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ABR > Rheumatology > Flashcards

Rheumatology Flashcards

1
Q

Complication of RA
Painful, photophobia, diffuse redness of sclera

Management

Complication

A

Scleritis

Steroids. Treat underlying disease.

Rupture of globe

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2
Q

Treatment for RA

A

Methotrexate
Then steroids
Then PPD for monoclonal Ab

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3
Q

Adverse effect of infliximab

A

Psoriasis

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4
Q

Adverse effect of tocilizumab

A

Diverticular rupture
OCP failure
HLD

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5
Q

Adverse effect of rituximab

A

Can deactivate Hep B

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6
Q

Methotrexate monitoring

A

CBC, AST, Cr q 3 mo

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7
Q

Positive Homan sign

Negative DVT US

A

Ruptured popliteal (Baker) cyst

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8
Q

RA
Splenomegaly
Neutropenia

A

Felty syndrome

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9
Q

Polyarthritis
Fever
Evanescent salmon colored/faint pink rash

A

Juvenile idiopathic rheumatoid arthritis (Still’s disease)

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10
Q

Diseases correlated with Sjogrens

A

Increased risk of lymphoma and celiac disease

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11
Q

Diagnosing Sjogren

A

Schirmer (blotting paper) test
- positive if < 5’m wetting in tearing of eyes in 5 min (normal is 15mm in 5min)

If Ab negative, Lip biopsy

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12
Q

Management of Sjogren

A

Hydration
Pilocarpine
Cevimeline

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13
Q

Bamboo spine
Uveitis
Aortitis
HLA B27+

A

Ankylosis spondylitis

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14
Q

Management of anklyosing spondylitis

A

NSAIDs

Then anti-TNF

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15
Q

Keratoderma blenborrhagicum

A

Reactive arthritis

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16
Q

Management of reactive arthritis

A

NSAIDs

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17
Q

Arthritis
Pitting nails

Management

A

Psoriatic arthritis

NSAIDs (mild)
Methotrexate (skin/nail changes)

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18
Q

Oral and genital ulcers
Erythema nodosum
Pathergy+
Aneurysm

Management

A

Bechet’s disease

Colchicine (mucocutaneous)
Steroids, TNF inhibitors (moderate to severe)

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19
Q

Caribbean
Fever
Arthritis

A

Chikungunya

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20
Q

Flowing ossification if anterior longitudinal ligament

A

Diffuse idiopathic skeletal hyperostosis (DISH)

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21
Q

Most important risk factor for osteoarthritis

A

Obesity

22
Q

Osteophytes formation

A

Osteoarthritis

23
Q

Anterior hip pain on external and internal rotation

A

Osteoarthritis

24
Q

Potential reason for Tscore discrepancy (Lumbar spine -1.0, iliac spine -2.6)

A

Osteophytes in lumbar vertebrae

25
Q

Lateral hip pain

A

Greater trochanter pain syndrome

26
Q

Gouty attack

On chlorthalidone

A

Switch to losartan

27
Q

Rhomboid crystals
Weakly + birefringence
Chondrocalcinosis

A

Pseudogout

Calcium pyrophosphate dihydrate disease

28
Q

Diseased associated with calcium pyrophosphate dihydrate disease

A

Hemochromatosis

Hyperparathyroidism

29
Q

Shoulder pain
Washing back while showering
Lateral shoulder pain while lying down

A

Rotator cuff tendinopathy

30
Q

Fall on outstretched hand
Shoulder pain
Cannot abduct arm and keep up to 90 deg

A

Rotator cuff tear

31
Q

Affected muscle in lateral epicondylitis

A

Extensor carpi radialis brevis

32
Q

Affect muscle in carpal tunnel syndrome

A

Abductor pollicis brevis

33
Q

Unable to hold paper between fingers

A

Ulnar nerve entrapment

34
Q

Affected muscles in De Quervains tenosynovitis

A

Abductor pollicis longus

Extensor pollicis brevis

35
Q

Saturday night palsy

A

Compression of radial nerve at spiral groove in middle of arm

36
Q

Management for dupuytrens contracture

A

Collagenase injections

37
Q

DM

Inability to completely extend fingers

A

Diabetic cheiropathy

38
Q

Diabetic hand syndrome

A

Diabetic cheiropathy
+
Dupuytrens contracture

39
Q

DM
Pelvic and thigh pain
Atrophy and weakness of thigh muscle

A

Diabetic amyotrophy

40
Q

Knee pain
Medial aspect
2in below join line

A

Pes anserine pain syndrome

41
Q

Heel spur
Tender at base of calcaneus
Tender with squeezing heel

A

Plantar fasciitis

42
Q

Management for fibromyalgia

A

Amitryptyline

43
Q

Episodic swelling of ears

Cartilaginous portion of ear swollen

A

Relapsing polychondritis

44
Q

Abdominal pain
Renal insufficiency
Hep B sAg positive

A

PAN

45
Q

Italian. Jewish. Arab.
High fever. Swollen knee
Father with similar symptoms

A

Familial Mediterranean fever

46
Q

Clinical findings that suggest secondary Raynaud

A

Age > 40
Abnormal nail fold capillaries
Digital ulcerations

47
Q

Swelling of arms and legs sparing hands and feet
Orange peel like quality of skin
Eos+

A

Eosinophilic fasciitis

48
Q

Dermatomyositis
Mechanic hands
ILD
Raynaud

A

Anti-synthetase syndrome

49
Q

Distal weakness > proximal
Endomysial inflammation
Basophilic rimmed vacuoles

A

Inclusion body myositis

No treatment

50
Q

LE proximal muscle weakness

Vacuoles. No inflammation

A

Colchicine myopathy

51
Q

RTA 1

CaPhos stones

A

Sjogren

ABR (12 decks)

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