Rheumatology - UWorld

Question 1

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

Answer 1

A COMPLETE rupture of Patellar Tendon.

Question 2

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

Answer 2

Surgical Repair (as soon as possible following injury)

Question 3

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

Answer 3

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

Question 4

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

Answer 4

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

Question 5

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

Answer 5

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

Question 6

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

Answer 6

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

Question 7

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

Answer 7

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

Question 8

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

Answer 8

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

Question 9

What are the (2) Treatments for Septic Arthritis?

Answer 9

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

Question 10

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

Answer 10

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

Question 11

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

Answer 11

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

Question 12

What is the WHOs Definition of Osteoporosis?

Answer 12

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

Question 13

What is the WHOs Definition of Severe Osteoporosis?

Answer 13

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

Question 14

What is the WHOs Definition of Normal Bone Density?

Answer 14

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