Spondylarthritidies Flashcards
(48 cards)
1
Q
A
HLA-B27
2
Q
A
Anterior uveitis (aka. iritis) Enteric arthropathy Psoriatic arthritis Ankylosing spondylitis Reactive arthritis
3
Q
A
Enteric arthropathy
Psoriatic arthritis
Ankylosing spondylitis
Reactive arthritis
4
Q
A
RhF -ve
5
Q
A
Axial (spine/sacroiliac joints)
6
Q
and joint inflammation is characteristic of the spondylarthritidies. it is called
A
dactylitis
7
Q
A
Anterior uveitis Psoriaform rashes oral ulcers aortic regurgitation IBD
8
Q
A
Plantar fascia
Calcaneal ligament
Chostrochondritis
9
Q
A
Seronegativity HLA B27 + Axial arthritis Asymmetrical large joint oligoarthritis/mono Enthesitis Dactylitis Extra-articular manifestations
10
Q
A
Spine
Sacroiliac joints
11
Q
A
30
12
Q
A
HLA b27
13
Q
A
Night
end of the day
14
Q
A
relieved
15
Q
A
Exaggerated thoracic convex curvature
16
Q
A
buttocks/hips
17
Q
A
kyphosis
neck hyper-extension
18
Q
A
Chostrochondritis
19
Q
A
anterior uveitis
20
Q
A
AR
21
Q
A
pulmonary apical fibrosis
22
Q
A
majority
23
Q
A
Plantar fasciitis
Achilles
24
Q
A
MRI
25
[AS]: What body patholgy would be most noticeable on XR
Sacroiliitis
26
[AS]: Syndesomophytes are present in the vertebra and cause bamboo spine. This is due to the ... of enthetic ligaments
calcification
27
[AS]: 1st line Mx
Exercise
28
[AS]: Symptomatic Mx
NSAIDs
29
[AS]: If severe AS and NSAIDs have failed in controlling symptoms use ...
TNF a blockers
30
[AS]: name 3 TNFa blockers
Etanercept
Adalimumab
Golimumab
31
[AS]: ESR of over ..., early hip involvement and age of onsetof <16 year are bad prognostic markers
30
32
[EntericArthropathy]: Is associated with IBD, coeliacs and whipples diseases. Tx of underlying causes usually works - if resistant use ...
DMARDs
33
[PsoriaticArthritis]: The patterns of joint involvement can be very variable e.g. (3)
Symmetrical polyarthritis
Asymmetrical oligarthritis
Spinal
34
[PsoriaticArthritis]: If there is severe deformity what form os PA could it be
Psoriatic arthritis mutilans
35
[PsoriaticArthritis]: In severe cases what is the characteristic XR presentation
Pencil in a cup
| narrowed end of metacarpal or phalanx inserts into expanded end of adjacent bone
36
[PsoriaticArthritis]: Nail changes, rashes, dactylitis and ... are signs of PA
Palmo-plantar pustulosis
37
[PsoriaticArthritis]: Mx is ...
NSAIDs
| DMARDs + ciclosporin
38
[ReactiveArthritis]: Typically presents after what (2)
urethritis
| Dysentry
39
[AS]: Dx made upon ... signs
clinical
40
[ReactiveArthritis]: Whilst it can be both chronic or relapsing, how long after infections of uretritis/dysentry do symptoms first present
1-4 weeks
41
[ReactiveArthritis]: Which limbs are typically affected
lower
42
[ReactiveArthritis]: There may be raised brown plaques on soles of the feet. these are called
Keratoderma blenorrhagica
43
[ReactiveArthritis]: painless penile ulceration secondary to chlamydia infections are called
Circinate balanitis
44
[ReactiveArthritis]: What triad makes up Reiters syndrome
Urethritis
Conjuctivitis
arthritis
45
[ReactiveArthritis]: upon synovial fluid aspiriation, what would be cultured?
Nothing it is sterile
46
[ReactiveArthritis]: Tx is to splint the joint and deliver NSAIDs unless symptoms have been present for ....
>6 months
47
[ReactiveArthritis]: If symptoms have been present for a long time treat with .... and ....
Methotrexate
| sulfasalazine
48
[ReactiveArthritis]: Curing the underlying infection has ... on the arthritis
no effect