 1

assymetric oligoarthritis, tenosynvitis, skin rash

Answer 1

gonorrhea

Question 2

common pathogen and joint for septic arthritis

Answer 2

staph aureus and knee

Question 3

pathogen in sexually active people and septic arthritis

Answer 3

gonorrhea

Question 4

labs and xray in septic arthritis

Answer 4

40% positive blood culture. xray shows soft tissue swelling

Question 5

sausage finger appearance

Answer 5

arthritis and tenosynovitis of the flexor tendon. psoriatic arthritis

Question 6

sx of psoriatic arthritis

Answer 6

mild course. symmetric arthritis resembles RA of hands and feets. pitting of nails and onycholysis

Question 7

“pencil in cup” on xray

Answer 7

deformities of proximal phalanx in psoriatic arthritis

Question 8

labs in psoriatic arthritis

Answer 8

elevated ESR, normocytic normochromic anemia, hyperuricemia, RF nml.

Question 9

tx of psoriatic arthritis

Answer 9

NSAID, methotrexate.

Question 10

what to avoid giving in psoriatic arthritis

Answer 10

corticosteroids and anitmalarials

Question 11

reiter syndrome tetrad(reactive arthritis)

Answer 11

urethritis, oligoarthritis, conjunctivitis, mucosal ulcers

Question 12

leading cause of nontraumatic monoarthritis

Answer 12

reiters syndrome

Question 13

reiters syndrome from what

Answer 13

sexually transmitted disease, chylamydia or gastroenteritis

Question 14

reiters syndrome involves what joints

Answer 14

asymmetrical arthritis below the knee

Question 15

labs/CXR for reiters syndrome

Answer 15

HLA-B27 positive 80% of pts. synovial fluid neg, xray shows permanent and progressive joint disease

Question 16

tx of reiters

Answer 16

NSAIDS and P.T. antibx for sx

Question 17

leading cause of nontraumatic monoarthritis

Answer 17

reiters syndrome

Question 18

acute monoarticular arthritis

Answer 18

gout

Question 19

gout definition

Answer 19

systemic disease of altered purine metabolism and subsequent sodium urate crystal precipitation into synovial fluid

Question 20

gout population

Answer 20

men 9:1 until menopause

Question 21

podagra

Answer 21

great toe gout attack (70% of cases)

Question 22

joint fluid analysis of gout

Answer 22

negative bifringment urate crystals. serum uric acid level >8mg/dL

Question 23

medication tx of gout

Answer 23

indomethacin 25-50mg TID. also injections and oral prednisone.

Question 24

colchine vs allopurinol

Answer 24

Colchicine is used only during acute gout attacks. Allopurinol disrupts uric acid production and its effect on bone-marrow is minimal. Colchicine has worse side-effects when compared to Allopurinol!!

Question 25

pseudogout is what

Answer 25

calcium pyrophosphate dehydrate

Question 26

pseudogout affects what joints

Answer 26

knee, wrist, and elbw

Question 27

labs/xray in pseudogout

Answer 27

rhomboid shaped calcium pyrophospate crystals, pos bifringent. xray shows chondrocalcinosis

Question 28

pseudogout tx

Answer 28

NSAIDs, colchicine, steroid injections

Question 29

BINGE DRINKING, male, obese, postmenopausal women

Answer 29

risk factors for gout

Question 30

gout spares what joints

Answer 30

hips and shoulders

Question 31

what can decreasse the incidence of acute urate nephropathy

Answer 31

allopurinol

Question 32

2 colchicine SE

Answer 32

diarrhea and bone marrow suppression(neutopenia)

Question 33

xrays show erosions, rat bite

Answer 33

gout

Question 34

This is a cross reactive autoimmune response. The immune system responds to an infection and then continues the fight after the infection is cleared. Typically begins with a \_\_or \_\_\_infection. Most commonly what organism? Typically affects ages \_\_\_ gender?

Answer 34

reiters syndrome Typically begins with a GI or GU infection. Most commonly Chlamydia Typically affects ages 20-40 Men more frequently than women

Question 35

reiters ## Footnote Culture what Rheumatoid factor will be \_\_\_ Elevated \_\_\_ 75% of patients will have \_\_\_

Answer 35

Culture the urethra/cervix Rheumatoid factor will be negative Elevated C-reactive protein 75% of patients will have HLA-B27 (?)