MS 2 Flashcards

1
Q

imaging - OA

A

x ray

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2
Q

imaging - joint space narrowing

A

x ray

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3
Q

imaging - bleeding

A

CT

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4
Q

imaging - aneurysms

A

CT

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5
Q

imaging - pelvic and bone trauma

A

CT

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6
Q

imaging - gold standard for injuries of cartilage, menisci, tendons, ligaments, or joints

A

MRI

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7
Q

imaging - soft tissue

A

MRI

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8
Q

imaging - joints

A

MRI

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9
Q

imaging - occult fractures

A

MRI

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10
Q

ankylosing spondylitis

A

chronic inflammatory disorder (seronegative arthritis) that affects mainly the spine and sacroiliac joints

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11
Q

chronic inflammatory disorder (seronegative arthritis) that affects mainly the spine and sacroiliac joints

A

ankylosing spondylitis

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12
Q

ankylosing spondylitis - early s/sx

A

neck pain

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13
Q

ankylosing spondylitis - classic case

A

male patient, c/o neck pain that gradual goes down spine, impaired spinal mobility, wakes him up at night, pain diminished with exercise but not rest

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14
Q

ankylosing spondylitis obj findings
3

A
  1. marked loss of ROM of the spine when bending forward, rotation, lateral bending
  2. decreased respiratory excursion
  3. uveitis - eye irritation, photosensitivity, eye pain
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15
Q

loss of ROM in spine mobility with eye irritation - think

A

ankylosing spondylitis

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16
Q

ankylosing spondylitis - refer to

A

rheumatologist

17
Q

ankylosing spondylitis - initial pharm tx

A

NSAIDs; if risk of bleeding, then add PPI

18
Q

ankylosing spondylitis - tx for severe causes
4

A

TNF
biologics
DMARDS
spinal fusion

19
Q

bamboo spine is pathognomic for

A

ankylosing spondylitis

20
Q

ankylosing spondylitis - uveitis tx with

A

topical steroids; oral if resistant to initial therapy

21
Q

lateral epicondylitis aka

A

tennis elbow

22
Q

medial epicondylitis aka

A

golfer’s elbow

23
Q

gradual onset of pain on the outside of elbow that can radiate to forearms; pain worse with twisting or grasping movements

A

lateral epicondylitis/tennis elbow

24
Q

gradual onset of aching pain on the medial area of the elbow, can last a few weeks to months; mild to severe pain

A

medial epicondylitis/Golfer’s Elbow

25
gout
deposits of uric acid crystals inside joints and tendons d/t genetic excess production or low excretion of purine crystals
26
gold standard tx to dx gout
joint aspiration of the synovial fluid of the joint
27
gout elevated serum uric acid value
>6.8
28
uric acid target goal value
<6
29
gout - uric acid level during acute phase
normal; uric acid level doesn't begin to rise until after the acute phase
30
most accurate time to assess for serum urate is when
2 weeks or more after a gout flare subsides
31
conditions that increase serum uric acid levels 2
chemo radiation
32
medications that increase uric acid 2
hydrochlorothiazide furosemide
33
during gout flare, if the patient is taking a daily urate lowering therapy should they continue
yes, continue
34
gout flare meds 3
NSAIDs steroids cholchicine
35
gout flare - steroids
glucocorticoids such as prednisone or prednisolone 7-10 days, or short 5 days course; taper off
36
colchicine - avoid what food/drink
grapefruit
37
colchicine side effects 5
diarrhea abd pain cramps NV