Seronegative Inflammatory Virus

Question 1

Types of inflammatory arthritis

Answer 1

Rheumatoid
Undifferentiated inflammatory arthritis
Spondyloarthritis

Question 2

types of spondyloarthritis

Answer 2

Axial spA

Peripheral SpA

Question 3

Axial spondyloarthritis common in

Answer 3

Men (3:1)

Age 20-40

HBA B27 present (only present on 5% patients)

Question 4

Symptoms of SpA

Answer 4

Chronic low back pain
Buttock/hip/neck

Improves with exercise
Night pain
Morning stiffness
Peripheral arthritis 
Enthesitis
Dactylitis

Question 5

Diagnosis of ankylosing spondylitis

Answer 5

Modified New York criteria

ASAS classification

Question 6

Non radiographic axial SpA

Answer 6

MRI changes

Plus clinical suspicion

Question 7

New York criteria

Answer 7

1. low back pain for at least 3 months improved by exercise and not relived by rest
2. Limitation of lumbar spine motion in Sagitta and frontal plates
3. Chest expansion decreases relative to normal values for age and sex

4a. Unilateral sacroiliitis grade 3-4
4b. Bilateral sacroiliitis grade 2-4

One of 1-3 then 4

Question 8

ASAS classification for Axial spondyloarthritis

Answer 8

Sacroiliitis on imaging and >1SpA feature

HLA- B27 positive and 2 other spA features

Question 9

Sacroiliitis on imaging

Answer 9

Active inflammation on MRI highly suggestive of sacroiliitis associated with SpA

Definite radiographic sacroiliitis according to modified New York criteria

Question 10

Management of spa

Answer 10

NSAID
Exercise
BASDAI

Question 11

PsoRiatic arthritis epidemiology

Answer 11

Equip gender
Occurs in 2-3% population

In 6% to %39% of psoriasis patients