Spondyloarthopathies

Question 1

How do you define spondyloarthopathies?

Answer 1

inflammatory arthritis involving both the spine and joints particularly in predisposed HLA B27 individual

Question 2

Describe mechanical back pain (3 things)

Answer 2

worsened by activity, worse at end of day, better with rest

Question 3

describe features of inflammatory pain (3 things)

Answer 3

worse with rest, better with activity, early morning stiffness

Question 4

What is the most common involvement

Answer 4

spine and sacroiliac joint

Question 5

what word describes inflammation at insertion of tendons into bones

Answer 5

enthesitis

Question 6

what is dactyliitis

Answer 6

inflammation of entire digit

Question 7

What extra articular features may be present in spondyloarthopathies

Answer 7

uveitis and conjunctivitis, lesions (mouth ulcers), part blcok

Question 8

What is ankylosing spondylitis

Answer 8

chronic inflammatory disorder that primarily affects the spine- sacroiliac joint

Question 9

at what age does ankylosing spondylitis occur

Answer 9

adolescent/ early adulthood

Question 10

what are features that help diagnose AS

Answer 10

pain for more than 3 months, limited lumbar movement, decreased chest expansion, x ray

Question 11

Which letter describes ankylosing spondylitis (7)

Answer 11

A- axial arthritis, anterior uveitis, aortic regurgitation, apical fibrosis, amyloidosis, achilles tendon, plAntar fasciitis

Question 12

AS has cysts true or false

Answer 12

FALSE

Question 13

Does AS have shiny corners?

Answer 13

Yup

Question 14

How do you treat AS

Answer 14

physio, exercises, OT, NSAID, methotrexate (DMARD), Anti TNF, corticosteroid,

Question 15

Inflammatory arthritis associated with psoriasis is what type of arthritis?

Answer 15

Psoriatic arthritis

Question 16

Is rheumatoid factor positive or negative in psoriatic arthritis

Answer 16

negative

Question 17

What features are shown in psoriatic arthrtitis

Answer 17

inflammation, sacroilitis, nail pitting, oncholysis, dactylics, enthesitits, eye disease

Question 18

What would you see on an X-ray for psoriatic arthritis

Answer 18

erosions an whispering, osteolysis, enthesitis, pencil in cup deformity

Question 19

How do you treat psoriatic arthritis

Answer 19

physio, OT, NSAIDS, corticosteroids, DMARDS

Question 20

What is reactive arthritis

Answer 20

infection induced illness with inflmaatiory synovitis and organisms are present

Question 21

When would you get symptoms in reactive arthritis

Answer 21

1-4 weeks after infection

Question 22

what age group tend to get reactive arthritits

Answer 22

20-40

Question 23

Is HLA B27 positive or negative?

Answer 23

positive

Question 24

What is the triad that makes up reactive arthritis (reiters)

Answer 24

urethritis, conjunctivitis, arthritis

Question 25

What are the features of reactive arthritis

Answer 25

systemic, asymmetrical arthritis, enthesitis, oral ulcers, nail, eye lesions, renal disease

Question 26

How would you treat reactive arthritis

Answer 26

NSAIDs, corticosteroids, antibiotics, DMARDS, physio, OT

Question 27

What GI problem is enteropathic arthritis associated with?

Answer 27

inflammatory bowel disease

Question 28

True or false: Patients with UC commonly have sacroiliitis

Answer 28

false- its chrons!

Question 29

What features would be present with enteropathic arthritis

Answer 29

bowel upset, WL, uveitis, skin, enthesitis, ulcers

Question 30

What investigation would you do for enteropathic arthritis

Answer 30

endoscopy, aspirate joints, Xray, USS

Question 31

How do you treat enteropathic arthritis

Answer 31

treat IBD first, analgesia, steroids, DMARDS, anti TNF