Spondyloarthropathies

Question 1

What is meant by spondyloarthropathy?

Answer 1

Inflammatory arthritis affecting both spine and joints

Question 2

What is enthesitis?

Answer 2

Inflammation at the site where tendon joins to bone

Question 3

What is dactylitis?

Answer 3

Inflammation of an entire digit

Question 4

What is ankylosing spondylitis?

Answer 4

Inflammatory spinal arthritis, usually affecting sacroiliac joint too

Question 5

Is ankylosing spondylitis more common in males or females?

Answer 5

Males

Late adolescence

Question 6

What is an extra-articular feature of ank. spond. in the eye?

Answer 6

Anterior uveitis

Question 7

Which HLA is associated with ank. spond?

Answer 7

HLA B27

Question 8

What examinations can be used to diagnose ank. spond?

Answer 8

Schober’s test
Occiput-to-wall test
Chest expansion

Question 9

List treatment for ankylosing spondylitis

Answer 9

Exercise, physiotherapy
NSAID
Anti-TNF (infliximab)
Steroid

Question 10

What are the 2 typical nail changes that occur in psoriatic arthritis?

Answer 10

Nail pitting

Onycholysis

Question 11

Rheumatoid factor is positive in psoriatic arthritis. True/False?

Answer 11

False

Question 12

What is the source of reactive arthritis?

Answer 12

Infection, leading to inflammatory synovitis

Question 13

Symptoms of reactive arthritis come on at the start of infection. True/False?

Answer 13

False

Typically up to 4wks after infection

Question 14

Which organisms typically cause reactive arthritis?

Answer 14

Chlamydia
Enterogenic (salmonella, campylobacter)
Neisseria

Question 15

Reactive arthritis is HLA B27 positive. True/False?

Answer 15

True

Question 16

Reiter’s syndrome is a form of reactive arthritis made up of which disease triad?

Answer 16

Urethritis
Conjunctivitis/uveitis/iritis
Arthritis