Ortho

Question 1

Initial txt for Fibromyalgia?

Answer 1

conservative (multi disp approach)

Question 2

Medical Txt for fibromyalgia?

Answer 2

Amitriptyline, SSRNI

Question 3

The FDA approved txt for fibromyalgia?

Answer 3

Pregabalin

Question 4

What is polymyalgia rheumatica closely associated with?

Answer 4

giant cell arteritits

Question 5

What is polymyalgia rheumatica?

Answer 5

inflammation of the joints, bursae, and tendons

Question 6

Worsening pain in the shoulder, neck, hips, pelvic girdle especially in the morning?

Answer 6

Polymyalgia rheumatica

Question 7

What is seen on PE for polymyaglia rheumatica?

Answer 7

normal muscle strength with decreased active and passive ROM

Question 8

Dx of polymyaglia rheumatica?

Answer 8

increased ESR & CRp

Question 9

Txt for polymyaglgia rheumatica?

Answer 9

low dose corticosteroids

Question 10

What drugs causes gout?

Answer 10

Thiazide, loop diuretics, ACEi, Pyrazinamide, Ethambutol, Aspirin

Question 11

MC location of gout?

Answer 11

1st MTP joint of the great toe (podagra)

Question 12

DOC for gout?

Answer 12

arthocentesis

Question 13

What is seen on arthrocentesis for gout?

Answer 13

neg birefringent needle shaped crystals

Question 14

Initial txt for gout?

Answer 14

NSAIDs (Indomethacin)

Question 15

Txt for gout when NSAIDs are contraindicated?

Answer 15

Corticosteriods

Question 16

Txt for gout when NSAIDs and steroids are contraindicated?

Answer 16

Colchicine

Question 17

Prophylaxis txt for gout?

Answer 17

allopurinol

Question 18

Who is NSAIDs contraindicated in?

Answer 18

renal insuffiency

Question 19

Who is corticosteroids contraindicated in?

Answer 19

glucose intolerance, heart failure, poorly controlled hypertension

Question 20

What gout medication can be used in both acute and chronic attacks?

Answer 20

colchicine

Question 21

Calcium pyrophosphate dihydrate deposition in joints & soft tissue?

Answer 21

pseudogout

Question 22

Sx of pseudogout?

Answer 22

severe pain, erythema, warmth, swelling & tenderness

Question 23

DOC for pseudogout?

Answer 23

arthrocentesis

Question 24

What is seen on arthrocentesis for pseudogout?

Answer 24

post birefringent or rhomboid shaped calcium

Question 25

Txt for pseudogout?

Answer 25

corticosteroids if 1 - 2 joints

Question 26

Txt for pseudogout if >2 joints?

Answer 26

NSAIDs

Question 27

Prophylaxis and txt of acute and chronic pseudogout?

Answer 27

colchicine

Question 28

What is polyarteritis nodosa?

Answer 28

vasculitis of medium sized vessels

Question 29

What distinguishes polyarteritis nodosa from other vasculitides?

Answer 29

doesn't involve pulmonary vessels

Question 30

What is polyarteritis nodosa commonly associated with?

Answer 30

increased association w/ chronic Hep B and C

Question 31

What is seen on renal or mesenteric angiography for polyarteritis nodosa?

Answer 31

microaneuryms

Question 32

Txt for polyarteritis nodosa?

Answer 32

steriods

Question 33

What is sjogren syndrome

Answer 33

a autoimmune dx affecting the exocrine glands

Question 34

What sx are seen in Sjogren syndrome?

Answer 34

dry mouth, dry eyes, dyspareunia, bilateral partoid gland enlargement

Question 35

What two antibodies are seen in Sjogren syndrome?

Answer 35

antiSS-A (Ro) and antiSS- B (La)

Question 36

What test can be use to dx Sjogren syndrome?

Answer 36

positive schirmer test (wetting <5mm)

Question 37

Txt for Sjogren syndrome?

Answer 37

artificial tears, increased intake

Question 38

Med txt for sjogren syndrome?

Answer 38

cholinergic drugs- Pilocarpine or Cevimeline

Question 39

What are complications related to Sjogren syndrome?

Answer 39

increased risk of Non-Hodgkin lymphoma

Question 40

What is scleroderma?

Answer 40

autoimmune connective tissue disorder

Question 41

What sx are seen in scleroderma?

Answer 41

tight, shiny thickened skin

Question 42

What abx are associated with scleroderma?

Answer 42

anti centromere

Question 43

Txt for scleroderma?

Answer 43

organ specific