Rheum Flashcards Preview

Step 2 > Rheum > Flashcards

Flashcards in Rheum Deck (20)
Loading flashcards...
1
Q

Common extra spinal findings in ankylosing spondylitis

A

Enthesitis

Inflammation and pain at sites of tendon and ligament attachment

2
Q

What test can confirm CTS?

A

Nerve conduction studies

3
Q

Pt has dry eye but negative ANA

A

Age related sicca

d/t age related exocrine gland atrophy

4
Q

adult with new onset symmetric, small joint arthralgias, mild joint swelling x 1 wk. Works at a day care

A

Viral arthritis

d/t parvo B19

5
Q

What other chronic dz is associated with dermatomositis?

A

Malignancy

15% of dermatomyositis pts

6
Q

Diclofenac is a?

A

NSAID

7
Q

Young adult
recurrent oral/genital ulcers
Skin, ocular involvement common

A
Behcet syndrome
multisystem inflammatory condition
Asian descent
Thrombosis main cause of morbidity
clinical dx
8
Q

Initial step for dx of sciatica?

A

Trial of NSAIDs

9
Q

Young adult
anterior knee pain
Worse with climbing stairs

A

Patellofemoral syndrome
dx - extension of the knee while compressing the patella
tx - stretch, strengthen the thigh muscle and avoid activities that worsen the pain

10
Q

Tx for polymalgia rheumatica

A

Low dose prednisone

pt >50, pain and stiffness in the neck, shoulders, pelvic girdle, elevated ESR

11
Q

Guy gets seronegative arthritis after tx for G/C.

A

Reactive arthritis

Tx - NSAIDs

12
Q

electrolyte changes in paget dz

A

disorder of bone resorption
CA, Phos - WNL
Alk Phos, urine hydroxyproline - high

13
Q

you suspect bone malignancy. Order a?

A

lumbar Xray

14
Q

When do you start DEXA scans?

A

> 65, or younger women with an increased risk for osteoporotic fx

15
Q

Dermatomyositis affects the?

A

Muscle fibers
Dx with bx
findings - weakness, gottron papules (hands), heliotope rash

16
Q

Pt <40 y/o with lumbar back pain at night
Improves with rest worse with activity
Dx?

A

Low back pain d/t inflammatory cause (mechanical)

Inflammation at ligamentous insertions

17
Q

Which part of the spine is most commonly affected by RA?

A

cervical

Can cause spinal subluxation and spinal cord compression

18
Q

Pt on glucocorticoids develops hip pain w/ decreased ROM but NL Xray. Why?

A

Osteonecrosis

Best seen on MRI

19
Q

Inflammatory arthritis
Splenomegaly
Neutropenia

A

Felty syndrome

20
Q

Polyarthralgia
Tenosynovitis
Vesiculopustular skin lesions

A

Disseminated gonorrhea