Crystal arthropatheis and polymyalgia rheumatica

Question 1

cytstal in gout

Answer 1

monosodium urate

Question 2

crystal in psudeogout

Answer 2

calcium pyrophospate dihydrate - cpppd

Question 3

calium in calcifici periarthtis / tendontiiss

Answer 3

basic calciium phosphate hydroxyc apatidite (bcp)

Question 4

urcamic acid is a deriveitie of

Answer 4

purine

Question 5

hyperuciam is cuaed by

Answer 5

malichny 0 lymphoprolfiate, severe exfoliated psoroaisis, drugs e.g. ethanol, cytoxic, inhorn eros of metabolism, hgprt deficieny

renal probels
hypertenion
hypothroids
drug - alcho,. aspin , dirueic, cylpoin
exercie s- dehydraion
leadpoising

Question 6

lesch nyan syndome is

Answer 6

a type of gout with hggprt deficency that leads to interleicly dislatbi and self mutlaioin

due to the crysl fomrin leads to ealry kdieny fialure and death

Question 7

history of gout is

Answer 7

suddely aperin overing
first mcp

Question 8

gout is assoced with

Answer 8

psoaris
gotitofi
diabetes,
hyperlyepdima

Question 9

test for gout is

Answer 9

ultraodn
xray of njoit for long term aspiation
aspiration

Question 10

shape of gout cytel under microspce

Answer 10

needle-shaped and negatively birefringent of polarised light.

Question 11

shape of cryso of spoudogout

Answer 11

rhomboid-shaped and positively birefringent.

Question 12

tophus topid is

Answer 12

massive accumulation of uric acid crystals

Question 13

tophi tophis

Answer 13

massive acucmouio of uric acid in gout

Question 14

gout can also effecg

Answer 14

bruaeae

Question 15

treametn of gout is

Answer 15

nsaids, colchine , stoierds either oral or into joint
aspriate jiont

Question 16

ccreiatea for urate lwoing treametn

Answer 16

single attck of polyarticuar
trophocaneous gout
uratea calciu
renal insuffency
or secnod attack within 1 year

Question 17

lower uric acid is with

Answer 17

xanthiosode oxidase inhitors - first line - allopurionol , feburaxoosta
uricosuric agents - probencid, benzbromaradone ,
il1 inhiitor - canakinumab

Question 18

gout does not effect

Answer 18

pre memaolg wome due to proetcive effect of eastone

Question 19

gout maily efects

Answer 19

men
increases with age

Question 20

when to start gout profalaxisi

Answer 20

after a peroid of time

Question 21

puseod mainly effects which jots

Answer 21

knee, adn wenlonns

Question 22

psusogout mange is

Answer 22

intraartilar steorids
nsaids

Question 23

polymyarlig rhoid is

Answer 23

inflaton condtion that cuase pain in sholder, or neck

Question 24

polymaryclai rhona is assocated with

Answer 24

giant cell arteritis

Question 25

polymayic rhuait genly efecst

Answer 25

over 70

Question 26

test for polyargia rheutia is

Answer 26

anemai , high esr,

Question 27

other symotn of polymaid rhoaid are

Answer 27

malasei, weightlss, fever, depression, arathalra, synovitis

Question 28

diagnosis of polymarliga rhoai are

Answer 28

age above 50 esr above 50 dramatic response to steroids

Question 29

treamte of polymargi rhoitai is

Answer 29

steroids for 18 - 24 mots bone proplaysiix