Rheuma

Question 1

Gene associated with Rheumatoid Arthritis

Answer 1

HLA DR4

Question 2

Earliest sign in Rheumatoid Arthritis

Answer 2

microvascular damages

Question 3

Proliferation of WBCs causing irrevesible deformity

Answer 3

pannus formation

Question 4

Hallmark of RA

Answer 4

morning stiffness of at least an hour

Question 5

Swan Neck - Lateral slip or Central slip?

Answer 5

lateral

Question 6

Boutonniere Deformity - Lateral slip or Central slip?

Answer 6

central

Question 7

Rupture of extensor tendons of 4th and 5th digits

Answer 7

Vaughn Jackson Deformity

Question 8

Rupture of the FPL

Answer 8

Mannerfelt

Question 9

Rupture of the distal RU ligament

Answer 9

Piano key sign

Question 10

Swelling at the popliteal area which could lead to impingement of posterior tibial nerve causing tarsal tunnel syndrome

Answer 10

Baker’s Cyst

Question 11

Acetabulum becomes deeper which may cause fusion later on

Answer 11

Protrusio Acetabuli

Question 12

MC cause of mortality in RA (extra-articular affectation)

Answer 12

heart affectation (pericarditis)

Question 13

Presence of nodules in lungs in RA

Answer 13

Caplan’s syndrome

Question 14

Felty’s Syndrome

Answer 14

SLLAANT
Splenomegaly
Lymphadenopathy
Leukopenia
Anemia
Arthritis
Neutropenia
Thrombocytopenia

Question 15

Sjogren’s Syndrome

Answer 15

XXA
Xeropthalmia (dryness of eyes)
Xerostomia (dryness of mouth)
Arthritis

Question 16

Painful sexual intercourse

Answer 16

dyspareunia

Question 17

Polymyalgia Rheumatica (PMR)

Answer 17

SECRET
Stiffness
Elderly
Caucasian
Rheumatism
ESR elevation
Temporal Arteritis (Giant Cell Arteritis)

Question 18

Average years of PMR

Answer 18

5 years (may have complete remission)

Question 19

Juvenile Idiopathic Arthritis

Pauciarticular - joints involved

Answer 19

KAWT
Knee
Ankle
Wrist
TMJ

Question 20

Systemic Lupus Erythematosus

Answer 20

DOPAMIN RASH
Discoid Rash/Ulcer
Oral Ulcer
Photosensitivity
ANA
Malar Rash/Butterfly Rash
Immunologic Disease (Infection)
Neurologic Disease

Renal Disease (Lupus Nephritis)
Arthritis
Serositis
Hematologic Disease (Felty’s)

Question 21

Raynaud’s Phenomenon

Answer 21

Pallor>Cyanosis>Rubor

Question 22

Limited Scleroderma

Answer 22

CREST
Calcinosis
Raynaud's
Esophageal dysmotility
Sclerodactyly
Telangiectasia

Question 23

Major criteria for Scleroderma

Answer 23

Scleroderma proximal to MCP/MTP joints, neck, trunk, or face

Question 24

MC cause of mortality in Scleroderma (extra-articular affectation)

Answer 24

lung affectation (Restrictive Lung Disease)

Question 25

Characteristic Rash

Answer 25

``` Heliotrope rash V-sign rash Shawl sign Mechanic's hand Gottron's papule ```

Question 26

Different types of Spondyloarthropathies

Answer 26

``` PARI Psoriatic Arthritis Ankylosing Spondylitis Reactive Arthritis (Reiter's Disease) Inflammatory Bowel Disorder ```

Question 27

Gene associated with Spondyloarthropathies

Answer 27

HLA B27

Question 28

MC extra-articular affectation in AS

Answer 28

Eyes: Anterior UveitiS

Question 29

Reactive Arthritis

Answer 29

``` CUKAC Conjunctivitis Urethritis Keratoderma Blennorhagium Arthritis Circinate Balanitis ```

Question 30

Spondyloarthropathy mostly associated with HLA B27

Answer 30

Ankylosing Spondylitis

Question 31

OA affectation in DIP

Answer 31

Heberden's

Question 32

OA affectation in PIP

Answer 32

Bouchards

Question 33

Most disabling complication in OA of hands

Answer 33

LOM at CMC - squaring of joint

Question 34

What position would you place the LE in Malum Coxae Senilis for pain relief?

Answer 34

ER

Question 35

Hallmark of OA

Answer 35

joint space narrowing

Question 36

Tender points in Fibromyalagia (18)

Answer 36

``` Occiput Traps Supraspinatus Gluteals 2nd rib Lower cervicals Lateral epicondyle Greater Trochanter Medial fat pad of knee ```