Seronegative Spondyloarthropathies

Question 1

What is the scoring system for joints?

Answer 1

DAS

Disease Activity Score

Question 2

Which HLA relevant?

Answer 2

B27

Question 3

What are all the 7 “As” of AS?

Answer 3

Anterior Uveitis
Achilles tendonitis
Apical fibrosis
Aortic regurgitation
Amyloidosis
Atlanto Axial instability
Autoimmune bowel disease (UC)

Question 4

What are other extrarticular features of AS?

Answer 4

Dactylitis
Enthesis
Sacroilitis
Chest pain from fused ribs

Question 5

What forms the AS posture?

Answer 5

?
lumbar lordosis
fixed kyphosis

Question 6

What is the posture test?

Answer 6

Schobers

Question 7

What are Xray signs of AS?

Answer 7

Dagger sign
Bamboo spine
Syndesmophytes

Question 8

What is the initial presenting sign of AS?

Answer 8

Pain above buttocks in young men with insiduous onset

Sacral illitis

Question 9

What is the management of AS?

Answer 9

NSAIDs- Naproxen or Diclofenac for 3 months max dose
Sulfasalazine
Adalimumab(can’t take alongside infection and infection prone)
Physio and hydrotherapy

Question 10

Are steroids effective in AS?

Answer 10

NO

Question 11

What scores are useful for monitoring AS?

Answer 11

BASDAI or BASFI

Question 12

How do you image sacroilietis?

Answer 12

MRI T1 and T2

Question 13

What are signature signs of all seroneg spondylos?

Answer 13

Sacroilietis, ethesitis, inflammatory back pain

Question 14

What are 3 signs of reactive arthritis?

Answer 14

Cant see (uve)
cant’ wee (urethritis)
can’t climb a tree (arthritis)

Question 15

How long does reactive arthritis last?

Answer 15

Months on and off

Question 16

What joints are affected in reactive arthritis?

Answer 16

Any

Often lower limbs and achilles tendon swelling

Question 17

What diseases cause reactive arthritis?

Answer 17

Campylobacter
Chlamydia
Salmonella
Shigella

Question 18

What are skin lesions seen inreactive arthritis and descrive?

Answer 18

Keratoderma blenorrhagica

Waxy brown lesions on soles of feet and hands

Question 19

Who do you need to liase with in reactive arthritis?

Answer 19

Opthalm
ID
Public health

Question 20

What penis sing in reactive arthritis?

Answer 20

Circinate balanitis

Question 21

How is reactive arthritis managed?

Answer 21

NSAIDs, skin and eyes treated with local steroids

If recurrent for over 6 months sulfasalazine

Question 22

What radiological signs in reactive arthritis?

Answer 22

None

Question 23

What % of patients with psoriasis have arthritis?

Answer 23

10

Question 24

What % progress to deforming arthritis?

Answer 24

20

Question 25

What hand signs are seen in psoriatic arthritis?

Answer 25

Onycholysis
Dactylitis
Telescoping of fingers
Pencil in cup on Xray

Question 26

What are the 5 common presentations of Psoriatic arthritis?

Answer 26

DIP
Asymmetrical oligoarthritis
Symmetrical polyarthritis
Spondyloarthopathies
Arthritis mutilans (horrendous)

Question 27

How is psoriatic arthritis managed?

Answer 27

NSAIDs
then add DMARDS methotrexate good for skin, or sulfsalazine
Adalimumab

Question 28

What is used to assess PA?

Answer 28

PSARC

Question 29

What rash do you get in enteric athritis?

Answer 29

Erythema Nodosum
Pyoderma gangrenosum
Sarcoidosis
Mouth ulcer

Question 30

When do you get enteric arthritis?

Answer 30

IBD- peripheral and axial disease with occular disease and entethepathies

Question 31

How does treatment of IBD affect arthritis?

Answer 31

Causes it to remit, but sacroileitis remains