Rheum Flashcards

(47 cards)

1
Q

Tight, shiny, taut skin with claw hand

A

Scleroderma

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2
Q

beaked nose, small mouth, Raynauds is?

A

scleroderma

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3
Q

Malabsorption esophageal motility problems, GERD, Pulm Fibrosis, and CHF is associated with

A

Scleroderma

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4
Q

First sxs of Scleroderma is?

A
CREST
1st = Calcinosis (claw)
Raynauds
Esophageal dysf
Sclerodactyly
Telengactasia
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5
Q

Diag of Scleroderma is

A

Anti-topo,RA,CA

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6
Q

Tx of Scleroderma.

A

TX sxs= BB/ACE (HTN), CCB (raynaud), NSAID (pain), PPI (GERD)

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7
Q

is associated with macular damage, rash and diarrhea.

A

hydroxychloroquine

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8
Q

Radiographs of the right knee show a lytic mass with a multi-laminated periosteal reaction involving the proximal anterior tibia.

A

Ewing sarcoma

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9
Q

fracture of the fifth metacarpal neck with 65 degrees dorsal angulation

A

gutter + open reduction

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10
Q

Proximal muscle weakeness in older patients is?

A

polymyalgia rheumatica

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11
Q

are associated with full passive range of motion but have pain and weakness during active abduction.

A

Rotator cuff tears

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12
Q

Depressed, 11/18 trigger points,

A

Fibromyalgia

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13
Q

Fibromyalgia tx is with?

A

Antidepressant, Lyrica

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14
Q

Big toe pain, urate crystals is?

A

Gout

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15
Q

Gout with CKD or NSAID allergy tx is?

A

Ace

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16
Q

Diag of Gout?

A

Birefringant Urate negative crystals

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17
Q

Gout acute Tx, Chronic?

A

Indomethacin, Colchicine.

Allopurinal

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18
Q

Rhomboid shaped crystals?

A

pseudogout

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19
Q

Livedo reticularis (lacey rash) - associated with Hep B.

A

Polyarteritis Nodosa

20
Q

ANCA + is? Intrarenal aneurysm?

A

Polyarteritits Nodosa - ICS

21
Q

Neck, muscle weakness with heliotro rash (round the eye)

22
Q

Painless + Weakness

23
Q

Polymyositis diag?

24
Q

Stiff/Pain neck, shoulders, high ESR ? associated with?

A

Polymyalgia Rheumatica, Temporal arteritis

25
urethritis, conjunctivitis, arthritis, Chlamydia
reactive arthritis
26
HLA-B27 +
PAIR, NSAIDs
27
Multi joint, ulnar deviation, DIP spared
RA
28
Morning stiffness >1 hour, symetrical arthirits, RA factors, AntiCCCp
RA - Bony erosion
29
DMARD and Etanercept is?
(MXT, SULFA, Leflu) RA - can trigger TB
30
Stills disease, fever spike, poly arthralgia, Salmon-pink rash is?
Juvenile Rhematoid Arthritis (NSAIDs)
31
ANA, ANti-smith, Anti DNA is?
SLE
32
Malar rash, Discoid rath, oral ulcer
SLE
33
NSAID, MXT treats?
SLE and RA
34
Pulm HTN, sclerodactely, CREST
Scleroderma
35
What is CREST
calcinosis, Gerd, Raynaud's, sclerodactyly, telangiectasias
36
ANA+, Anti Centromere, and Dz has no treatment?
Scleroderma
37
destroy salivary and lacrimal gland
Sjogrens
38
Sjogrens diag?
Shimer test
39
Scleroderma's Biomarkers are?
Antitopo, RA, CA, ANA
40
Starburts levido is what disease?
Polyarteritis Nodosum
41
palpable purpura as well as involvement of the upper airways, lungs, and kidneys
Wegener granulomatosis
42
hydroxychloroquine needs to be monitored for what?
retinopathy
43
A muscle biopsy shows primary inflammation with the CD8/MHC-I complex and no vacuoles. Increased Creatine kinase and aldolase are elevated. this is? it is TX with?
Polymoysitis, ICS
44
Anti - Jo and Tx with ICS is? weakness muscle
Polymyositis
45
Niacin can cause what disease due to high urate?
Gout
46
violet-hue on both eyelids is?
Heliotrope rash - Polymyositis - ICS
47
extremity pain, 40-50yo, necrotizing leuko in arterial wall, rash, medial malleoulus rash is due to? + high CRP.
polyarteritis nodosum