Pastest MSK Flashcards
Where can granulomas appear in rheumatoid disease
Periphery of lungs
What are pleural effusions in rheumatoid associated with and are they usually uni or bilateral
Unilateral
Associated with subcutaneous nodules and positive rheumatoid factor
Name 3 ocular manifestations of rheumatoid disease
Keratoconjunctivitis sicca, scleritis and episcleritis
Can rheumatoid factor be positive for psoriatic arthritis
Yes can be
Prominent nail fold capillaries can be seen in which disease
Dermatomyositis
When can gout be positive for rheumatoid factor
Chronic
Which muscles does osteomalacia myopia tend to affect
Proximal muscles
Pseudofractures can be seen in which disease and what 2 other names do they have
Osteomalacia
Looser’s zones & Milkman fractures
What should you think of in a patient with non-blanching purpuric rash + proteinuria
HSP vasculitis
What is the most common causative organism of septic arthritis in children under 2
Haemophilus influenzae
What triad is suggestive of eGPA
Eosinophilia, Rhinitis, late-onset asthma
In polymyositis, which chemical marker could be raised apart from creatine phosphokinase
Aldolase
In polymyalgia rheumatica, muscle movement is restricted by pain or weakness?
Pain
No true muscle weakness
Which of these conditions is Dupuytren's associated with diabetes epilepsy alcoholism rheumatoid arthritis thyrotoxicosis
Diabetes, Epilepsy & Alcoholism
What is a bunion
Hallux Valgus
tends to affect the 1st MTP joint
Which liver pathology can cause Osteomalacia
PBC
When will Vitamin D supplement be an effective treatment for osteomalacia
In renal failure
In patients with rheumatoid arthritis, how does the presence of extra-articular manifestations affect prognosis
Poorer prognosis
What is the most common extra-articular manifestation of rheumatoid arthritis
Keratoconjunctiva sicca
Is Goodpasture’s ANCA associated
yes
Which joint pathology is associated with impaired glucose tolerance
Gout
What GFR level is a contra-indication to use colchicine
<10
What are syndesmophytes
Bony growths seen inside ligaments, often seen in the ligaments of intervertebral joints
When may ALP be raised in a patient with osteoporosis
After a fracture
Which inflammatory arthropathy can cause lymphadenopathy
Rheumatoid Arthritis
Which type of arthritis can present with buccal ulceration
Reactive arthritis
Trabecular collapse + ligament hypertrophy can occur in which type of arthritis
Osteoarthritis
Vertebral fractures at what level and above are associated with cancer
T4
What is Felty’s Syndrome
Rheumatoid Arthritis
Splenomegaly
Low WCC
Which artery will have an absent pulse in Takayasu Arteritis
Subclavian artery
Exposure to which element is associated with gout
Lead
Which joint is most commonly affected by pseudogout
Knee
Which disease has a strong association with De Quervain’s tenosynovitis
Rheumatoid Arthritis
Which HLA is associated with Behcet’s disease
HLA-B51
Is SLE arthritis typically symmetrical
No, typically asymmetrical