If a patient presents with numbness and burning pain over the anterolateral skin of the thigh, which condition may you suspect first?
Which X-ray changes are associated with RA?
- Loss of joint space
- Juxta-articular osteoporosis
- Soft tissue swelling
- Periarticular erosions
What is De Quervain's syndrome?
Inflammation of the sheaths of the extensor pollicis brevis and adductor pollicis longus tendons
Which criteria cause a patient to be labelled high risk for osteoporotic fracture?
- Glucocorticoid treatment
- Previous hip/vertebral fracture
- Further fractures during treatment
- High risk on FRAX scoring
- T score < -2.5 after treatment
If a patient has raised APTT, normal PT and thrombocytopenia, which condition is suspected?
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
What must NSAIDs be co-prescribed with?
CREST syndrome is associated with which other rheumoatological condition?
Limitied cutaneous systemic sclerosis
The pencil in cup deformity is associated with which condition?
Which conditions encompass CREST syndrome?
- Oesophageal dysmotility
After which length of time will patients be reviewed when taking bisphosphonates?
Which social factor increases the risk of AVN?
What is one of the earliest clinical signs for ankylosing spondylitis?
Reduced lateral flexion
Trochanteric bursitis is known by which other name?
Greater trochanteric pain syndrome
What is a severe side effect of hydroxychloroquine?
Severe and permanent retinopathy
Which treatment works great for polymyalgia rheumatica?
Isoniazid can cause which two major conditions?
- Lupus (drug induced)
- Peripheral neuropathy
What causes meralgia paraesthetica?
Compression of lateral cutaneous nerve
Bisphosphonates can cause ___________ problems
Bisphosphonates can cause oesophageal problems
Which class of drugs increases the risk of AVN?
Long term steroids
What will be done in a review after 5 years for a patient on bisphosphonates?
Update FRAX and DEXA scores
Which drug may cause drug-induced lupus?
Which pulses are affected in Buerger's disease?
What is the class of drugs which are first line for ankylosing spondylitis?
(DMARDs too if peripheral joint involvement)
Pseudogout causes changes in the joint space similar to which other condition?
What is the classical sign associated with Buerger's disease on angiogram?
Tortuous corkscrew shaped collateral vessels
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?
- Discontinue bisphosphonate use
- Reassess after 2 years or subsequent fracture
Behcet's syndrome involves a triad of which symptoms?
- Oral ulcers
- Genital ulcers
- Anterior uveitis
Which test can be done for De Quervain's tenosynovitis?
What are the normal ranges for ESR in