random.2 Flashcards

1
Q

sstiffness worse at night

A

osteoarthritis

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2
Q

heberdens nodes

A

osteoarthritis

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3
Q

z shaped deforminty of the thumb

A

rheumatoid

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4
Q

swan neck deformity

A

rheumatoid

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5
Q

boutoniiere deformity

A

rheumatoid

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6
Q

bouchards nodes

A

osteoarthritis

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7
Q

squaring of joint

A

osteoarthritis

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8
Q

ulnar deviation of wrist

A

rheumatoid

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9
Q

acitvity related symptoms

A

osteoarthritis

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10
Q

stiffness under 30 mins

A

osteoarthritis
not liekly inflammamtory

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11
Q

osteophytes

A

osteoarthritis

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12
Q

subarticular sclerosis

A

osteoarthritis

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13
Q

subchondral cysts

A

osteoarthtiis

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14
Q

bony erosions

A

rheumatoid and psioriatic

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15
Q

periarticular osteoporosis

A

rheumatoid

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16
Q

human leukocyte antigen b27

A

ankylosing spondylitis

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17
Q

rheumatoid drug to use in pregnancy

A

sulfasalazine

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18
Q

first line treatment for polymyalgia rheumatica

A

prednisolone

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19
Q

violet discoloiuration across eyelids

A

dermatomyositis

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20
Q

what initiates shoulder abduction

A

supraspinatous

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21
Q

first line treatment of gout if gi problems

A

colchicine

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22
Q

diagnosis for apls

A

Positive anticardiolipin antibodies on two occasions, 12 weeks apart

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23
Q

treatment of anterior uveitis in akylosing

A

Topical cyclopentolate

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24
Q

diagnosis for gout

A

synovial fluid analysis

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25
muscle affected in carpal tunnel
opponens policis
26
nerve affected in cubital
ulnar
27
nerve affected in carpal
median
28
posiitve tinnels
cubital tunnel carpal tunnel
29
finer pain in cubital
4th and 5th
30
finger pain in carpal
thumb, index and middle
31
is the dletoid part of the rotator cuff muscles
no
32
gout prophylaxis
allopurinol
33
colles fracture
fall onto outstrecthed hand fracture of distal radius and ulna hand faces outwrad
34
smiths fracture
inward of hadn
35
scaphoid fracture
pain in snuffbox may not show on xray until 10 days later given cast
36
finkelinsteins positive
dequervains tenosyvyiis
37
osteoclast role
breaKdown of cells
38
osteoblast role
Build up of new cells
39
osteolytic meaning
loss of solution from bone especially calcium
40
complication of diffuse scleoriss
pulmonary fibrosis
41
complication of limited sclerosis
pulmonary hypertension
42
what should be monitored regularly in limited sclerosis
renal involveent through function tests
43
common cause of osteomyelitis
staoh aur
44
which muscle extends elbow joint
triceps
45
what does thw axillary nevr esupply
teres minor and deltoid
46
side effects of methotrexate
mucositis myelosuppression pneumonitis the most common pulmonary manifestation similar disease pattern to hypersensitivity pneumonitis secondary to inhaled organic antigens typically develops within a year of starting treatment, either acutely or subacutely presents with non-productive cough, dyspnoea, malaise, fever pulmonary fibrosis liver fibrosis
47
what condition is gca assoc with
polymyalgia rheumatica
48
pencil in cup deformity
psoriatic arthritis
49
triad of reactive arthritis
urethritis, conjunctivitis and arthritis
50
achilles tendon rupture suspected investigation
ultrasound
51
isolated pain at radial styloid process
de quevains
52
what do patients with rheumatoid have a risk of developing
ishcaemic heart disease
53
reactive arthritis management
nsaids methotrexate for persistent
54
actibve and passive movement pain
compartment syndrome
55
bilateral leg pain relieved on leaning forward
lumbar canal stenosis
56
late sign in cauda equina syndroe
urinary incontinence
57
olecranon bursitis
swelling behind elbow painful
58
what can biologics reactivate and so what should be perfomed prior
tb so xray
59
best support of ankylosing
sacro ilitis on pelvic xray
60
raynauds management
ccb
61
what shouldnt methotrextae be prescirbed alongside
co-trimaxazole as contains trimethoprim can cause bone marrow suppresion as both folate antagonists
62
what must be monitored while on hydroxychloroquine
visual acuity
63
what disease is achilles tendonitis common in
ankylosing spondylitis
64
test for achilles tendon
ultrasound
65
what are those with achilles tenodn rupture unable to do
plantaerflex ankle
66
positive thompsons test
if squeezing of calf does not cause movement
67
how long should you be off methotrexate for before trying to concieev
6 mmonths
68
test for cauda equina
urgent MRI
69
Most common mechanism of ankle dislocation
inversion of the foot
70
schobers tets positive for ankylosing
<5cm
71
acute flare of ra management
IM methylprednisolone
72
mneumonic for ra and oa
less and loss
73
pulmonary feature in ankylosing
apical fibrosis
74
how to take a bisphosphonate
take 30 min before meal and sit upright for 30 min after
75
compartment syndrome major sign
pain greater tha expected for mechanism of injury
76
risk factor predisposing to osteoporosis
chronic kidney disease
77
is alopurinol waited until second attack of gout
no offer it post first attack
78
alendronate
bisphosphonate
79
management of persistent reactive arthirtis
sulfasalazine and methotrextae
80
first line for reactive arthirtis
nsaids
81
contraindicated vaccines with methotrexate
yellow fevr
82
what is highly sensitive for radial head fractures
joint effusion
83
waddling gait
osteomalacia
84
nerve lesion for wrist drop
radial at axilla
85
collagen defect in osteogenesis imperfecta
type 1
86
blue sclera in child
osteogenesis imperfecta
87
galaezzi fracture
involves distal third of shaft and dislocation of radio ulnar joint
88
gene in behcet disease
hla b51
89
opthalmic condition in marfans
superior lens dislocation
90
ballet dancer stress fracture
second metatarsal base stress fracture
91
what are greenstick fractires caused by
bending forces
92
xray of perthes
femoral head collapse and fragmentation suggestive of osteonecrosis
93
monteggia fracture
fracture of proximal ulna with dislocation of radial head
94
muscle affected in carpal tunnel
opponens pollicis
95
test for plantar fasciitis
windlass test
96
ulcer caysing pain on elevation
arterial
97
swan neck deformity
ra
98
squaring of thumbs
osteoarthitis
99
marfans miutation
fibrillin 1
100
first line carpal tunnel
wrist splinting and steroids
101
sugggestive symptom for ankylosing
pian at night
102
what to use to prevent fractures
bisphosphonates or desonumab
103
blood test abnormality from methotrexate
thromnbocytopenia due to bone marrow suppression
104
complex regional pain syndrome
pain and skin changes in a limb post surgery
105
gold standard for ankylosing
mri
106
bursitis management
conservative , steroid injection, bursectomy
107
heliotrope rash
dermatomyosistis
108
cutaneous side feffct of amiodarone
blue/ grey skin
109
hka gene assoc with RA
hla dr4
110
sensory nerve over anterior part of thigh
s3
111
sensiry loss dorsum of foot
l5
112
weakness in plantar flexion of foot
s1
113
xray findings of ankylosing
subchondral erosions, sclerosis and squaring of the vertebra
114
pseudogout rf
haemochromatosis
115
chronic fatigue symptoms time span to diagnose
3 motnhs
116