passmed misc Flashcards

1
Q

azathioprine may cause…

A

myelosuppresion

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2
Q

is azathioprine safe in pregnancy

A

yes

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3
Q

ankylosing spondylitis xray findings

A

subchondral erosins
sclerosis
squaring vertebrae

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4
Q

cautions to sulfasalazine

A

G6PD deficiency

allergy to aspirin or sulphonamides (cross-reactivity)

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5
Q

essential test prior to starting biologics for RA

A

CXR to look for TB

–> they can cause reactivation

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6
Q

drug induced SLE - autoantibodies

A

anti-histone antibodies

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7
Q

what should be avoided in eldery patients taking warfarin

A

NSAIDs

  • risk GI haemorrhage
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8
Q

patient’s with sjogrens are at increased risk of

A

lymphoma

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9
Q

polyarteria nodosa is assoc with…

A

hepatitis B

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10
Q

antiphospholipid syndrome Mx

A

primary thromboprophylaxis - low dose aspirin

2ry thromboprophylaxis

  • warfarin with INR 2-3
  • recurrent VTE - warfarin with INR 3-4
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11
Q

diffuse cutaneous sclerosis affects where predominantly

A

trunk and proximal limbs

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12
Q

giant cell arteritis is assoc with what aortic pathology

A

aortic aneurysm

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13
Q

gout x-ray findings

A

normal joint space
soft tissue swelling
periarticular erosions

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14
Q

confirming Dx of antiphospholipid syndrome

A

1+ of the antibodies present in plasma on 2 occasions 12wks apart

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15
Q

monitoring required with leflunomide

A

BP - baseline and at each review

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16
Q

CRP in SLE

A

usually normal (in contrast to ESR)

17
Q

osteoporosis in man - which blood test

A

testosterone

18
Q

side effect colchinine

A

diarrhoea

19
Q

azathioprine + allopurinol

A

severe interaction causing bone marrow suppression

20
Q

hydroxychloroquine effect on eyes

A

may result in severe + permanent retinopathy

21
Q

SLE - type of hypersensitivity reaction

A

type 3

22
Q

blood tests results in osteoporosis

A

normal

23
Q

most common cause septic arthritis

A

staph a = overall most common cause

gonorrhoea most common cause in young sexually active adults

24
Q

raised CRP in someone with SLE

A

underlying infection