Psoriatic Arthritis

Question 1

What are the signs of psoriatic arthritis? (Any 3)

Answer 1

Plaques of psoriasis

Putting nails

Separation of nail from nail bed (onycholysis)

Inflammation of finger (dactylitis)

Enthesitis (inflammation of entheses where tendons insert on bone)

Question 2

What other conditions may psoriatic arthritis be associated with? (3)

Answer 2

Eye disease

Aortitis

Amyloidosis

Question 3

What screening tool is used to detect psoriatic arthritis?

Answer 3

PEST

Question 4

X ray changes in psoriatic arthritis (any 3)

Answer 4

Periostitis

Ankylosis

Osteolysis

Dactylitis

Pencil in cup appearance

Question 5

What is the most severe form of psoriatic arthritis called and what sign in the finger does it cause?

Answer 5

Arthritis mutilans

Causes telescopic finger

Question 6

What is the management of psoriatic arthritis? (4)

Answer 6

NSAIDS

Anti rheumatoid drugs

Anti TNF drugs

Ustekinumab (last line)-IL 12 and 23 inhibitor