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Internal Medicine > Rheumatology > Flashcards

Rheumatology Flashcards

1
Q

Young woman w/ joint pain of PIP, MCP, wrist joints

A

Rheumatoid arthritis

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2
Q

Heberden nodes

A

Visible and palpable DIP joint osteophytes in osteoarthritis

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3
Q

Bouchard nodes

A

Proximal interphalangeal PIP joint osteophytes in osteoarthritis

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4
Q

Swan neck and boutonniere deformities seen w/?

A

Rheumatoid arthritis

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5
Q

Needle-shaped crystals with negative birefringence (yellow in parallel light) in joint fluid

A

Gout

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6
Q

Tx of acute gout attacks

A

Colchicine or NSAIDs (NEVER ASA)

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7
Q

Tx of gout maintenance

A

Allopurinol or probenecid (only in those with goof renal function)

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8
Q

Contra-indications of NSAIDs

A

Peptic ulcer disease

Renal failure

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9
Q

Calcium pyrophosphate crystals in joints

A

Pseudogout

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10
Q

Rhomboid crystals with weakly positive bifringence

A

Pseudogout

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11
Q

Which joints are commonly affect by Pseudogout?

A

Large joints (classically knee, elbows)

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12
Q

Erythema chronicum migrans

A

Lyme disease

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13
Q

Tx of Lyme in children younger than age 8 and in a pregnant/lactating woman

A

Amoxicillin or cefuroxime

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14
Q

Erythema marginatum, carditis, migratory polyarthritis, subcutaneous nodules

A

Jones criteria for Rheumatic fever 2/2 Group A strep

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15
Q

Charcot joint

A

Most commonly seen in diabetes and other neuropathies 2/2 lack of sensation causing pt to overuse or misuse joints that become deformed and painful

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16
Q

Heliotrope rash

A

Dermatomyositis

17
Q

Vasculitis associated with Hepatitis B

A

Polyarthritis nodosa (spares pulmonary arteries)

18
Q

Asian females

A

Takayasu arteritis

19
Q

Behcet syndrome

A

Young men ~20yo with painful oral and genital ulcers, uveitis, arthritis, erythema nodosum
Tx: Steroids

20
Q

Paget disease

A

bone is broken down and regenerated, p/w: bone pain, arthritis, hearing loss, Alk phos very high with normal calcium and phosphorous levels; Tx: bisphosphenate

21
Q

If pediatric patient has uveitis and inflammatory arthritis, but negative RF, what’s the dx?

A

Still RA since RF is negative in the pauciarticular variant

Internal Medicine (12 decks)

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