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Question 1

Acute management of gout?

Answer 1

NSAIDs,, colchicine, steroids.

Question 2

Chronic management of gout?

Answer 2

Allopurinol. 1

2) Febuxostat

Question 3

Management of pseudogout?

Answer 3

NSAIDs, colchicine, steroids.

Question 4

Peudogout is the deposition of what crystals?

Answer 4

Calcium pyrophosphate.

Question 5

What rash in SLE?

Answer 5

Malar rash that spares the nasolabial folds.

Question 6

Mainstay of management of antiphospholipid syndrome?

Answer 6

Warfarin.

Question 7

What would a gland biopsy show in Sjögren’s syndrome?

Answer 7

Lymphocytic infiltration.

Question 8

What antibodies in Sjögren’s syndrome?

Answer 8

Anti Ro and Anti LA.

Question 9

What can be used in Sjögren’s syndrome to stimulate saliva production?

Answer 9

Pilocarpine.

Question 10

Increased risk of what cancer in sjogrens?

Answer 10

Non Hodgkins B cell lymphoma

Question 11

Main features of scleroderma?

Answer 11

Skin fibrosis, lung fibrosis, pulmonary hypertension, hypertension, dysphagia, Raynayds.

Question 12

CREST + P = Scleroderma.

Answer 12

Calcinosis
Raynauds. 
Oesophageal dysmotilith 
Sclerodactyly
Telangectasia 
Pulmonary hypertension.

Question 13

What antibody in polymyositis

Answer 13

Anti Jo.

Question 14

Most common systemic manifestation of poly-dermatomyositis?

Answer 14

Interstitial lung disease

Question 15

Muscle power in poly/dermatomyositis ?

Answer 15

Reduced muscle power on confrontational and isotonic testing.

Raised CK and inflam markers.

Question 16

CK in inclusion body myosotis ?

Answer 16

Most common in men > 50, CK is elevated but nowhere near to the same level as polymyositis .

Question 17

Difference between inclusion body myosotis and polymyositis?

Answer 17

Weakness in inclusion body tends to be asymmetrical.

Biopsy shows inclusion bodies.

Question 18

Polymyalgia rheumarica features?

Answer 18

Reduction in active not passive movements.

PMR has myalgia and stiffness as main features.
CK NOT RAISD>

Links with giant cell arteritis, non pulsatile temporal artery.

Question 19

Management of PMR?

Answer 19

15mg prenisolone with dramatic response seen.

Question 20

How does polymyositis present?

Answer 20

Symmetrical proximal may lead weakness usually of the girdles that presents as difficulties with ADL.

Question 21

Recurrent oral ulceration, uveitis, diarrhoea, skin lesions (erythema nododsum)

What is the diagnosis?

Answer 21

Behçets syndrome.

Question 22

What test is positive in behcets?

Answer 22

Pathergy test.

Question 23

What treatment is good for raynauds?

Answer 23

CCB (nifedipine) or Sildenafil,