Rheumatology

Question 1

What is the name of the autoimmune disorder that affects the exocrine glands creating a dry mucosal surface?
(Eyes, mouth,vaginal)

Answer 1

Sjogren’s syndrome

Question 2

What other rheumatological condition will Sjogren’s syndrome patients develop?

Answer 2

Rheumatoid arthritis (mainly)
Connective tissue disease

Question 3

What malignancy are patients with Sjogren more likely to develop?

Answer 3

Lymphoid

Question 4

What is the demographic for Polymyalgia Rheumatica (PMR)?

Answer 4

> 60 years old
Female

Question 5

What are the signs of Polymyalgia Rheumatica (PMR)?

Answer 5

Morning stiffness in the shoulders and hips
Being unable to move in bed or get up in the mornings
Acute onset <1 month
General systemic symptoms

Question 6

What results are seen on the test are done for PMR?

Answer 6

Raised ESR >40
Normal creatine kinase and EMG (Muscle stimulation)

Question 7

What is the treatment for PMR?

Answer 7

Prednisolone
Rapid recovery (if not think a different condition)

Question 8

What do ~50% of patients with PMR also develop?

Answer 8

Temporal arteritis/Giant Cell arteritis

Question 9

What is GCA?

Answer 9

Vasculitis that affects medium-larger blood vessels

Question 10

What are the symptoms of GCA?

Answer 10

Headache
Jaw Claudication
Changes in vision/vision loss
Tender temporal artery

Question 11

What test results indicate GCA?

Answer 11

Elevated ESR
Elevated CRP
Skip lesions in temporal biopsy
Normal creatine kinase and EMG

Question 12

What is the treatment for GCA?

Answer 12

With no vision loss-prednisolone
with vision loss IV methylprednisolone