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MJ- F3 E2: MSK/Rheum > Rheum Popcorn 2 > Flashcards

Rheum Popcorn 2 Flashcards

1
Q

Who gets osteoporosis most commonly?

A

Postmenopausal white women

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2
Q

How is fx risk determined in osteoporosis?

A

FRAX tool

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3
Q

Risk factors for what?

  • Previous low trauma fx
  • Chronic Glucocorticoids
  • RA
A

Osteoporosis fracture risk

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4
Q

Gold standard for dx of osteoporosis?

A

Duel-energy x-ray absorptiometry (DEXA) scan

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5
Q

What T-score is diagnostic for oosteoporosis

A

< -2.5

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6
Q

What is the best non-pharmacologic tx for osteoporosis

A

Exercise

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7
Q

1st line tx for osteoporosis?

A

Vit D and calcium

Bisphosphonates

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8
Q

Biphosphonates are contraindicated in what condition

A

CKD

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9
Q

Black box warning for biphosphonates?

A

ONJ

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10
Q

T/F: sex hormone replacement is appropriate therapy for osteoporosis?

A

FALSE

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11
Q

What is the MC complication of Osteoporosis? How do you monitor?

A

Vertebral fx

Monitor for height loss

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12
Q

Dx of what condition:

  • Chronic wide spread pain for >6wks
  • All 4 quadrants of the body
  • 11/18 tender points
A

Fibromyalgia

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13
Q

What is the only treatment option for Fibromyalgia that has evidence for helping with FM pain?

A

Exercise

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14
Q

Tx for Fibromyalgia?

A

Exercise

Amitryptyline

(NO OPIOIDS)

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15
Q

Systemic findings

+

Lung and kidney findings`

A

Vasculitis syndromes, AKA Vasculitides

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16
Q

Which condition is MC in F>50y/o and is assoc. w/ Giant cell arteritis

A

Polymyalgia Rheumatica

(large vessel disorder)

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17
Q

Stiffness/aching in neck, shoulder and pelvic girdle but NO weakness

A

Polymyalgia Rheumatica

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18
Q

How you you dx Polymyalgia Rheumatica?

19
Q

How do you tx Polymyalgia Rheumatica?

A

Low dose Prednisone

(should respond w/in 72 hrs)

20
Q

Polymyalgia Rheumatica:

  • NO muscle weakness like ______ and _____
  • Does NOT cause blindness like ______
  • Responds to low dose prednisone, where _____ requires high dose
A
  • NO muscle weakness like Polymyositis and Polyarteritis nodosa
  • Does NOT cause blindness like Temporal Arteritis
  • Responds to low dose prednisone, where TA requires high dose
21
Q

Necrotizing inflammation of med and sm arteries w/o GN

NO lung involvement

A

Polyarteritis Nodosa

22
Q

MC organ affected in Polyarteritis Nodosa?

A

Skin

(Livedo reticularis, subcutaneous nodules, skin ulcers, distal gangrene)

23
Q

What is the preferred dx of Polyarteritis Nodosa?

A

Tissue bx of involved organ

24
Q

Is polyarteritis Nodosa ANCA pos or neg?

25
How do you tx Polyarteritis Nodosa?
High dose Corticosteroids
26
Which dz? * Boys \<5y/o * **Strawberry tongue** * Severe diaper rash * F \>5d
Kawasaki Dz
27
What are pts w/ Kawasaki Disease at high risk for
Coronary Aneurysm
28
How do you tx Kawasaki Disease
High dose ASA IVIG
29
Triad of what condition? * Upper resp * Lower resp * Kidney (glomerular nephritis)
Granulomatosis w/ Polyangitis
30
What imaging is preferred in Granulomatosis w/ Polyangitis?
CT
31
The following is commonly seen in what condition * Nasal cong * OM * Sinusitis * **Mastoiditis** * **Gingivitis** * Stridor (MIld, benign Resp sxs that don't get better w/ tx)
Granulomatosis w/ Polyangitis
32
How do you tx Granulomatosis w/ Polyangitis?
Cyclophosphamide + Corticosteroids OR Rituximab + Corticosteroids
33
What is the MC associated condition w/ Eosinophilic Granulomatosis?
Asthma
34
What is the gold standard for Dx of Eosinophilic Granulomatosis w/ Polyangitis
Lung Biopsy
35
How do you tx Eosinophilic Granulomatosis w/ Polyangitis
Systemic Glucocorticoids
36
What is the MC systemic vasculitis in children?
IgA Vasculitis ("Henoch Schoenlein Purpura)
37
* Acute onset fever * **Palpable purpura on LE and buttocks**
IgA Vasculitis
38
What is the tetrad for IgA Vasculitis? (A GAP)
* Purpura * Arthritis * Glomerulonephritis * Abdominal pain
39
"Big 3" of Which condition: * LE **purpura** * **Arthritis** in knees and ankles * **Hematuria**
IgA Vasculitis
40
What is the prognosis and tx of IgA vasculitis
**Self-limiting** Tx: supportive, analgesics, **low-dose steroids**
41
Which condition is MC in **20-40y/o Mediterraneans**
Behcet's Syndrome
42
Recurrent, painful mucocutaneous ulcers of mouth and genitals
Behcet's Syndrome
43
Pathergy phenomenon is associated with which syndrome?
Behcet's syndrome
44
1st line tx for Behcet's Disease
Prednisone

MJ- F3 E2: MSK/Rheum (7 decks)

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