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ABFM/Rosh Review > Rheum/MSK > Flashcards

Rheum/MSK Flashcards

1
Q

Pt with symmetrical inflammatory polyarthritis with morning stiffness >30 min. currently proximal joints of both hands are swollen and tender. dx?

A

Rheumatoid Arthritis

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2
Q

Reactive arthritis…asymmetrical or symmetrical ? Triad?

A

asymmetrical!
“cant see, cant pee, cant climb a tree”
-conjunctivitis or uveitis, urethritis or cervicitis & asymmetric joint pain.

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3
Q

What is Spondylolisthesis? dx, tx?

Spondylolysis?

A

anterior displacement of a vertebral body due to b/l defects in the posterior arch MC @L5

dx: XR
tx: RICE, PT, NSAIDS/Acetaminophen, if grade 3+ surgery

vs Spondylolysis = fracture of the pars interarticularis

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4
Q

1st line tx osteoarthritis?

A

Acetaminophen! NSAIDs are considered step up therapy

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5
Q

Muscle relaxer preferred in elderly?

A

Tizanadine

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ABFM/Rosh Review (13 decks)

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