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Flashcards in Rheumatology Deck (50):
1

what does seropositive mean

positive for rheumatoid factored

2

which conditions are seropositive

rheumatoid, SLE, sjogrens

3

anti-centromere

limited systemic sclerosis (CREST)

4

anti-Scl-70

diffuse systemic sclerosis

5

Anti-RNP

mixed connective tissue disease

6

Anti-Ro

sjogrens and SLE

7

Anti-jo

polymyositis

8

anti CCP

rheumatoid

9

other than sore back what might someone with ank spond have

achilles tendonitis, osteoporosis, anterior uveitis, aortic regurgitation

10

examination for ank spond

schobers test: 10cm above/5cm below dimples

11

back pain red flags

sudden onset, young / elderly, previous cancer, weight loss, night pain, thoracic, leg weakness, saddle anaesthesia, bladder / bowel difficulties

12

level for cauda equina

L4/5

13

disc herniations usually in what direction

posterior

14

what happened to reflexes in cauda equine

lost

15

most common level for sciatica

L5/S1

16

sciatica; when is pain worst

straight leg lift

17

claudication relieved by leaning forward

spinal stenosis

18

2 tests for carpal tunnel

phalnes: wrists flexed for 60 seconds
Tinels: tapping median nerve

19

carpal tunnel treatment

nocturnal wrist splint, steroid injections, surgical release

20

acute gout treatment

NSAIDs, steroid injection, colchicine (slower action)

21

gout prophylaxis

allopurinol with initial NSAID/colchisine cover

22

DIP swellings are called what and seen in what condition

heberdens nodes - OA

23

PIP swellings are called and what condition

mouchards nodes - OA

24

what is osteomalacia

vit D deficiency causing loss of bone mass

25

what electrolyte changes will you see in osteomalacia

low calcium and phosphate, high ALP

26

osteomalacia treatment

cholecalciferol - Vit D3

27

DEXA T score that indicates osteopenia

-1.0 to -2.5

28

DEXA T score that indicates osteoporosis

-2.5 or more

29

osteoporosis treatment

bisphosphenates (alendronate/alendronic acid)

30

what blood results will suggest pagets

normal other than raises ALP (calcium an dphophate is normal coz it is reiterated into bone)

31

risks associated with pagets

osteosarcoma

32

bilateral shoulder, neck, pelvic pain with morning stiffness

polymyalgia rheumatica

33

what other condition is polymyalgia rheumatic associate with

temporal arteritis

34

polymyalgia rheumatic treatment

steroids

35

raynauds treatment

Nifedipine (calcium channel blocker)

36

erythema nodosum, urethritis, conjunctivitis, arthritis

reactive arthritis

37

HLA associated with rheumatoid

HLA-DR4/1

38

rheumatoid: symmetrical or not?

symmetrical

39

Rheumatoid: stiffness

morning stiffness

40

rheumatoid treatment

simple analgesics, short-course prednisolone, methotrexate, sulfasalazine
• if not controlled after 6 months consider infliximab; then etanercept, rituximab

41

rheamatoid: investigations

anti-CCP

42

parotid swelling, dry eyes, dry mouth

sjogrens

43

risk associated with sjogrens

lymphoid malignancy

44

difference between polymyositis and polymyalgia rheumatic

polymyosisits: muscle weakness, raised muscle enzymes (CPK)
ploymyalgia: Morning stiffness, CPK normal, raised ESR

45

gottrons sigs

dermatomyositis - purple-red papular rash over knuckles

46

C-ANCA

granulomatosis with polyangiitis (wegners)

47

p-ANCA

churg-strauss syndrome

48

anti-acetylcholine receptor antibodies

myasthenia gravis

49

what is Churg-Strauss syndrome

eosinophilic granulomatosis with polyangitis - medium sized vessel vasculitis

50

what is a heliotrope rash

rash usually seen on user eye lids in dermatomyositis