Rheum

Question 1

Normal DEXA T score

Answer 1

> -1.0

Question 2

DEXA T score for osteopaenia

Answer 2

-1.0 to -2.5

Question 3

DEXA T score for osteoporosis

Answer 3

< -2.5

Question 4

Most specific antibody for SLE

Answer 4

Anti-dsDNA
(also anti-Smith)

Question 5

Most sensitive antibody to test for SLE

Answer 5

ANA

Question 6

Typical 1st sign of hip osteoarthritis

Answer 6

Reduction in internal rotation

Question 7

Hip pain + femoral nerve stretch positive

Answer 7

Referred lumbar spine pain

Question 8

Hip pain + tender over lateral thigh

Answer 8

Trochanteric bursitis

Question 9

XR changes in osteoarthritis

Answer 9

Loss of joint space

Osteophytes at margins

Subchondral sclerosis + cysts

Question 10

Sulfasalazine is cross-reactive with

Answer 10

Aspirin
Sulphonamides

Question 11

Lateral epicondylitis - pain when

Answer 11

Wrist extension or supination, with elbow extended

Question 12

1st-line in rheumatoid arthritis

Answer 12

cDMARD (MTX, sulfasalazine, leflunomide)
+
steroid bridging

Question 13

Antibody associated with Diffuse cutaneous systemic sclerosis

Answer 13

anti-scl-70

Question 14

Antibody associated with Limited cutaneous systemic sclerosis

Answer 14

anti-centromere

Question 15

Sulfasalazine side effects

Answer 15

Oligospermia
Steven-Johnson
Heinz body anaemia
Coloured tears

Question 16

DMARD safe in pregnancy

Answer 16

Sulfasalazine

Question 17

DMARD safe in breastfeeding

Answer 17

Sulfasalazine

Question 18

Medications which may exacerbate psoriasis

Answer 18

beta-blockers
lithium
chloroquine/hydroxychloroquine
NSAIDs
ACEi
Infliximab