Rheumatology - UWorld Flashcards

1
Q

On physical exam, what diagnosis does an Inability to Extend the Knee or Maintain Passive ROM mostly likely point to?

A

A COMPLETE rupture of Patellar Tendon.

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2
Q

What is the Treatment of Choice for a Complete Rupture of Patellar Tendon?

A

Surgical Repair (as soon as possible following injury)

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3
Q

What are (2) Good Prognoses that Surgically Repairing a Completely Ruptured Patellar Tendon AS SOON AS POSSIBLE provide?

A
  1. Optimizes Recovery of Knee Function.
  2. Decreases the likelihood of Long-term Disability.
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4
Q

What is the Treatment of Choice for Hypertension in a patient with Gout?

A

Losartan - an Angiotensin Receptor Blocker (ARB) with a modest uricosuric effect

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5
Q

What are (3) Common Pathogenic Causes of Septic Arthritis in patients Age < 3 months?

A
  1. Staphylococcus aureus
  2. Group B Streptococcus (GBS)
  3. Gram-NEGATIVE Bacilli
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6
Q

What are (3) Common Pathogenic Causes of Septic Arthritis in patients Age ≥​ 3 months?

A
  1. Staphylococcus aureus
  2. Group A Streptococcus (Strep pyogenes)
  3. Streptococcus pneumoniae
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7
Q

What are (3) Clinical Features associated with Septic Arthritis?

A
  1. Acute-Onset of Joint Pain, Swelling, and Limited Motion
  2. Refusal to Bear Weight
  3. Fever ≥ 101.3°F (38.5°C)
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8
Q

What are (4) Diagnostic Findings typical in a patient with Septic Arthritis?

A
  1. Elevated WBC, ESR, and CRP levels
  2. +/- Blood Culture
  3. Synovial WBC count > 50,000/mm3
  4. Effusion on Ultrasound/MRI
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9
Q

What are the (2) Treatments for Septic Arthritis?

A
  1. Joint Drainage & Debridement
  2. IV Vancomycin (PLUS Cefotaxime IF Age < 3 months)
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10
Q

What are (4) Subtle Findings in an INFANT with Septic Arthritis?

A
  1. Irritability
  2. Poor Feeding
  3. Aversion to being Held
  4. Pseudoparalysis (lack of movement)
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11
Q

What is the WHOs Definition of Osteopenia (a.k.a. Low Bone Mass)?

A

T-Score = -1 to -2.5 (on DEXA scan)

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12
Q

What is the WHOs Definition of Osteoporosis?

A

T-Score = -2.5 or lower (on DEXA scan)

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13
Q

What is the WHOs Definition of Severe Osteoporosis?

A

T-Score = -2.5 or lower with ≥ 1 Fragility Fractures (on DEXA scan)

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14
Q

What is the WHOs Definition of Normal Bone Density?

A

T-Score = -1 & above (on DEXA scan)

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