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1
Q

first line management of ank spond

A

NSAIDs and physio

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2
Q

first line management of reactive arthritis

A

NSAIDs

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3
Q

treatment for mild SLE

A

hydroxychloroquine

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4
Q

is hydroxychloroquine safe in pregnancy

A

yes

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5
Q

what could raynaud’s be an early sign of

A

systemic sclerosis

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6
Q

anti-phospholipid syndrome can occur secondary to SLE, true or false

A

true

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7
Q

what is a main characteristic of anti-phospholipid syndrome

A

recurrent venous or arterial thrombosis

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8
Q

what syndrome is associated with miscarriage

A

antiphospholipid

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9
Q

treatment for antiphospholipid syndrome

A

anticoagulant or antiplatelet

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10
Q

increased risk of lymphoma in sjogrens, true or false

A

true

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11
Q

SLE cardio presentations

A

pericarditis, pericardial effusion

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12
Q

prolonged APTT diagnoses what?

A

antiphospholipid syndrome

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13
Q

main organism for septic arthritis

A

staph aureus

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14
Q

high neutrophils in septic arthritis, true or false

A

true

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15
Q

gout investigations

A

joint aspiration to exclude septic arthritis
microscopy

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16
Q

gout acute flare management

A

NSAIDs
(colchicine 2nd line)

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17
Q

prophylaxis for gout

A

allopurinol

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18
Q

psuedogout microbiology

A

rhomboid shaped calcium pyrophosphate crystal

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19
Q

small vessel vasculitis

A

skin changes

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20
Q

behcets disease

A

recurrent oral and genital ulcers
ocular involvement

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21
Q

behcets disease has a good response to steroids, true or false

A

true

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22
Q

is CK normal or abnormal in inflammatory myopathies

A

abnormalities

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23
Q

takayasu’s arteritis

A

pulseless disease

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24
Q

ANCA positive vasculitides

A

GPA
Microscopic polyangiitis

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25
polyarteritis nodosa is associated with Hep B, true or false
true
26
do we give steroids in Kawasaki's disease
no, give aspirin
27
ANCA positive treatment
cyclophosphamide and steroids
28
classic hand deformities in RA
swan neck ulnar deviation of MCP joints boutonnierre's
29
feltys syndrome
neutropenia and splenomegaly and RA
30
what is DAS28 used for
RA
31
RA treatment
NSAIDs DMARDs Biologics Steroids
32
what drug class is infliximab
TNF-alpha blocker
33
does polymyositis typically affect proximal or distal muscles
proximal
34
which antibody is specific to myositis
anti-jo-1
35
myositis management
steroids and DMARDs
36
which condition would gottron's sign and a heliotrope rash be found in
dermatomyositis
37
polymyalgia rheumatica treatment
steroids
38
does polymyalgia rheumatica involve muscles
no, it's the lining of the joints or something
39
is muscle strength normal in polymyalgia rheumatica?
yes
40
what is a stress fracture
small hairline fractures in feet due to repetitive force, often overuse
41
most common cause of heel pain
plantar fasciitis
42
weber classification ankle
c - top b - middle a - distal
43
twisting injury playing sport + popping sound, with instant pain and swelling. hemarthrosis
ACL tear
44
does meniscal tear cause loud pop and excruciating pain
no, that's more ACL tear
45
which knee ligament is unlikely to be injured in isolation
LCL
46
what would cause patella fracture
direct blow
47
which type of hip dislocation is most common
posterior
48
hip fracture leg position
abducted and shorted
49
management of frail woman in nursing home with hip fracture
hemiarthroplasty
50
risk factors for avascular necrosis
long term steroids, chemo, alcohol
51
avascular necrosis xray
flattening of femoral head, hanging rope sign, widening of joint space
52
hanging rope sign diagnosis
avascular necrosis
53
tibial shaft fracture with SEVERE pain
think compartment syndrome
54
pain paraesthesia paralysis pallor pulselessness
compartment syndrome
55
frozen shoulder typical age
40-60
56
how long does frozen shoulder last
can be up to 3yrs
57
type 2 diabetes and hypercholesterolemia with shoulder sore
think frozen shoulder
58
reduced external rotation shoulder differentials
can be lots of things but frozen shoulder is a main one
59
AC joint injury cause
FOOSH, sports
60
frozen shoulder treatment
NSAIDs intra-articular corticosteroids
61
AC joint injury treatment
grade I-II: sling grade IV-VI: surgery
62
is anterior or posterior shoulder dislocation more common
anterior
63
anterior shoulder dislocation cause
excessive abduction and external rotation
64
lightbulb sign
posterior shoulder dislocation
65
loss of sensation in "badge patch" area, which nerve is damaged
axillary
66
fracture of ulna with dislocation of proximal radial head
Monteggia
67
fracture of radial shaft and dislocation of distal radioulnar joint
galeazzi
68
other name for golfers elbow
medial epicondylitis
69
elbow - pain on flexion and pronation
golfers elbow
70
where is the common flexor origin
medial epicondyle
71
where is the common extensor origin
lateral epicondyle
72
tingling/numbness of pinky and half of ring finger
cubital tunnel syndrome
73
FOOSH wrist fractures
colles smiths
74
dinner fork deformity
colles
75
tingling/numbnes in thumb, first two fingers and half of ring finger
carpal tunnel syndrome
76
Carpal tunnel risk factors
IDIOPATHIC RA pregnancy diabetes colles fracture
77
cutting flexor retinaculum can be a management for what
carpal tunnel syndrome
78
diabetes is a risk factor for trigger finger, true or false
true
79
difference between trigger finger and dupuytrens
trigger finger you can straighten with pain, dupuytrens you can't straighten
80
scaphoid fracture mechanism of injury
contact sports injury, FOOSH
81
Undisplaced vs displaced scaphoid fracture management
undisplaced - cast displaced - surgery
82
which salter harris is a crush injury
V
83
intra-articular injuries in which the fracture extends through the epiphysis, across the physis and through the metaphysis - which salter harris
IV
84
structures posterior to the medial malleolus
(Tom, Dick And Very Nervous Harry) Tibialis posterior tendon flexor Digitorum longus tendon Artery (posterior tibial) Vein (posterior tibial) Nerve (tibial) flexor Hallucis longus tendon
85
what is the most common organism to cause osteomyelitis
staph aureus
86
a woman develops a winged scapula following a mastectomy. what nerve is likely to have been damaged
long thoracic nerve

MSK (9 decks)

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