To know

Question 1

joint swelling in a kid with a high ESR is?

Answer 1

Juvenile RA, worse in AM

Question 2

What triggers a JRA attack?

Answer 2

URI

Question 3

JRA biomarker is?

Answer 3

Antinuclear antibody

Question 4

HLA-B27 is associated with?

Answer 4

Ankylosing Spond or Sjorgens

Question 5

Septic Arthritis has WBC aspirations above what?

Answer 5

50,000

Question 6

What is the biomarker to screen for SLE is?

Answer 6

ANA

Question 7

Antihistone antibodies are assocated with?

Answer 7

Procanimide, IHN, Hydralazine SLE

Question 8

Confirmatory testing for SLE is?

Answer 8

Anti Smith and 2xDNA

Question 9

How do you treat CRPS?

Answer 9

sympathetic nerve block

Question 10

Do you do an artherocentesis or IV antibiotics?

Answer 10

Artherocentesis

Question 11

Osteogenesis imperfecta is a deranged?

Answer 11

Collage, hence sclerea blue-grey

Question 12

Artherocentises are hard to gram stain?

Answer 12

Yes, only 60%. Use WBC

Question 13

flexing digits 2 and 3 is due to what nerve?

Answer 13

Medial

Question 14

Thumb adduction is due to what nerve?

Answer 14

deep of ulnar nerve

Question 15

Are scaphoids fx notorious for not showing up on xrays?

Answer 15

Yes

Question 16

Purines flare gout, what is a purine?

Answer 16

Nucleic Acid

Question 17

First line for RA is?

Answer 17

DMARDS, MXT, Sulfa, Leflu

Question 18

Unhappy triad is

Answer 18

ACL, MCL, Medial meniscus

Question 19

SLE in pregnancy has a high rate of?

Answer 19

Spontanous abortions

Question 20

Pathologic fx are seen with?

Answer 20

minimal exertion, like lifting groceries.

Question 21

Is somatic sensory maintained in Cauda Equina?

Answer 21

Yes

Question 22

What artery feeds the anterior horns and controls pain and temp? and bladder control.

Answer 22

Anterior spinal artery

Question 23

An Anterior cerebral occlusion will present with?

Answer 23

leg weakness and no sensory loss.

Question 24

The most specific diag test for SLE is?

Answer 24

Anti double DNA

Question 25

most Lateral metacarpal is the?

Answer 25

Lunate

Question 26

What nerve stabalizes the scapula and allows the arm to abduction90-180 degrees? And serratus anterior.

Answer 26

Long thoracic

Question 27

What nerve allows for 180 degrees and more?

Answer 27

deltoid by axillary

Question 28

Abduction and lateral rotation are controlled by the

Answer 28

suprascapular and suprascapular nerve

Question 29

Adduction and medial rotation are controlled by the

Answer 29

teres minor - lower scapular

Question 30

shorter leg with internal rotation is?

Answer 30

posterior hip dislocation

Question 31

What medicaiton shrinks gout nodules and is used in chronic control?

Answer 31

Allopurinol - inhibits xanthine oxidase

Question 32

Gout is exacerbating meds?

Answer 32

thiazide and asa

Question 33

Acute gout is treated with

Answer 33

Indo and colchicine

Question 34

A shorter femur that is laterally rotated is due to a?

Answer 34

Fx femoral neck

Question 35

HLA DR1 & HLA DR4 are in?

Answer 35

RA

Question 36

What are RAs biomarkers?

Answer 36

RF & antiCCP

Question 37

How do you treat RA?

Answer 37

MXT, Hydroxychloroquine, Sulfasalazine,& Leflu

Question 38

what is MXT MOA

Answer 38

Methotrexate inhibits the enzyme dihydrofolate reductase.

Question 39

What is ASA MOA

Answer 39

inhibit cox, which inhibits prostaglandins

Question 40

What is MXT CI besides pregnancy?

Answer 40

Methotrexate is contraindicated in patients with chronic hepatitis.

Question 41

is a benign tumor in children age 5 to 20, presents with increasing pain, worse at night and relieved by aspirin/Ibuprofen.

Answer 41

Osteoid osteoma

Question 42

..affects proprioception (position sense) and vibration sense.

Answer 42

Posterior/dorsal column

Question 43

In adults and intravenous drug abusers, which of the following bones is most commonly affected with acute osteomyelitis?

Answer 43

vertebrea

Question 44

hyaluronic acid injections treats what disease?

Answer 44

osteoarthritis

Question 45

How do you treat a simple buckle/torus fx?

Answer 45

Ace wrap or anterior splinting

Question 46

what does calcitonin do in acute compression fx?

Answer 46

Calcitonin has the ability to cause analgesia when used for acute compression fracture of the vertebral body

Question 47

Polymyalgia rheumatic presents with?

Answer 47

Stiff/pain of neck and shoudlers, but no weakness.

Question 48

What is the Tx of polymyalgia rheumatica?

Answer 48

ICS

Question 49

What is prevented in polymyalgia rheum patients if they take ICS?

Answer 49

temporal arteritis and blindness

Question 50

herniation of the L5-S1 disk leads to?

Answer 50

achilles reflex, gastroc and soles muscles, and gluteal muscles.

Question 51

Intermittent bone pain in kids that radiates, with xray lesion on the met and diaphasis with poor margins is?

Answer 51

Ewings sarcoma

Question 52

idiopathic avascular necrosis. Children present with limp, pain, and reduced range of motion. X-rays show a small femoral epiphysis, sclerosis of the femoral head and collapse

Answer 52

Legg-Calve-Perthes disease

Question 53

Rotator cuff injuries are first treat in Geris with?

Answer 53

PT

Question 54

1200 mg of calcium and 800 IU vitamin D daily is used for what?

Answer 54

prevent Osteoporosis as well as exercising

Question 55

P-Anca is with? C-Anca is with?

Answer 55

``` P-Anca = UC & Polyarteritis nodosum (Angiogram or Biopsy) C-Anca = Weneger's ```

Question 56

Inversion ankle ligament is the?

Answer 56

Anterior talofibular

Question 57

PAIR hla-B27 is?

Answer 57

psoriasis, ankylosis, ibd, reactive arth

Question 58

Anti-DNA is?

Answer 58

SLE

Question 59

Heberden's and bouchards are seen in?

Answer 59

OA

Question 60

Insidious AM onset with morning stiffness and symetric joints is?

Answer 60

RA