Rheumatologe

Question 1

Which Plasma parameter is most associated with agressive disease progression in RA?

Answer 1

Anti-ccp

(also RF but more so ANti-CCP)

Question 2

What is the first -line analgesic treatment for patients with Osteoarthritis?

Answer 2

1. Topical NSAIDS/ or topical capsaicin
2. non-pharmacological apprach (trigger avoidance, stick, etc.)
3. consider intr-articular steroid injections (less fashionable now)

Question 3

What is the 2nd line analgesic treatment for patients with OA?

Answer 3

First line: topical agents (capseicin/ NDSAIDS)
2nd line: **Paracetamol + topical agents **

Question 4

What is the 3rd line analgesic medication in patients with OA?

Answer 4

NSAID + paracetamol + topical capsaicin

after

First line: topical agents (capseicin/ NDSAIDS)
2nd line: Paracetamol + topical agents

Question 5

What is the 4th line analgesic management in patients with Osteoarthritis?

Answer 5

Add weak opioid so
Opioids (codeine, tramadol, oxycodone) + paracetamol + NSAIDS+ topical capseicin

after 

1st line: topical agents (capseicin/ NDSAIDS)
2nd line: Paracetamol + topical agents
3rd line: NSAID + paracetamol + topical capsaicin

Question 6

What are the differences between PBC and PSC?

Answer 6