Rheumatology Flashcards Preview

Random Stuff > Rheumatology > Flashcards

Flashcards in Rheumatology Deck (75)
Loading flashcards...
1

If a patient presents with numbness and burning pain over the anterolateral skin of the thigh, which condition may you suspect first?

Meralgia paraesthetica

2

Which X-ray changes are associated with RA?

  1. Loss of joint space
  2. Juxta-articular osteoporosis
  3. Soft tissue swelling
  4. Periarticular erosions
  5. Subluxation

3

What is De Quervain's syndrome?

Inflammation of the sheaths of the extensor pollicis brevis and adductor pollicis longus tendons

4

Which criteria cause a patient to be labelled high risk for osteoporotic fracture?

  1. >75
  2. Glucocorticoid treatment
  3. Previous hip/vertebral fracture
  4. Further fractures during treatment
  5. High risk on FRAX scoring
  6. T score < -2.5 after treatment

 

5

If a patient has raised APTT, normal PT and thrombocytopenia, which condition is suspected?

Anti-phospholipid syndrome

6

On a full blood count, which readings will be characteristically high and also low for a patient with osteomalacia?

High - ALP

Low - Calcium, phosphates, vitamin D

7

What must NSAIDs be co-prescribed with?

PPIs

8

CREST syndrome is associated with which other rheumoatological condition?

Limitied cutaneous systemic sclerosis

9

The pencil in cup deformity is associated with which condition?

Psoriatic arthritis

10

Which conditions encompass CREST syndrome?

  1. Calcinosis
  2. Raynaud's syndrome
  3. Oesophageal dysmotility
  4. Sclerodactyly
  5. Telangiestasia

11

After which length of time will patients be reviewed when taking bisphosphonates?

5 years

12

Which social factor increases the risk of AVN?

Alcohol excess

13

What is one of the earliest clinical signs for ankylosing spondylitis?

Reduced lateral flexion

14

Trochanteric bursitis is known by which other name?

Greater trochanteric pain syndrome

15

What is a severe side effect of hydroxychloroquine?

Severe and permanent retinopathy

(HEYEdroxychloroquine)

16

Which treatment works great for polymyalgia rheumatica?

15mg prednisolone

17

Isoniazid can cause which two major conditions?

  1. Lupus (drug induced)
  2. Peripheral neuropathy

18

What causes meralgia paraesthetica?

Compression of lateral cutaneous nerve

19

Bisphosphonates can cause ___________ problems

Bisphosphonates can cause oesophageal problems

20

Which class of drugs increases the risk of AVN?

Long term steroids

21

What will be done in a review after 5 years for a patient on bisphosphonates?

Update FRAX and DEXA scores

22

Which drug may cause drug-induced lupus?

Isoniazid

23

Which pulses are affected in Buerger's disease?

Pedal pulses

24

What is the class of drugs which are first line for ankylosing spondylitis?

NSAIDs

(DMARDs too if peripheral joint involvement)

25

Pseudogout causes changes in the joint space similar to which other condition?

OA

26

What is the classical sign associated with Buerger's disease on angiogram?

Tortuous corkscrew shaped collateral vessels

27

If a patient is deemed to be low risk for osteoporotic fracture during their 5 year review for bisphosphonates, how will their treatment be altered?

  1. Discontinue bisphosphonate use
  2. Reassess after 2 years or subsequent fracture

28

Behcet's syndrome involves a triad of which symptoms?

  1. Oral ulcers
  2. Genital ulcers
  3. Anterior uveitis

29

Which test can be done for De Quervain's tenosynovitis?

Finkelstein's test

30

What are the normal ranges for ESR in

a) Men

b) Women

a) 0-22mm/hr

b) 0-29mm/hr