Rheumatology

Question 1

What is joint pain; caused by narrow set of conditions?

Answer 1

arthralgia

Question 2

What is joint inflammation?

Answer 2

arthritis

Question 3

Name that joint pain: joint px in one area, & next day another joint plus is in pain in addition to the initial joint?

Answer 3

Additive arthritis

Question 4

Name that condition: not joint specific; back & knee are common; occurs at night; child wakes up screaming; Tylenol and massage stops crying

Answer 4

growing pains

Question 5

Name that condition: very flexible people; px is always symmetrical & from movement

Answer 5

benign hypermobility

Question 6

Name that condition: includes joint and muscle pain; goes with anxiety and depression

Answer 6

amplified pain

Question 7

Name that condition: only one joint is effected; accompanied by FEVER

Answer 7

septic arthritis

Question 8

Name that condition: caused by recent infection; the antibodies who fought original systemic infection attack the synovial lining; very responsive to NSAIDS?

Answer 8

reactive arthritis

Question 9

Name that condition: : low grade fever, won’t walk due to px; type of reactive arthritis that lasts a couple days; 2-6y/o with preceding cold, only one hip

Answer 9

Post-infectious synovitis of the hip

Question 10

Name that condition: can have inflammation and pain; can get uveitis and go blind if left untreated?

Answer 10

Juvenile idiopathic arthritis (JIA)

Question 11

Name that condition: whole limbs hurt; wakes from sleep; night pain

Answer 11

cancer

Question 12

macrophage activation syndrome & uveitis are complications of what joint condition in children?

Answer 12

JIA

Question 13

This condition is marked by inflammation of synovial lining of the joint; can cause articular tissue destruction if left untreated; between 1-3 & 8-12 and more common in females?

Answer 13

JIA

Question 14

first line therapy for JIA?

Answer 14

NSAID’s

Question 15

What is the indication for use of corticosteroids in cases of JIA?

Answer 15

internal organ involvement/inflammation

Question 16

This drug is indicated in polyarticular JIA and non-responsive other types?

Answer 16

Methotrexate

Question 17

This type of JIA is Inflammation where tendons insert & is treated with TNF blockers

Answer 17

Enthesitis

Question 18

This type of JIA Present with systemic inflammation marked by a fever that spikes 1-2x per day and can last months, have salmon colored rash, and is very resistant to tx?

Answer 18

systemic JIA

Question 19

This type of JIA impacts >5 joints; commonly medium to small joints (ankle, hand, wrist); arthritis is usually symmetrical; Females more common;

Answer 19

polyarticular

Question 20

This type of JIA impacts <5 joints; Knee is most common; common in children 1-3y/o and carries biggest risk for uveitis?

Answer 20

Oligoarticular

Question 21

The patho of this condition is characterized by inflammation of small blood vessels with leukocytic infiltration of tissue?

Answer 21

HSP or IgA vasculitis

Question 22

This condition is the most common systemic vasculitis of childhood and cause of nonthrombocytopenic purpura; 3-15y/o; male more common; winter months more common?

Answer 22

HSP or IgA vasculitis

Question 23

This condition presents in children 4-10y/o with a palpable purpura rash on the waste, butt, and legs, knee arthritis, and is DX with skin biopsy

Answer 23

HSP or IgA vasculitis

Question 24

bowel obstruction or perforation is a complication of what condition?

Answer 24

HSP

Question 25

A fever x 5 days without cause, conjunctival injection, rash, adenopathy, strawberry tongue & dry cracked lips, hands and feet are swollen and fingers peel?

Answer 25

Kawasaki disease

Question 26

Patho of this condition is inflammation of small to medium arteries resulting in aneurism

Answer 26

kawasaki

Question 27

IV immunoglobulin and aspirin are the treatment for what conditon?

Answer 27

kawasaki

Question 28

This condition is more common in females, 9y/o or younger, presents with symmetrical joint pain in smaller joints, and is accompanied by fatigue, weight loss, photosensitivity, and malar rash?

Answer 28

systemic lupus erythematous (SLE)

Question 29

methylprednisone and prednisone are mainstay of treatment for this condition, but Hydroxychloroquine can be used and provide longer period of remission and reduce vascular complications

Answer 29

SLE