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MCCQE1 Jason's > Rheumatology - handbook > Flashcards

Rheumatology - handbook Flashcards

1
Q

how long si chronic?

A

> 6 weeks

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2
Q

how long is acute?

A

<1week

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3
Q

inflammatory symptoms?

A

worse in morning, stiffness >30min,
pain worse with rest,
improves with activity

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4
Q

extra-articular features in RA?

A 
rash
nodules
myalgias
weakness
red eyes
IBD
oral ulcers
urethral discharge
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5
Q

joint main differential dx mnemonic?

A 
SOFTER TISSUE
sepsis
OA
Fracture
tendon/muscle
epiphyseal
referred
tumour
ischaemia
seropositive arthritis
seronegative arthritis
urate
extraarticular rheumatism (polymyalgia/fibro)
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6
Q

septic arthritis organisms common?

A

staph aureus
strep
n.gonorrhoea

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7
Q

risk factors for septic arthritis ?

A

extra articular infection with hematogenous seeding
IVDU
RA/DM/Malign
prior joint damage

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8
Q

preceding bacteraemia in septic arthritis ?

A

skin lesions,
tenosynoitis,
migrating polyarthritis
purulent monoarthritis

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9
Q

what is the gonococcal triad septic arthritis ?

A

migratory arthritis
tenosynovitis next to inflamed joint
pustular skin rash

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10
Q

Classic triad for reactive arthritis?

A

peripheral arthritis
conjunctivitis
urethritis/cervicitis

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11
Q

other reactive arthritis manifestiations?

A

diarrhoea
spondylitis
skin manifestations

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12
Q

how to manage reactive arthritis?

A

Abx for non-articular infections
NSAIDS
local joint injections
systemic steroids

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13
Q

Osteoarthritis primary etiology?

A

idiopaathic

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14
Q

Osteoarthritis secondary etiology?

A 
post-truamatic
most-inflammatory (RA)
post infectious
scoliosis
endocrine ( acromegaly, hyperparathyroidism
metabolic (gout, pseudogout
neuropathis (charcot joints, DMII)
avascular necrosis
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15
Q

who gets Osteoarthritis commonly?

A 
genetics
age >75
obesity
2:1 female
trauma
malnutrition
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16
Q

most common Osteoarthritis joints?

A

hip, knee, hands, spine

17
Q

less common Osteoarthritis joint?

A

elbows, shoulder, wrist, ankle

18
Q

Ix for Osteoarthritis?

A

normal CBC ESR, CRP

neg RF, ANA

19
Q

4 hall marks of Osteoarthritis in x-ray

A

joint space narrowing
osteophytes
subcondral sclerosis
subcondral cysts

20
Q

Gout precipitants mnemonic?

A 
FACT
furosemide
aspirin/alcohol
cytotoxic drugs
thiazides
21
Q

cystals for gout?

A

negative birefringence

needle shaped

22
Q

crystals for pseudogout?

A

positive birefringence

rhomboid shaped

23
Q

treatment of acute gout?

A

NSAIDS
corticosteroids
cochicine

MCCQE1 Jason's (33 decks)

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