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MSK > Rheum > Flashcards

Rheum Flashcards

1
Q

Tight, shiny, taut skin with claw hand

A

Scleroderma

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2
Q

beaked nose, small mouth, Raynauds is?

A

scleroderma

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3
Q

Malabsorption esophageal motility problems, GERD, Pulm Fibrosis, and CHF is associated with

A

Scleroderma

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4
Q

First sxs of Scleroderma is?

A 
CREST
1st = Calcinosis (claw)
Raynauds
Esophageal dysf
Sclerodactyly
Telengactasia
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5
Q

Diag of Scleroderma is

A

Anti-topo,RA,CA

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6
Q

Tx of Scleroderma.

A

TX sxs= BB/ACE (HTN), CCB (raynaud), NSAID (pain), PPI (GERD)

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7
Q

is associated with macular damage, rash and diarrhea.

A

hydroxychloroquine

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8
Q

Radiographs of the right knee show a lytic mass with a multi-laminated periosteal reaction involving the proximal anterior tibia.

A

Ewing sarcoma

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9
Q

fracture of the fifth metacarpal neck with 65 degrees dorsal angulation

A

gutter + open reduction

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10
Q

Proximal muscle weakeness in older patients is?

A

polymyalgia rheumatica

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11
Q

are associated with full passive range of motion but have pain and weakness during active abduction.

A

Rotator cuff tears

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12
Q

Depressed, 11/18 trigger points,

A

Fibromyalgia

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13
Q

Fibromyalgia tx is with?

A

Antidepressant, Lyrica

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14
Q

Big toe pain, urate crystals is?

A

Gout

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15
Q

Gout with CKD or NSAID allergy tx is?

A

Ace

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16
Q

Diag of Gout?

A

Birefringant Urate negative crystals

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17
Q

Gout acute Tx, Chronic?

A

Indomethacin, Colchicine.

Allopurinal

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18
Q

Rhomboid shaped crystals?

A

pseudogout

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19
Q

Livedo reticularis (lacey rash) - associated with Hep B.

A

Polyarteritis Nodosa

20
Q

ANCA + is? Intrarenal aneurysm?

A

Polyarteritits Nodosa - ICS

21
Q

Neck, muscle weakness with heliotro rash (round the eye)

A

Polymyositis

22
Q

Painless + Weakness

A

Polymyositis

23
Q

Polymyositis diag?

A

Biopsy

24
Q

Stiff/Pain neck, shoulders, high ESR ? associated with?

A

Polymyalgia Rheumatica, Temporal arteritis

25
Q

urethritis, conjunctivitis, arthritis, Chlamydia

A

reactive arthritis

26
Q

HLA-B27 +

A

PAIR, NSAIDs

27
Q

Multi joint, ulnar deviation, DIP spared

A

RA

28
Q

Morning stiffness >1 hour, symetrical arthirits, RA factors, AntiCCCp

A

RA - Bony erosion

29
Q

DMARD and Etanercept is?

A

(MXT, SULFA, Leflu) RA - can trigger TB

30
Q

Stills disease, fever spike, poly arthralgia, Salmon-pink rash is?

A

Juvenile Rhematoid Arthritis (NSAIDs)

31
Q

ANA, ANti-smith, Anti DNA is?

A

SLE

32
Q

Malar rash, Discoid rath, oral ulcer

A

SLE

33
Q

NSAID, MXT treats?

A

SLE and RA

34
Q

Pulm HTN, sclerodactely, CREST

A

Scleroderma

35
Q

What is CREST

A

calcinosis, Gerd, Raynaud’s, sclerodactyly, telangiectasias

36
Q

ANA+, Anti Centromere, and Dz has no treatment?

A

Scleroderma

37
Q

destroy salivary and lacrimal gland

A

Sjogrens

38
Q

Sjogrens diag?

A

Shimer test

39
Q

Scleroderma’s Biomarkers are?

A

Antitopo, RA, CA, ANA

40
Q

Starburts levido is what disease?

A

Polyarteritis Nodosum

41
Q

palpable purpura as well as involvement of the upper airways, lungs, and kidneys

A

Wegener granulomatosis

42
Q

hydroxychloroquine needs to be monitored for what?

A

retinopathy

43
Q

A muscle biopsy shows primary inflammation with the CD8/MHC-I complex and no vacuoles. Increased Creatine kinase and aldolase are elevated. this is? it is TX with?

A

Polymoysitis, ICS

44
Q

Anti - Jo and Tx with ICS is? weakness muscle

A

Polymyositis

45
Q

Niacin can cause what disease due to high urate?

A

Gout

46
Q

violet-hue on both eyelids is?

A

Heliotrope rash - Polymyositis - ICS

47
Q

extremity pain, 40-50yo, necrotizing leuko in arterial wall, rash, medial malleoulus rash is due to? + high CRP.

A

polyarteritis nodosum

MSK (8 decks)

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