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Flashcards in Uworld Rheum Deck (35):
0

Bahcet's syndrome? Complications?

Erythema nodosum, recurrent oral and genital ulcers

Aortic aneurysms and alveolar hemorrhage

1

Effect of steroids on hip?

Avascular necrosis

2

Part of spine affected in RA? Complications?

Cervical spine. Can cause subluxation or spinal compression.

3

Evidence of pseudogout on X-ray?

Chrondocalcinosis

4

Viral arthritis versus rheumatic arthritis?

Acute onset of symptoms, morning symptoms lasting <30 minutes, lack of joint swelling

5

Fibromyalgia diagnosis depends on?

Tenderness in 11/18 trigger sites

6

Rheumatic arthritis increases risk of developing?

Osteopenia and osteoporosis due to disease, steroids, female sex, inability to weight bear

7

Baker cyst associated with what disease?

Rheumatoid arthritis

8

Cervical spondylosis Sx? X-ray findings?

Chronic neck pain, limited neck rotation and lateral bending, osteophyte induced radiculopathy, sensory abnormalities,

Bony spurs and sclerotic facet joints

9

Signs of catheter induced atheroembolism?

Blue toe syndrome – cyanotic and painful toes with intact pulses

Organ dysfunction, livedo reticulatus

10

Signs of vertebral osteomyelitis?

1. Tenderness to gentle percussion
2. No relief with rest
3. ESR>100

11

Enthesitis? Associated with?

Inflammation at site of tendons/ ligament attachment. Associated with arthropathies.

12

Systemic diseases with oral ulcers?

Lupus, crohn's and behcet's

13

Episcleritis associated with what diseases?

RA and IBD

14

Pain with pulling, pushing or lifting arm above shoulder with:
1) no improvement with lidocaine
2) with improvement with lidocaine

1) Rotator cuff tear
2) rotator cuff tendonitis/impingement

15

avascular necrosis can be complications of?

Corticosteroids, trauma, lupus, sickle cell

16

X-rays of joints affected by chronic gout show?

Punched-out erosions with overhanging cortical bone

17

Consider fibromyalgia when?

1. Woman ages 20 to 55
2. Normal ESR
3. Diffuse musculoskeletal pain or weakness without joint swelling

18

Myasthenia gravis versus Lambert-Eaton versus dermatomyositis: involved sites? Clinical features?

Postsynaptic ACh Receptor
versus
presynaptic Ca channels
versus
muscle fiber injury

19

Myasthenia gravis versus Lambert-Eaton versus dermatomyositis: All three can present as? Clinical features?

All three can present as paraneoplastic syndrome

Fluctuating muscle weakness (ocular, bulbar, facial, neck)

Proximal muscle weakness, autonomic dysfunction, cranial nerve involvement, no deep tendon reflexes

Symmetric and proximal muscle weakness, interstitial lung disease, esophageal dismotility, skin findings


20

Felty syndrome?

Rheumatoid Arthritis, splenomegaly, granulocytopenia

21

Whipple's disease symptoms?

Diarrhea, weight loss, migratory arthritis, low-grade fever, Lymphadenopathy

22

Treatment of fibromyalgia?

Tricyclics and exercise

23

Lumbar spinal stenosis – symptoms?

Low back pain, difficulty walking. Pain is worse with standing and walking uphill.

24

Symptoms of subacromial bursitis?

Pain with internal rotation and flexion shoulder with no signs deltoid atrophy

Caused by repetitive overhead motions (tennis players)

25

Can make a diagnosis of polymyalgia rheumatica if? Treatment?

Age >50
Pain in neck, shoulders, pelvis
Morning stiffness lasting >1 hour
ESR >40

Low dose prednisone

26

Causes splenomegaly and pruritis with hot baths? Mechanism?

Polycythemia vera. Histamine release from increased basophils

27

Bone pain caused by metastasis versus bone pain caused by degenerative disease?

Constant and worse at night versus exacerbated by exercise and relieved by rest

28

Dermatomyositis is associated with?

Ovarian, breast, lung cancers

29

Inflammatory diseases associated with aortic aneurysms?

1. Vasculities - Takayasu and Giant cell arteritis
2. ankylosing spondyloarthropathies
3. rheumatoid arthritis
4. Behcet syndrome

30

Inflammatory diseases associated with Alveolar hemorrhage?

1. Goodpasture's
2. Wegner's
3. Chrug-Strauss
4. Behcet syndrome
5. Antiphospholipid antibody syndrome

31

Inflammatory diseases associated with carpal tunnel syndrome?

Rheumatoid arthritis, sarcoidosis, amyloidosis

32

Causes of Erythema nodosum?

Most common: recent streptococcal infection
2. Sarcoidosis
3. TV/histoplasmosis
4. IBD

33

Pain of spinal stenosis vs herniated disk vs spinal cord compression vs ankylosing spondylitis

(Pain worse/better when? Leg raise test?)

Worse with standing (spinal extension), leg raise negative
Vs
Worse when sitting and positive leg raise
Vs
Paralysis, incontinence and hyperreflexia
Vs
Symptoms improve with exercise and no leg pain

34

Treatment for antiphospholipid antibody syndrome In a pregnant female?

Low molecular weight heparin

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