rheumatology

Question 1

if patient allergic to aspirin what DMARD should be given with caution

Answer 1

sulfalasazine

Question 2

what arthritis is caused by IBD

Answer 2

enteropathic

Question 3

risk factor for pseudo gout

Answer 3

hyperparathyroidism
hypothyroidism

Question 4

is CRP normal or elevated in systemic lupus erythematosus

Answer 4

normal

Question 5

what antibiotic cannot be prescribed with methotrexate

Answer 5

trimethoprim

Question 6

for acute attacks of gout what do you give

Answer 6

colchicine

Question 7

investigation for ankylosing spondylitis

Answer 7

plain radiograph of pelvis

Question 8

joint aspirate of rheumatoid arthritis

Answer 8

high WBC count
polymorphonuclear neutrophils
yellow and cloudy

Question 9

positive cardiolipin antibody suggest

Answer 9

antiphospholipid syndrome

Question 10

pencil in cup deformity on Xray is suggestive of

Answer 10

psoriatic arthritis

Question 11

what is important to monitor in a patient taking hydroxychloroquine

Answer 11

visual acuity - result in severe, permanent retinopathy

Question 12

low calcium and phosphate
raised ALP
with generalised bone pain and muscle weakness

Answer 12

osteomalacia

Question 13

what is squaring of the thumb a characteristic feature of

Answer 13

osteoarthritis

Question 14

What is the main side effect of bisphosphonates

Answer 14

oesophageal restrictions including oesophagitis, ulcers, erosions

Question 15

What causes eye problems in GCA

Answer 15

anterior ischaemic optic neuropathy

Question 16

What gene for behcets diseases

Answer 16

HLA-B51

Question 17

Symptoms of Behçet’s disease

Answer 17

• anterior uveitis
• oral ulcer
• genital ulcers

Question 18

Felty’s syndrome

Answer 18

rheumatoid arthritis
Splenomegaly
Neutropenia

Question 19

Antiphospholipid syndrome in pregnancy

Answer 19

LMWH

Question 20

1st line investigation for GCA

Answer 20

ECR

Question 21

what does co-trimoxazole contain

Answer 21

trimethoprim
- do not prescribe with methotrexate

Question 22

ankylosing spondylitis features

Answer 22

the A’s
- apical fibrosis
- anterior uveitis
- aortic regurgitation
- achilles tendonitis
- AV node block
- amyloidosis

Question 23

children and adolescents, growing lump on posterior aspect of thigh that is painful
onion skin appearance on radiograph =

Answer 23

ewings sarcoma

Question 24

what is febuxostat used for

Answer 24

gout

Question 25

what is etanercept an example of

Answer 25

anti TNF

Question 26

proximal muscle weakness + rash around eyelids (heliotrope rash) =

Answer 26

dermatomyositis

Question 27

dermatological finding in Behcets disease

Answer 27

erythema nodosum

Question 28

underlying condition in dermatomyositis

Answer 28

internal malignancy

Question 29

is there muscle weakness in poly myalgia rheumatica

Answer 29

no

Question 30

sunburst pattern on radiograph

Answer 30

osteosarcoma

Question 31

what antibodies are associated with drug induced lupus

Answer 31

anti histone antibodies

Question 32

best diagnostic test for granulomatosis with polyangitis

Answer 32

cANCA

Question 33

what should be checked before starting azathioprine

Answer 33

thiopurine methyltransferase deficiency

Question 34

what should be managed before giving bisphosphonates

Answer 34

calcium / vit D deficiency

Question 35

what is sausage fingers also described as

Answer 35

dactylics - seen in psoriatic arthritis

Question 36

riddle for reactive arthritis

Answer 36

can't see, can't pee, can't climb a tree

Question 37

if getting chemotherapy what are you at increased risk of

Answer 37

gout

Question 38

asymmetrical presentation of stiffness that is relieved by exercise is suggestive of

Answer 38

psoriatic arthritis rather than rheumatoid

Question 39

initial investigation for systemic lupus erythematosus

Answer 39

ANA