Rheumatology Hx

Question 1

acute onset of arthritis (overnight to days) =

Answer 1

inflammatory arthritis

eg. crystal, infectious and reactive arthritis

Question 2

primary OA doesnt involve __/__/_/__/__/__

Answer 2

MCPs
wrist
elbow
shoulders
ankles
2-5th MTPs

Question 3

RA doesn’t involve __ as they don’t have enough synovium

Answer 3

DIPJs

Question 4

oligoarthritis = __-__ joints affected

Answer 4

2-4

Question 5

polysrthritis involves __ joints

Answer 5

> 4

Question 6

RA affects these 7 joints

asym/symmetrical

Answer 6

MCPJ, PIPJ, MTPJ, wrist, elbow, knee, shoulder

symmetrical

Question 7

psoriatic arthirits affects these 3 joints

asym/symmetrical

Answer 7

PIPJ, DIPJ, large joints

asymmetrical

Question 8

ank spond affects __ and __ joints

asym/symmetrical

Answer 8

axial
large peripheral
asymmetrical

Question 9

arthritis that affects DIPJ, PIPJ, base of thumb

Answer 9

OA

Question 10

palindromic arthritis is likely to be __ in nature

Answer 10

inflammatory

Question 11

less than 30min morning joint stiffness =

Answer 11

OA

Question 12

more than 1hr joint stiffness in the morning =

this is because of ___

Answer 12

RA

more viscous synovial fluid and cytokines released at night

Question 13

arthiritis that is worse on movement and activity gelling

Answer 13

OA

Question 14

arthiritis better on movement

Answer 14

inflammatory

Question 15

features of a bacterial infection of a joint

Answer 15

monoarthritis
very red and swollen joint
fevers and chills
diarrhoea/wound/UTI
underlying joint abnormality eg. OA, RA, prosthetic

Question 16

features of viral infection of joints

Answer 16

acute polyarthritis
rash (parvo)
<6wks
hepatitis + HIV + STIs
PWIDs
tattoos and travel

Question 17

extra-articular features of RA

Answer 17

rheumatoid nodules
sicca
Raynauds
ocular inflam
SOB and dry cough (pulmonary)

Question 18

malar rash that spares the nasolabile folds and is photosensitive=

Answer 18

SLE

Question 19

__ arthritis increases the risk of PUD

Answer 19

rheumatoid arthritis

Question 20

white and cheesy nodules on the pinna of the ear for example =

Answer 20

gouty tophi - deposits of uric acid

Question 21

inflammation of the 1st MTO joint =

Answer 21

podagra = gout

Question 22

to differentiate between septic arthritis and gout Ix =

Answer 22

joint aspiration

Question 23

mouth and genital sores are caused by this small vessel vasculitis

Answer 23

Behcets syndrome