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Finals > Rheumatology Guidelines > Flashcards

Rheumatology Guidelines Flashcards

1
Q

schobers test and ank spond

A

<5cm is postiive

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2
Q

most useful 1st test for ank spond

gold standard Ix

A

Xray sacroiliacs

MRI is gold standard

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3
Q

ESR and CRP in ank spond

A

both up

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4
Q

1st line ank spond

A

NSAIDs and exercise

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5
Q

DMARD in ank spond

A

only if peripheral involvemtn (mor ein woman)

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6
Q

When do you do biologic in ank spond

A

if failed 2 NSAIDs

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7
Q

antiphospholipid syndrome aPTT

A

paradoxically up

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8
Q

antiphospholipid Mx

A

warfarin

  • first VTE = 6m at 2-3
  • recurrent VTE if second one during warfarin = lifelong at 3-4
  • arterial thrombosis = lifelong 2-3
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9
Q

behcets Ix

A

pathergy test

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10
Q

CFS 1st line

A

CBT

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11
Q

dermatomyositis definitive ix

A

muscle biopsy

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12
Q

CK in dermatomyositis

A

up

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13
Q

EMG in dermatomyositis

A

fibrillations

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14
Q

1st line dermatmyositisi

A

steroids

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15
Q

diagnosis of fibromyalgia

A

need t be tender at 11+ out of 18 points

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16
Q

best evidence Tx for firbomyalgia

A

aerobic exercise

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17
Q

gout acute 1st line

A

NSAIDs (max dose for 1-2d after Sx stop) or colchicine

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18
Q

when can you not use NSAIDs in gout

A

any CKD

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19
Q

when can you not use colchicine in gout and what do you then use

A

ESKD, use prednisolone

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20
Q

serum urate aim for when on allopuronol

A

less than 300

21
Q

2nd line urate lowering drug

A

febuxostat

22
Q

diet for gout?

A

increase vit C

23
Q

diuretics for gout?

A

stop thiazides. ARB help

24
Q

xray findgins in rickets

A

cupped ragged metaphysis

25
Q

adults osteomalacia xray finding

A

pseudofracture/loosers zone

26
Q

skull problem in pagets

A 
frontal bossing
osteoporosis circumscipta (patches of osteoporosis)
27
Q

polyarteritis nodosa association

A

man with hep B

28
Q

PAN definitive biopsy (2)

A

renal or mesenteric angiogram

biopsy with microaneursysm

29
Q

PAN Mx

A

control BP steroids a cyclophosphamide

30
Q

PAN blood test

- crp, esr, wcc, hb

A

crp esr wcc up

anaemia

31
Q

PMR Ix

- esr, ck, alp, emg

A

esr up
alp up
ck and EMG

32
Q

PMR Mx

A

prednisolone (methylpred if eye involvement)

33
Q

pseudogout Mx

A

NSAIDs or steroids

34
Q

psoriatic arthroapthy : systemic steroids?

A

makes rash worse

35
Q

joint aspirate in reactive arthtis

A

negative

36
Q

Mx for reactive arthtiris

A

4w to start
4m to leave
self limiting so don’t have to do anytihgn,
can use MTX is lasting more than 6m

37
Q

how do you detect RF

A

rose waaler test - sheep red cell agglutination

less specific Latex aggluniation test

38
Q

how do you diagnose RA

A

need 6/10 score of American thingy:

- esr, >6w, joints involved serology

39
Q

1st line RA Tx in flare first time

A

single DMARD MTX) and pred

40
Q

disease monitoring in RA

A

DAS28 + CRP

41
Q

TNFa i indication in RA

A

failed 2 DMARDS including MTX

42
Q

Schirmer test +ve

A

<15mm in 5min

43
Q

definitive test for sjogrens

A

biopsy shows lymphocytic infiltration

44
Q

other weird blood test for sjogrens

A

IgG high and C4 low

45
Q

Mx for sjogrens

A

articificla tears and saliva

pilocarpine may stimulat esecretions

46
Q

SLE diagnsitic critera

A

Need 4 or more of: dicoid rash, malar rash, photosensitivity, oral ulcer, arthritis, serositis, renal disorder, CNS disorder, haem disorder, immunological disrde, ANA

47
Q

SLE blood during flare

  • CRP/ESR
  • complemenyts?
A

Crp normal but ESR raised

low C3 and C4

48
Q

disease monitoing for SLE

A

dsDNA

49
Q

severe flare SLE Mx

A

IV cyclophosphamide + high dose pred

Finals (13 decks)

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