Rheuma 2

Question 1

Scleroderma forms

Answer 1

Systemic/Scleroderma

Diffuse cutaneous

Question 2

Limited cutaneous scleroderma

Answer 2

CREST Syndrome

Question 3

CREST Syndrome

Answer 3

Calcinosis cutis
Reynaud’s phenomenon
Esophageal dysmotility
Sclerodactyly
Telangiectasis

Question 4

Most frequently involved organ in limited and diffuse cutaneous

Answer 4

Skin 90% and 100%
Raynaud 99 and 98
Esophageal involvemement 90 both

Question 5

Clinical manifestation consistent with limited cutaneous systemic scleroderma

Answer 5

Sclerodactyly

Question 6

Shawl sign

Heliotope rash

Answer 6

Dermatomyositis

Question 7

Stiffness of a joint due to abnormal adhesion and rigidity of bones of joint

Answer 7

Ankylosis

Question 8

Infalmmation of vertebrae

Answer 8

Spondylitis

Question 9

Begins in 2nd and 3rd decade

M>F 2-3:1

Answer 9

Ankylosing spondylysis

Question 10

AS and Reiter’s are associated with

Answer 10

HLA B27

Question 11

AS manifestation

Answer 11

Dull pain in lumbar or gluteal region
Low back morning stiffness of up to few hours duration
Bony tenderness

Question 12

Pain in AS

Answer 12

Improves with activity

Returns with inactivitg

Question 13

Measures ability of px to flex lower back

Answer 13

Modified Schober’s

Question 14

Modified Schober’s marker

Answer 14

L5

5cn below and 10cm above
Touch toes with knees straight

LOM in <5cm difference between 2 points

Restriction: distance bet two points do not inc by at least 5cm

Question 15

Most serious complication in AS

Answer 15

Spinal fracture (cervical)

Question 16

Extraarterial manifestation of AS

Answer 16

Anterior uveitis 40%
Inflammation of colon ileum
Psoariasis
Aortic insuff

Question 17

Dx of AS

Answer 17

Chronic > or equal to 3 months back pain should have 4 or more of these

Age below 49
Insidious
Improves with exercise
No improvement with rest
Pain at night with improvement upon getting up

Question 18

Earliest radiographic change in AS

Answer 18

Blurring of cortical margins of subchondral bone
Erosion pseudowidening of js
Sclerosis

Question 19

AS best visualized by

Answer 19

MRI

Question 20

AS tx

Answer 20

NSAIDs
Anti TNF alpha
Infliximab

Question 21

Surgical indication for AS

Answer 21

Severe hip joint arthritis

Pain and stiffness relieved by THA

Question 22

Acute nonpurulent reactive arthritis complicating an infection elsewhere

Triad

Answer 22

Reiter’s syndrome

Conjunctivitis
Arthritis
Nongonoccocal urethritis/cervicitis

Question 23

Reiter’s syndrome gene

Answer 23

HLA B27

60-85% positive

Question 24

Reiter’s bacteria

Answer 24

Salmonella
Chlamydia
Yersinia

Question 25

Reiter’s is presumed to be acquired

Answer 25

sexually esp if with new partner

Question 26

Inflammation of enthesis where tendon and ligaments insert to bone

Answer 26

Enthesitis

Question 27

Musculoskeletal manif of Reiters

Answer 27

Arthritis
Dactylitis (sausage digit)
Tendinitis and fasciitis
Spinal and LBP

Question 28

Urogenital manifestation of Reiters

Answer 28

Urethritis

Cervicitis

Question 29

Ocular manifestation of Reiter

Answer 29

Conjunctivitis

Anterior uveitis

Question 30

Mucocutaneous lesions in Reiters

Answer 30

Keratoderma blenorrhagica (vesicle -> hyperkeratotic) of soles and palms
Oral ulcer

Question 31

Oral apthuous ulcer

Genital ulcer

Answer 31

Behcet’s syndrome

Question 32

Circinate balanitis is found in

Onycholysis

Answer 32

Reiter’s

Question 33

Less frequent manifestation of reiterks

Answer 33

Aortic insufficiency

Cardiac manif

Question 34

Reiter’s tx

Answer 34

Indomethacin

If refractory

Azathioprine then Methotrexate

Question 35

Neutropenia
Splenomegaly
Nodular RA

Answer 35

Felty’s syndrome