Rheum/MSK

Question 1

Rheumatoid Arthritis

Answer 1

AntiCCP abs diagnostic. Increased risk for osteoporosis

Question 2

Erythema nodosum

Answer 2

PAINFUL, subQ, pretibial nodules. If young black female with EN/Arthritis think: Sarcoid

Question 3

MTX AE

Answer 3

Mostly GI Upset (oral ulcers and such)

Question 4

Lupus Pancytopenia caused by_____

Answer 4

Peripheral immune-related destruction of cell lines

Question 5

What is enthesitis?

Answer 5

INF and pain at sites where ligaments and tendons join bone. Common in AS - usually heel pain due to tenderness at achilles insertion

Question 6

Middle Aged, unilateral hip pain. Worse with external pressure to upper later thigh (lying on a bed)

Answer 6

Trochanteric Bursitis

Question 7

Final, bad sequalae of compartment syndrome

Answer 7

Volkmann Ischemic contracture. Dead mm replaced by fibrous tissue

Question 8

Anti-topoisomerase Abs

Answer 8

Scleroderma

Question 9

AntiCenteromere Abs

Answer 9

CREST

Question 10

PPx for Tumor lysis?

Answer 10

Allopurnol

Question 11

Twist leg injury, torque tibia - SNAP

Answer 11

medial meniscus tear

Question 12

Myopathy with nl ESR and CK. Painless, proximal mm weakness. No pain or tenderness

Answer 12

Steroid Myopathy

Question 13

1-2 weeks s/p abx tx for viral illness. Fever, urticaria, LAD, arthralgias

Answer 13

Serum Sickness (Type III)

Question 14

RA, neutropenia and splenomegaly

Answer 14

Felty Syndrome

Question 15

AE of hydroxychloroquine

Answer 15

Retinopathy

Question 16

Dermatomyositis is associated with increased risk of internal malignancy

Answer 16

Truth

Question 17

Dusky malar rash and violacious periorbital edema

Answer 17

heliotrope rash - Dermatomyositis

Question 18

best initial treatment for OA?

Answer 18

NSAIDS and tylenol

Question 19

On what side of the body is the pes anserinus?

Answer 19

Medial

Question 20

Sharply localized pain over the tibial plateau just below joint line of the knee. Nl radiographs and valgus stress test. Dx?

Answer 20

Anserine bursitis

Question 21

Young woman, anterior knee pain.chronic, pain with stairs and squatting. NSAIDs not helpful. dx and tx?

Answer 21

Patellofemoral pain syndrome. Treat with stretching and leg mm strengthening

Question 22

arthritis (symmetric, assoc with low grade fever), resolving in few months. May have positive ANA, RF?

Answer 22

Viral arthritis. Self limited. NSAIDs for sx relief. typically parvo b19. no joint swelling. no elevated crp/esr

Question 23

Endocrine abnormality associated with carpal tunnel syndrome? It typically presents as bilateral and more severe in this case

Answer 23

Hypothyroid

Question 24

Pathogenesis of carpal tunnel?

Answer 24

deposition of mucopolysaccharidases in the peri- and endo-neurium of median nn and tendon sheaths.

Question 25

Teen male with gait/speech difficulty, skeletal deformities (hammer toes/scoliosis). Dx?

Answer 25

Freidrichs ataxia. Increased risk of HCM

Question 26

Young man, low back pain, restrictive respiratory pattern. Dx?

Answer 26

Ank Spon - Costo-vertebral joints can fuse and create decrease chest wall compliance

Question 27

brachial plexus neuropathy, problems bending or rotating neck?

Answer 27

Cervical spondylolysis. Bone spurs and osteoarth of cervical spine

Question 28

Local inj assoc with supracondylar fracture?

Answer 28

brachial aa inj, may also see loss of radial pulse

Question 29

What parts of the spine does RA typically affect?

Answer 29

Cervical