Rheumatology Final Flashcards
Which TB drug causes Drug induced Lupus?
Isoniazid
First Line IV antibiotic for septic arthritis:
Flucloxacillin
Which should be given to patients who will be given long term steroids?
Immediate Alendronate
Blue Sclera is associated with ?
Osteogenesis Imperfecta
Pencil in Cup appearance is associated with ?
Psoriatic Arthritis
Which drug is used for SLE during Pregnancy?
Azathioprine
What is required before starting Hydroxychloroquine?
Examination by ophthalmologist since the drug is associated with retinopathy
Juxta Articular Osteoporosis is a feature of?
Rheumatoid Arthritis
Isoniazid can cause which disease?
SLE
Which antibody can be used to rule out SLE?
ANA since 99% of SLE patients are ANA positive
What is a side effect common to Azathioprine and Allopurinol?
Bone Marrow Supression
What can be used to support a diagnosis of Ankylosing Spondylitis?
Pelvic XRay
An Autoimmune disease affecting proximal muscles wit normal Creatine Kinase:
Polymyalgia Rheumatica
What is Schober’s Test ?
A test that measures lumbar flexion used in Ankylosing Spondylitis
Which tumor is associated with a sunburst pattern?
Osteosarcoma
Which tumor would show an onion skin appearance?
Ewing’s’ Sarcoma
Which tumor presents as a benign overgrowth on the skull?
Osteoma
Which tumor presents as a cartilage capped bony projection?
Osteochondroma
Which tumor presents as a double bubble / Soap bubble ?
Giant Cell Tumor
What does an X Ray of the pelvis in Ankylosing Spondylitis Show?
Sacroilitis
Systemic Sclerosis Antibody (Central):
Anti-Centromere
Which Drugs can cause Lupus?
PIMPH
Procainamide Hydralazine Isoniazid Minocycline Phenytoin (PIMPH)
Diffuse Scleroderma Antibodies:
Anti-SCL-70
Which drug is used for Acute Gout?
Colchicine
Allergic Contact Dermatitis is type?
IV
SLE is Hypersensitivity type?
III
Sudden Stroke with elevated APTT is due to ?
Antiphospholipid Syndrome
First Line for OA?
Paracetamol (NSAID)
Rough Red papules over the knuckles are called?
Gottron’s Papules
Dermatomyositis
Pain on wrist extension against resistance with elbow extended:
Lateral Epicondylitis
Temporal Arteritis is associated with which AI condition?
PMR
Which DMARD drug should be prescribed with caution?
Sulfasalazine
People allergic to aspirin might be allergic to it
Which drug should not be prescribed with Methotrexate to avoid BM Supression?
Trimethoprim
Behcets Triad
Oral Ulcers + Genital Ulcers + Anterior Uveitis
Urethritis + Arthritis + Conjunctivitis :
Reactive Arthritis
First line of treatment in Ankylosing Spondylitis:
NSAID
Which Drug is used in the acute phase of gout?
NSAID (Naproxen)
Chondrocalcinosis is a feature of ?
Pseudo gout
Antiphospholipid Syndrome therapy:
Lifelong Warfarin
Gout Crystals Description
Needle Shape
Negative Birefringence
Presentation of RA but with involvement of DIP:
Psoriatic Arthritis
Which joint isn’t involved in RA?
DIP
Which Joint isn’t involved in OA?
MCP
Anti-CCP are associated with ?
RA
Therapy for Ankylosing Spondylitis:
NSAIDs + Exercise
What distinguishes Pseudo gout from Gout?
Chondrocalcinosis in Pseudo Gout
Old male wit bone pain and elevated ALKP
Paget
Marfan’s inheritance Pattern:
Autosomal Dominant
Felty Syndrome:
RA + Splenomegaly + Decreased WBC
Limited Systemic Sclerosis syndrome;
CREST
What has to be checked before using azathioprine?
TPMT
Which tendonitis is associated with Ankylosing Spondylitis?
Achilles
What should you monitor during hydroxychloroquine prescription?
Visual Acuity
Sjogren Antibodies:
Anti-Ro / Anti-La
Key investigation in PMR?
ESR & CRP
CK is normal
Diffuse vs Systemic Sclerosis
Diffuse is associated with trunk and proximal limbs
Ossification of outer fibers of annulus Fibrosis in Ankylosing Spondylitis:
Syndesmophytes
Schirmer Test:
Dry Eye test
How can you assess for Hypermobility?
Beighton Score
How can you manage acute flares of RA?
IM Steroids
Which antibodies are seen in drug induced lupus?
Anti-Histone Antibodies
Bone changes in Ankylosing Spondylitis:
Subchondral Erosions / Sclerosis
Antiphospholipid Syndrome Antibodies:
Anti-Cardiolipin
PMR treatment:
Corticosteroids
Antisynthetase Syndrome
Anti-JO1
Dermatomyositis + ILD
Bone Pain + Tenderness + Proximal Myopathy
Osteomalacia
Which drug can be used for Raynauds?
Nifedipine
What should be done before starting biologics for RA?
Chest XRay
Complement levels during active SLE Flare:
Low
Which ANCA is associated with UC?
pANCA