Rheumatology

Question 0

Changes in walking, running, willingness to play

Answer 0

JIA

Question 1

Morning stiffness that improves with movement later in the morning

Answer 1

JIA

Question 2

Salmon colored rash

Answer 2

JIA

Question 3

Loss of ability to dress, feed, bath or developmental milestones lost

Answer 3

JIA

Question 4

Daily fevers, 1 to 2 spikes per day

Answer 4

JIA

Question 5

Mild rubbing/scratching of skin brings out the rash

Answer 5

Kobner phenomenon (JIA)

Question 6

Patients with this diagnosis must be followed with slit lamp exams q3 months for asymptomatic uveitis

Answer 6

Oligoarticular JIA

Question 7

Positive HLA B27

Answer 7

ERA (enthesitis related arthritis)

Question 8

Ixodes scapularis

Answer 8

Tick that causes Lyme disease

Question 9

Pathognomonic for Lyme disease

Answer 9

Erythema migrans

Question 10

Isolated foot drop or Bell’s palsy

Answer 10

Lyme Disease

Question 11

Tx for Lyme Disease

Answer 11

Doxycycline x 2 weeks, If meningitis or carditis, tx with ceftriaxone. Amoxicillin ok if less than 8.

Question 12

Buttock rash

Answer 12

HSP

Question 13

IgA mediated vasculitis

Answer 13

HSP

Question 14

May cause occult GI bleeding, thickened gallbladder hydrops, illeoleal intussusception, orchitis, hematuria, proteinuria

Answer 14

HSP

Question 15

c-ANCA positive

Answer 15

Wegner’s

Question 16

Vasculitis of arteries AND veins. Painful oral ulcers, painful genital ulcers, and eye disease.

Answer 16

Behcet Disease

Question 17

X-ray with osteopenia and joint damage

Answer 17

Systemic JIA

Question 18

Normal X-rays

Answer 18

SLE

Question 19

Teenage girl with alopecia

Answer 19

Lupus or syphillis

Question 20

Avascular necrosis, osteoporosis, growth failure, glaucoma, DM, HTN, accelerated atherosclerosis

Answer 20

Side effects of corticosteroids

Question 21

Girl with rash and muscle weakness. Heliotrope rash and Gottron papules

Answer 21

Dermatomyositis (tx with steroids)

Question 22

Migrating polyarthralgia, menses

Answer 22

Gonorrohea

Question 23

Malar rash

Answer 23

SLE

Question 24

Anti phospholipid antibodies in SLE

Answer 24

Miscarriages, blood clots

Question 25

Dry eyes and mouth

Answer 25

Sjogren syndrome

Question 26

Bilateral evening or nighttime pains

Answer 26

Growing pains