OME - Day 19

Question 1

Before you start a biologic, what do you do?

Answer 1

Screen for TB

Question 2

How do you treat rheumatoid arthritis?

Answer 2

Methotrexate

Question 3

Pictures of fingers all bent out of shape, diagnosis?

Answer 3

Rheumatoid Arthritis

Question 4

RA and the Spine?

Answer 4

C1 and C2

Question 5

Refractory RA treatment?

Answer 5

Biologics = etanercept, infliximab or rituximab

Question 6

Rheumatoid Arthritis + Neutropenia + Splenomegaly, diagnosis?

Answer 6

Felty syndrome

Question 7

What antibodies should you order for RA?

Answer 7

RF and or CCP

Question 8

X-ray shows erosions, diagnosis?

Answer 8

Rheumatoid Arthritis

Question 9

Anti-Centromere Ab, diagnosis?

Answer 9

CREST

Question 10

Anti-topoisomerase antibody

Answer 10

Systemic Sclerosis

Question 11

Dry eyes and dry mouth, diagnosis?

Answer 11

Sjogren’s syndrome

Question 12

How do you diagnose a myositis?

Answer 12

Biopsy the muscle

Question 13

how do you treat scleroderma GERD?

Answer 13

PPI

Question 14

Scleroderma renal crisis, treatment?

Answer 14

Ace-inhibitor

Question 15

How do you treat Gout chronically?

Answer 15

Allopurinol (febuxostat also ok)

Question 16

How do you treat gout?

Answer 16

NSAIDs

Question 17

How do you treat tumor lysis after it happens?

Answer 17

Rasburicase

Question 18

Inflamed big toe, diagnosis?

Answer 18

Podagra, Gout

Question 19

Needle shaped crystals, diagnosis?

Answer 19

Gout

Question 20

Negatively birefringent crystals, diagnosis?

Answer 20

Gout

Question 21

Positively Birefringent Crystals, diagnosis?

Answer 21

Pseudogout

Question 22

Rhomboid shaped crystals, diagnosis?

Answer 22

Pseudogout

Question 23

Septic joint and cultures are positive for gram positive cocci, diagnosis and next step?

Answer 23

Staph, start nafcillin

Question 24

Septic joint but no cultures are positive, diagnosis and next step?

Answer 24

Gonorrhea, send for pcr

Question 25

How do you handle Enteropathic arthritis?

Answer 25

Treat the inflammatory bowel disease (UC and Crohns)

Question 26

How do you treat reactive arthritis?

Answer 26

IM Ceftriaxone and Doxycycline

Question 27

Nail pitting and arthritis: diagnosis?

Answer 27

Psoriatic Arthritis

Question 28

On the test, a picture of a spine and a question about arthritis = ?

Answer 28

Ankylosing Spondylitis (Bamboo spine)

Question 29

Sexually active, cervicitis, joint pain: diagnosis?

Answer 29

Reactive arthritis

Question 30

Ulcerative Colitis and Arthritis: diagnosis?

Answer 30

Enteropathic arthritis