Rheumatology - General

Question 1

How does joint swelling manifest?

Answer 1

Redness, swelling, morning stiffness for at least 30 minutes

Question 2

Diseases that are Monoarticular

Answer 2

Gout, trauma, septic arthritis, lyme disease, *osteoarthritis

Question 3

Diseases that are Oligoarticular (2-4 joints):

Answer 3

Reactive arthritis & psoriatic arthritis

Question 4

Diseases that are polyarticular (5 or more):

Answer 4

Rheumatoid Arthritis, Lupus (SLE)

Question 5

Only 2 diseases that affect the DIP:

Answer 5

Osteoarthritis, Psoriatic Arthritis

Question 6

Diseases that affect the first MTP (big toe)

Answer 6

Gout, Osteoarthritis

Question 7

What 2 joints will be spared in individuals with Psoriatic Arthritis and Osteoarthritis? / Which diseases will not spare these?

Answer 7

Wrist, MCP / Rheumatoid Arthritis, Lupus, Pseudogout

Question 8

Neuropathy suggests:

Answer 8

Vasculitis

Question 9

What are contraindications to aspirating a joint? / When do you use a small needle? (22 F)

Answer 9

Never pass through cellulitis or psoriatic plaque b/c of risk of introducing infections / When patient is on Warfarin

Question 10

WBC count for: Noninflammatory / Inflammatory / Purulent

Answer 10

Under 2,000 / 2,000 - 75,000 / over 100,000

Question 11

What you use to to look at crystals / type of gout crystal & characteristic / pseudogout type of crystal & characteristic

Answer 11

Dark field microscopy / Monosodium urate, negatively birefringent / Calcium pyrophosphate, positive birefringent.