QUESMED RHEUMATOLOGY

Question 1

Antiphospholipid syndrome - what dermatological sign ?

Answer 1

Livedo reticularis

(Mottled, lace-like rash usually found on lower limbs)

Question 2

GPA initial treatment

Answer 2

Cyclophosphamide - every 2 or 3 weeks

Question 3

Treatment of RA whilst pregnant

Answer 3

Hydroxychloroquine and Sulfasalazine with Folic Acid

Question 4

Hypothyroidism + acute pain in knee

Answer 4

Pseudogout

Question 5

Young Asian woman presenting with a stroke

Answer 5

Takayasu’s arteritis

(+ causes limb claudication)

Question 6

First line for eGPA

Answer 6

High dose corticosteroids

(then try cyclophosphamide)

Question 7

GPA antibody

Answer 7

c-ANCA

Question 8

eGPA antibody

Answer 8

p-ANCA

Question 9

Behcet’s disease gene

Answer 9

HLA-B51

Question 10

Cells which secrete pepsin in the stomach ?

Answer 10

Chief cells

Question 11

Haemochromatosis + involvement of joints not typically involved in osteoarthritis e.g. shoulders, wrists

Answer 11

Pseudogout

Question 12

Systemic illness including Hepatitis B, pale stools, dark urine (renal failure), MSK, GI, eye and skin complaints

Answer 12

Polyarteritis nodosa

Question 13

Fracture of femur + early persistent tachycardia, tachypnoea, hypoxia (72 h following injury), petechial rash, confusion and retinal haemorrhage

Answer 13

Fat embolism

Question 14

What bone lesions does metastatic prostate cancer cause?

Answer 14

Sclerotic

Question 15

What is this ?

Answer 15

Dynamic Hip Screw

Question 16

Male, heavy alcohol intake, 4th and 5th digit flexed

Answer 16

Dupuytren’s contracture

Question 17

Treatment for Dupuytren’s contracture

Answer 17

Fasciotomy