Rheum Topics

Question 1

What drug is the mainstay of RA treatment? What can be added?

Answer 1

Methotrexate
Hydroxychloroquine if mild/pregnant

TNF alpha

Question 2

“Gull wing” in PIP and DIP joints

Answer 2

Osteoarthritis

Question 3

Extra-articular manifestations and complications of rheumatoid arthritis include (7)

Answer 3

rheumatoid nodules
rheumatoid vasculitis
dry eye
small airway disease
interstitial lung disease
pleural effusions
anemia of inflammation

Question 4

Categories of Spondyloarthritis (5)

Answer 4

1. Ankylosing Spondylitis
2. Psoriatic Arthritis
3. IBD-associated arthritis
4. Reactive Arthritis
5. Undifferentiated Spondylitis

Question 5

Clinical features of all spondyloarthropathies

Answer 5

Back pain
Enthesitis (sausage digit)
Dactylitis

Question 6

First and second line for Ankylosing Spondylitis

Answer 6

1. NSAIDs
2. TNF-alpha
   * *PT

Question 7

Psoriatic Arthritis Treatment

Answer 7

MTX

TNF-alpha

Question 8

Pain w/ active ROM

Answer 8

Periarticular

Question 9

Pain w/ passive ROM

Answer 9

Joint!

Question 10

Acute Oligo Arthritis

Answer 10

Gonorrhea or Rheumatic Fever

Question 11

Acute Poly Arthritis

Answer 11

Viral, HIV, Parvo HBV, Rubella

Question 12

Infliximab & Adalimumab

Answer 12

TNF-alpha inhibitors

Question 13

What is this?

Answer 13

Psoriatic Arthritis

Nail involvement - DIP inflammation

Question 14

SLE treatment drug for induction

Answer 14

Cyclophosphamide (MMF if nephritis)

Question 15

SLE Maintenance

Answer 15

Hydroxychloroquine + MMF or AZA

Question 16

SLE treatment if pregnant

Answer 16

Hydroxychloroquine & steroids