Rheum

Question 1

what two things are VERY IMPORTANT in primary care if RA suspected?

Answer 1

1. Refer URGENTLY to rheum when 3+ joints affected

2. get XR of hands and feet!

Question 2

which condition has ‘Plantar spur’ and ‘pencil and cup’ deformity on XR

Answer 2

Psoriatic arthritis

Question 3

key antibody in polymyositis

Answer 3

antii-Jo1

Question 4

what should you start patients on long term steroids on

Answer 4

start on ORAL ALENDRONATE + calcium and vit D replete

Question 5

what are RF for pseudogout

Answer 5

OLD AGE

OA, DM, hypothyroidism, HYPERPARATHYROIDISM, haemochromatosis, wilson’s, low MG, low Po, acromegaly

Question 6

what ix do you need to do for PMR

Answer 6

RAISED ESR and CRP

CK and EMG normal

Question 7

what would indicate PRIMARY RAYNAUDS

Answer 7

sx in a YONG WOMAN (approx 30yo) with BILAT SX

Question 8

mode of inheritance in wilsons disease

Answer 8

autosomal RECESSIVE > excessive copper deposition

Question 9

what happens to copper in wilsons disease

Answer 9

excessive copper depostion > high absorption, low excetion

Question 10

what happens to organs in wilsons disease

Answer 10

liver: hepatitis, cirrhosis
neuro: BG degeneration (psych)
Kaiser-fleischer rings