random q Flashcards

1
Q

first test in patient with suspected SLE

A

urinalysis

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2
Q

a patient with antiphospholipd syndrome has a PE what is the best treatment

A

life long warfarin

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3
Q

schirmer test

A

placing a strip of filter paper under the lower eye lid

used in sjogrens syndrome

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4
Q

schober test

A

measure of spinal flexion

used in ankylosing spondylitis

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5
Q

schilling test

A

measure vit B12 absorption

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6
Q

in reactive arthritis is the joint usually positive for microorganisms

A

no

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7
Q

extra-articular manifestations common in the spondyloarthrides

A

achilles tendonitis
aortic valve incompetence
uveitis
dactylitis

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8
Q

Beighton scoring system consists of

A

passively touch the forearm with the thumb with the wrist in the flexed position (1 point for each side), passive hyperextension of the fingers or the little finger beyond 90 degrees (one point each hand), hyperextension of the elbows or knees beyond 10 degrees (one point for each) and the ability to touch the floor with both palms with the legs straight (one point). A score of four or more suggests hypermobility

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9
Q

initial investigation of choice for detecting renal involvement of vasculitis

A

urinalysis

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10
Q

classical radiological findings associated with osteoarthritis

A

loss of joint space
osteophyte formation
subchondral sclerosis
subchondral cysts

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11
Q

restricted rotation of the shoulder suggests?

A

adhesive capsulitis

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12
Q

tenderness in the heel on walking suggests?

A

plantar fasciitis

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13
Q

tenderness over the greater trochanter

A

trochancteric bursitis

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14
Q

tenderness over medial epicondyle

A

golfer’s elbow

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15
Q

tenderness over lateral epicondyle

A

tennis elbow

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16
Q

which antibody is associated with SLE

A

anti-DNA

17
Q

which antibody is associated with systemic sclerosis

A

anti-centromere

18
Q

which antibody is associated with sjogrens syndrome

A

anti-La

19
Q

which antibody is associated with polymyositis

A

anti-Jo-1

20
Q

injury to the anatomical snuff box is most likely to damage

A

radial artery

21
Q

typical history of ankle fracture

A

inversion injury with rotational force applied to the foot

22
Q

management of ankle fracture

A

conservative- cast or moonboot

operative- open reduction internal fixation

23
Q

presentation of L5 radiculopathy

A

weakness of hip abduction

foot drop

24
Q

management of gca

A

prednisolone 40-60mg

25
Q

what are the connective tissue diseases

A

SLE
sjogrens
systemic sclerosis
anti-phospholipid syndrome

26
Q

management of connective tissue diseases

A

treat symptomatically and monitor closely

in SLE- start hydroxychloroquine

27
Q

limited systemic sclerosis presentation

A
C- calcinosis 
R- raynauds 
E- oesophageal dysmotility 
S- sclerodactyly
T-telangiectasia  
pulmonary fibrosis = diffuse systemic sclerosis
28
Q

antibody associated with limited systemic sclerosis

A

anti-centromere

29
Q

antibody associated with diffuse systemic sclerosis

A

anti-Scl-70

30
Q

presentation of anti-phospholipid syndrome

A

migraine
recurrent pregnancy loss
livedo resticularis
venous thrombosis

31
Q

classic xray finding in pseudogout

A

chondrocalcinosis

32
Q

nice guidelines for DMARDs

A

1st: monotherapy with methotrexate, leflunomide or sulfasalazine
2nd: two in combination
3rd: methotrexate plus biological therapy (usually tnf inhibitor)

33
Q

safe DMARDs for pregancy

A

sulfasalazine

hydroxychloroquine

34
Q

examples of anti-TNF inhibitors

A

adalimumab
infliximab
etanercept
golimumab

35
Q

rituximab

A

anti-CD20 biological therapy

36
Q

presentation of pagets disease

A

nerve entrapment
deformity of bone
fractures
raised serum alkaline phosphatase

37
Q

management of pagets disease

A

oral bisphosphonates