3-uWorld

Question 1

Occurrence of pseudogout in a young patient middle-aged patient can suggest secondary cause such as___

Answer 1

Hemochromatosis

Question 2

Most common areas that affect gout

Most common area side effects pseudogout

Answer 2

Gout affects first MTP joint, ankle, knee

Pseudogout most commonly affects knee, wrist, ankle

Question 3

___X-ray finding for gout

___X-ray findings for pseudogout

Answer 3

Subcortical bone cyst with possible erosions

Chondrocalcinosis

Question 4

All the risk factors for pseudogout

Answer 4

Hemochromatosis
Hypothyroidism
Recent Parathyroidectomy/Hyperparathyroidism
Renal osteodystrophy

Question 5

What are some risk factors for gout?

Answer 5

Obesity
Alcohol use
Diuretics
Hypertension

She is having high uric acid

Question 6

Clinical symptoms of tarsal tunnel syndrome and pathophysiology

Answer 6

Compression of tibial nerve at the tarsal tunnel–>sensory loss over distal intrinsic foot muscle weakness

Question 7

Anti-PR-3, think___

Answer 7

C ANCA
This is antiproteinase 3 antibody

Question 8

What is common causes of tarsal tunnel syndrome?

Answer 8

Ankle fracture or dislocation involving the talus, calcaneus, medial malleolus

Scar tissue

Bone spurs

Malignancy

Inflammatory conditions like RA

Question 9

Antibodies for C ANCA-Cytoplasmic pattern

antibodies for P ANCA-Perinuclear pattern

Answer 9

Antiproteinase 3 i.e. PR-3

Antimyeloperoxidase i.e. MPO

Question 10

His microscopic polyangiitis P ANCA or C ANCA?

Answer 10

P ANCA

Question 11

First-line for vertebral compression fracture
And what is a big additional recommendation for this patient?

Second line if first-line fails

Answer 11

Analgesia with NSAIDs, parenteral opioids if needed-hospitalization

–Basic additional recommendation: Ambulate and early mobilization and resume normal activity at the soonest possible

If pain persists patient can take calcitonin nasal spray for additional pain relief

Question 12

Preferred first-line drugs for fibromyalgia

Alternative therapies if first-line does not work

Answer 12

TCA i.e. amitriptyline

Pregabalin, duloxetine
CBT, supervised rehab

Question 13

Bilateral hip pain over the outer thigh that is worse with repetitive hip flexion i.e. climbing stairs and getting out of car, think___etiology

Answer 13

Trochanteric bursitis

Question 14

These 2 muscle groups can cause trochanteric bursitis

Answer 14

Gluteus medius
tensor fascia

Question 15

First-line treatment for trochanteric bursitis

If the first-line does not work, this is the next treatment

Answer 15

NSAIDs, reduce weightbearing, conservative measures

Corticosteroid bursal injection if the top does not work

Question 16

Osteoarthritis of the hip presents with___pain rather than lateral hip pain during flexion

It also causes limited range of motion and discomfort with abduction

Answer 16

Groin

Question 17

Range of motion in trochanteric bursitis is___increased or decreased?

Answer 17

It is normal

Question 18

Symmetric arthralgia in___region can occur after parvovirus infection. 5 to 10 days

Answer 18

wrist hands knees feet

Question 19

See diagnosis Method for Parvovirus B19

Answer 19

Parvovirus B 19 IgM Immunocompetent patient

NAAt 19 DNA in immunocompromised patient

Question 20

Treatment for dermatomyositis

Answer 20

Glucocorticoids