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NBCE Part II/III. Diagnostic Imaging (Irene Gold Associates) > Pages: 3-4 (Inflammatory Arthritides) > Flashcards

Pages: 3-4 (Inflammatory Arthritides) Flashcards

1
Q

What condition is associated with Males ages 15-35 years old and is characteristic of causing LBP with morning stiffness that starts in the SI joints?

A

Anylosing spondylitis (aka: Marie Strumpell)

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2
Q

What orthopedic exam(s) are used to help diagnosis Anylosing spondylitis (aka: Marie Strumpell)?

A
  • Chest expansion
  • Forestier’s bowstring
  • Lewin supine
  • Amoss sign
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3
Q

What RADIOGRAPHIC signs on xray are seen with Anylosing spondylitis (aka: Marie Strumpell)?

A
  • Shiny corner sign (early)
  • Bamboo spine
  • Dagger sign
  • Trolley track sign
  • Poker sign
  • Andersson lesion
  • bilateral SI joint fusion (ghost joints)
  • bilateral marginal syndesmophytes
  • squaring of the vertebral bodies
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4
Q

Anylosing spondylitis (aka: Marie Strumpell) is associated with _____?

A

iritis/anterior uveitis

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5
Q

What FRACTURE is seen with Anylosing spondylitis (aka: Marie Strumpell)?

A

Carrot stick fracture

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6
Q

What LABS are associated with Anylosing spondylitis (aka: Marie Strumpell)?

A

+HLA B27 (SERO-)

+ESR (Sedimentation rate)

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7
Q

What condition is identical to Anylosing spondylitis with GI dysfunction?

A

Enteropathic athropathy

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8
Q

Which inflammatory arthritide cause Diarrhea?

A

Enteropathic athropathy

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9
Q

What condition is associated with Males ages 20-30+/- years old and is characteristic of causing Urethritis, Conjunctivitis, and Arthritis as well as foot ulcers?

A

Reactive arthritis (aka: Reiter’s disease)

THINK: “Can’t see, Can’t pee, Can’t dance with me!”

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10
Q

What RADIOGRAPHIC signs on xray are seen with Reactive arthritis (aka: Reiter’s disease)?

A
  • Calcaneal spur
  • Fluffy periostitis
  • Non-marginal syndesmosphytes in the spine
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11
Q

What LABS are associated with Reactive arthritis (aka: Reiter’s disease)

A

+HLA B27 (SERO-)

+ESR (Sedimentation rate)

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12
Q

What arthritide is caused by Chlamydia?

A

Reactive arthritis (aka: Reiter’s disease)

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13
Q

What condition is associated with Males ages 20-50 years old and is characteristic of causing Silver scaly lesions on extensor muscles, Pitted nails, and Cocktail sausage digits?

A

Psoriatic arthritis

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14
Q

What RADIOGRAPHIC signs on xray are seen with Psoriatic arthritis?

A
  • Ray sign
  • Mouse ear deformity
  • Gull wing tufts
  • Pencil in cup deformity
  • Non-marginal syndesmophytes in the spine
  • Increase in joint space
  • Atlanta-axial instability
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15
Q

What SIGN is associated with Psoriatic arthritis?

A

Ray sign

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16
Q

Which joints are typically involved with Psoriatic arthritis?

A

DIP joints

17
Q

What LABS are associated with Psoriatic arthritis?

A

+HLA B27 (SERO-)

+ESR (Sedimentation rate)

18
Q

Which two inflammatory arthritides are associated with atlanta-axial instability?

A
  1. ) Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)
  2. ) Psoriatic arthritis
19
Q

What condition is associated with Females ages 40-60 years old and is characteristic of causing Fatigue, Anemia and Chronic joint inflammation, swelling, and stiffness in the MCP and PIP joints of the hand?

A

Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)

20
Q

What RADIOGRAPHIC signs on xray are seen with Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?

A
  • Rat bit erosions
  • Pannus formation
  • Symmetrical distribution
  • Bilateral uniform loss of joint space
  • Localized periarticular osteoporosis
21
Q

What JOINTS are spared in patients with Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?

A

DIP joints

22
Q

What orthopedic exam(s) are used to help diagnosis Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?

A

Bracelet test

23
Q

What are some visual characteristics of Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?

A
  • Haygarth’s (MCP) nodes
  • Swan neck deformity
  • Boutonniere deformity
  • Lanois deformity (ulnar or fibular deviation)
24
Q

When Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis) is presenting with Dry eyes and mouth, it is called?

A

Sjogren’s syndrome

25
Q

Which inflammatory arthritide is associated with a Baker’s cyst?

A

Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)

Baker’s cyst: benign swelling of the semi membranous bursa behind the knee

26
Q

What LABS are associated with Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?

A

+RA latex
+FANA
+ESR (Sedimentation rate)
+CRP

27
Q

What type of anemia is associated with Rheumatoid arthritis (aka: Still Disease, Uniform Arthritis)?

A

Normocytic normochromic anemia

28
Q

What condition is associated with Females and is characteristic of causing Oral ulcers, Discoid lesions, Alopecia, Raynaud’s phenomenon, and Malar/Butterfly rash?

A

Systemic lupus erythematosus

29
Q

What LABS are associated with Systemic lupus erythematosus?

A 
\+RA latex
\+FANA
\+ESR (Sedimentation rate)
\+LE Prep
Leukopenia
Thrombocytopenia
30
Q

What condition can cause ulnar deviation of the phalanges with no joint destruction and is seen with a Positive rebound effect?

A

Systemic lupus erythematosus

31
Q

What condition is associated with Females ages 30-50 years old and is characteristic of causing Erosions of the distal tufts of the phalanges, Acro-osteolysis, Tight skin, Raynaud’s phenomenon and Pulmonary fibrosis?

A

Scleroderma (aka: Progressive systemic sclerosis)

32
Q

What are the most common signs/symptoms in a patient who has Scleroderma (aka: Progressive systemic sclerosis)?

A 
C = Calcinosis cutis (calcium deposits form in the skin)
R = Raynaud's phenomenon
E = Esophageal dysfunction
S = Sclerodactyly (localized thickening and tightness of the skin)
T = Telangiectasis (dilation of the capillaries, which causes them to appear as small red or purple clusters)
33
Q

What LABS are associated with Scleroderma (aka: Progressive systemic sclerosis)?

A

+RA Latex (30%)

+FANA

34
Q

What condition is associated with Females ages 20-40 years old who are Multiparous and is characteristic of bilateral/symmetric triangular sclerotic areas on the lower half of the ilium that cause no changes in joint space?

A

Osteitis Condensans Ilia (aka: Osteitis triangularis)

35
Q

What is the case management for Osteitis Condensans Ilia (aka: Osteitis triangularis)?

A
  • Self resolving; no labs needed

- Trochanteric belt for stability

NBCE Part II/III. Diagnostic Imaging (Irene Gold Associates) (12 decks)

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