rheum saqs

Question 1

Lady with SLE develops ejection systolic murmur - Dx?

Answer 1

Libman-Sacks endocarditis
AS

Question 2

Exam findings for GCA

Answer 2

Tender temporal artery.
● Thickened temporal artery.
● Beaded temporal artery.
● Reduced/absent pulsation of temporal artery.
● Scalp tenderness.
● Reduced visual acuity.
● Visual field defect.
● Afferent pupillary defect.
● Pale/swollen optic disc.
● Retinal artery occlusion.
● Carotid bruits.
● Pyrexia

Question 3

FBC in RA

Answer 3

Normocytic normochromic anaemia

Question 4

Skin changes in dermatomyositis

Answer 4

● Heliotrope discoloration of eyelids.
● Periorbital oedema.
● Dilated capillary loops under the fingernails.
● Erythematous macules
- Gottron’s papules

Question 5

Sx of dermatomyositis?

Answer 5

dysphagia
Raynaud’s
mouth ulcers
muscle swelling/tenderness
weakness

Question 6

skin changes in reactive arthritis

Answer 6

● Mouth ulcers.
● Erythema nodosum.
● Circinate balanitis.
● Keratoderma blennorrhagica.

Question 7

cardiac complication of reactive arthritis

Answer 7

● Pericarditis.
● Aortitis.
● Aortic regurgitation.
● Conduction defects.

Question 8

XRAY changes in psoriatic arthritis

Answer 8

new bone formation
erosion
soft tissue swelling
loss of joint space
peincil in cup

Question 9

What neurological consequence may occur with severe longstanding
disease for AS?

Answer 9

cauda equina

Question 10

Sx of Wegner’s

Answer 10

● Fatigue.
● Malaise.
● Weakness.
● Anorexia.
● Weight loss.
● Wheeze.
● Facial pain.
● Cough.
● Shortness of breath.
● Chest pain.
● Joint pain.
● Abdominal pain.
● Hearing loss.
● Nasal ulcers.
● Rashes.
Haematuria.
● Chronic ear infections.
● Rhinorrhoea

Question 11

What anatomical abnormality may cause hoarse voice in Wegner’s?

Answer 11

Subglottic stenosis

Question 12

Which drug is used to promote remission of Wegner’s?

Answer 12

Cyclophosphamide