Rheumatology

Question 1

Polymyalgia rheumatica S+S

Answer 1

pains in shoulders and thighs

struggles to get up in the morning

Question 2

Polymyalgia rheumatica Lab test

Answer 2

ESR >40

Question 3

Polymyalgia rheumatica treatment, how long

Answer 3

prednisolone

Azathioprine may be added to diminish the dose of steroid required for maintenance but Azathioprine alone has not been shown to be effective for either PMR or GCA

1-2 years

Question 4

Complications of corticosteroid therapy

Answer 4

DM
Osteoporosis
Avascular necrosis
Cataract

Question 5

in suspected cases of GCA, ….should be started immediately

Answer 5

oral steroids (pred)

Question 6

What do you seen on XR of seronegative axial spondyloarthopathy?

Answer 6

Sacroiliitis - fusion of the sacroiliac joints and spinous ligament fusion (“bamboo” spine).

Question 7

Associations with seronegative axial spondyloarthopathy

Answer 7

amyloidosis
aortic valve disease
^^ COD in these patients

plantar fasciitis
Crohns

Question 8

Sarcoidosis initial treatment

Answer 8

Ibuprofen

Prednisolone