Rheumatology

Question 1

bilateral hilar lymphadenopathy and pulmonary fibrosis

Answer 1

sarcoidosis

Question 2

what causes meniere’s disease

Answer 2

fluid retention within the labyrinthine system of the ear, most commonly unilateral

Question 3

vertigo, tinnitus, and decreased hearing

Answer 3

meniere’s disease (generally return to baseline between attacks)

Question 4

phlegmasia cerulea dolens

Answer 4

venous occlusion due to massive ileofemoral thrombosis that involves most of venous collateral system

Question 5

what condition causes false positive syphilis test

Answer 5

SLE

Question 6

how to diagnose SLE

Answer 6

4 of SOAP BRAIN MD criteria: serositis, oropharyngeal ulcers, arthralgias (one of the most common symptoms), photosensitivity, blood disorders (leukopenia, thrombocytopenia, and hemolysis), renal disorders (proteinuria or kidney injury), antinuclear antibody positivity, immunological disorders (dsDNA positivity), neurological symptoms (psychiatric abnormalities and seizures), malar rash, and discoid rash

Question 7

recurrent pregnancy loss in young female who is pregnant

Answer 7

SLE

Question 8

rash seen in dermatomyositis

Answer 8

gottron papules (plaques on extensore surfaces of hands )and heliotrope eruption (around face)

Question 9

labs to check in polymyositis

Answer 9

CK and LDH

Question 10

polymyositis + dermatologic manifestations

Answer 10

dermatomyositis

Question 11

muscle weakness in inclusion body myositis

Answer 11

distal >proximal

Question 12

hand joints most commonly affected in RA

Answer 12

MCP and PIP (DIP is more OA)

Question 13

MCC of boutenniere deformity

Answer 13

RA due to prolonged inflammation leading to central slip rupture

Question 14

antibody associated with granulomatosis with polyangitis

Answer 14

cANCA

Question 15

Upper and lower respiratory sx + renal sx, c-anca

Answer 15

GPA

Question 16

Asian, decreased pulses- diagnosis

Answer 16

takayasu’s arteritis

Question 17

skin ulcers, nephritis, mesenteric ischemia without lung involvement, usually associated with HBV

Answer 17

polyarteritis nodosa

Question 18

smokers, claudication of hands and feet

Answer 18

buerger’s disease

Question 19

similar to GPA but without nasopharyngeal involvement, p-ANCA

Answer 19

microscopic polyangitis

Question 20

vasculitis + eosinophilia + asthma

Answer 20

churg-strauss syndrome

Question 21

oral and genital ulcers, hyperreactivity to needle sticks

Answer 21

behcet’s disease

Question 22

HCV, malaise, skin lesions, joint pain

Answer 22

cryoglobulinemia

Question 23

what medications can induce gout

Answer 23

thiazide and loop diuretics

Question 24

livedo reticularis, tender lumps under the skin, elevated ESR, ANCA negative

Answer 24

polyarteritis nodosum