Rheumatology

Question 1

Medical management Of gout vs pseudogout

Answer 1

Change thiazides to losartan, give NSAIDs for acute flairs. Allopurinol after it settles. Pseudogout usually resolves spontaneously but can give NSAIDs.

Question 2

Investigation results in SLE

Answer 2

Positive ANA and anti-smith specific.

Question 3

Systemic sclerosis antibodies

Answer 3

Anti-centromere (limited cutaneous sclerosis) anti SCL70 (diffuse systemic sclerosis).

Question 4

Nail fold calilaroscopy usage

Answer 4

Systemic sclerosis

Question 5

Association of temporal or giant cell arthritis

Answer 5

Polymyalgia rheumatica (pain and stiffness in shoulders pelvis and neck)

Question 6

Main gene in Ankylosing spondylitis

Answer 6

HLA B27

Question 7

Progressive muscle and pain and weakness, proximally and bilaterally. Diagnosis and investigation k

Answer 7

Polymyositis, muscle biopsy and positive anti-jo1

Question 8

Plaques on elbows and knee, purple rash on face and eyelids, peri orbital oedema amd muscle weakness. Diagnosis and investigation

Answer 8

Dermatomyositis. Anti-mi2, ANA, CK>1000. Loot for associated cancers

Question 9

Failure to thrive, voracious appetite, wet sounding cough absence of vas deferens investigation and diagnosis

Answer 9

Cystic fibrosis (CFTR gene), sweat test.

Question 10

Sjögren’s syndrome main test

Answer 10

Sherman’s test.

Question 11

Which hernia can be pushed back

Answer 11

Direct ones