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CMS II Final FOCUSED Review - Rheumatology
Winter Semester 2011
80
Medical
Graduate
03/26/2011

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Cards

Term
Is cognitive function intact with fibromyalgia?
Definition
No, b/c of 'fibro fog'
Term
What is a common complaint in fibromyalgia?
Definition
lack of deep sleep/ sleep disturbances
Term
What 3 conditions is Enbrel used in? What is a common SE with the injection? What type of drug is this? What time frame are results seen within?
Definition
AS, RA, PA
Injection site may react
TNF Inhibitor
Results seen w/in 1st week
Term
What condition is described as is inflammation of the entheses, the sites where tendons or ligaments insert into the bone?
Definition
Enthesitis
Term
If pt c/o af polyarthritis, what is the best test to do?
Definition
Arthrocentesis
Term
What does 100,000 WBC in a fluid analysis indicate?
Definition
INFECTION
Term
What autoantibody can be somewhat commonly found in healthy pts?
Definition
+ ANA
Term
Pt presents with intense redness, warmth, burning and pain in her hand that was tx 2 weeks ago for a fracture after she slammed it in the car door. What condition do you suspect?
Definition
CRPS - Complex Regional Pain Syndrome
Term
What is another name for psuedogout? What are the x ray findings in this condition?
Definition
Calcium Pyrophosphate Disease (CPPD)
X-rays often demonstrate calcium deposits in involved joints, particularly the knee and the wrist. These deposits often have the appearance of a thin white rim lining the cartilage.
Term
Pt presents with swelling around knee joint (pictured) and the joints feel spongy on palpation. What condition do you suspect?
Definition
RA
Term
Which dz is a + HLA B27 associated with?
Definition
Ankylosing Spondylitis
Term
What is the MC fracture site in OA?
Definition
Vertebrae
Term
Kid w/ tick on neck, tick not engorged, what’s next?
Definition
Tell mother to wait and watch for 2ndary infx
Term
Which med combo should not be used when treating for gout?
Definition
Allopurinol and Azothioprine
Term
Pt on bisphosphanates and now has GERD, what other drug can she use instead?
Definition
Teriparatide (not raloxifine b/c she has Hx of CVA and it’s SE are coagulation)
Term
Med to tx fibromyalgia long term
Definition
pregabalin
Term
Pain on medial epicondyle of elbow, what the dx?
Definition
golfer's elbow
Term
What test is pos in De Quervian syndrome?
Definition
finklestein sign
Term
What endocrine d/o will low Vit D levels lead to?
Definition
hyperparathyroidism
Term
Is pseudogout influenced by hypoparathyroidism?
Definition
No
Term
What is the tx for men who have OA?
Definition
Testosterone
Term
Which condition is characterized by Swan neck and boutinier deformities?
Definition
RA
Term
Which joints of the hand are affected in OA?
Definition
CMC and DIP
Term
In which condition does a 'squaring' of the hand occur?
Definition
RA
Term
what T-score is indicative of Osteoporosis?
Definition
> -2.5
Term
Woman has twins that have slapped cheek dz, she has polyarthralgia, what condition does she have?
Definition
parvovirus B19
Term
what are a common SE of bisphosphanates
Definition
GERD
Term
Nongonnorrheal arthritis MC caused by ?
Definition
staph aureus
Term
Man’s finger swollen, had wood splinter before, now spread to hand and has lots of uptake in bone scan, what condition do you suspect?
Definition
osteomyelitis
Term
How does Denosimab work?
Definition
Rank Ligand inhibitor
Term
What are the criteria for dx RA?
Definition
Morning Stiffness for >1h
Arthritis of >3 joint areas (NEW Criteria says fewer)
Arthritis of hand joints (MCP, PIP)
Symmetric Involvement (Both sides equally)
Rheumatoid Nodules (Achilles, Soles of Feet, etc)
Serum RF (Anti-CCPs not yet added to criteria)
Radiographic Changes - Erosion, Osteopenia
Term
MC monoarthritic RA joint
Definition
Knee
Term
Need to tx w/ MTX, what do you have to check first in case of reactivation?
Definition
TB
Term
Psoriatic arthritis in a young man, what test should you do?
Definition
HIV test
Term
Pain in joint w/ activity?
Definition
OA
Term
Women with dowager's hump, what do you suspect?
Definition
OA
Term
Irritating eyes, stiffness, swollen feet/toes ?
Definition
Reiter’s syndrome
Term
To assess C1 & C2, what views do you need on xray?
Definition
Open mouth views
Term
When should allopurinol NOT be used?
Definition
Should not be used in an acute gouty attack
Term
If a pt presents with pain in their joints and pitting nail changes, what do you suspect?
Definition
Psoriatic arthritis
Term
Patellofemoral pain b/c of weak quads what is common?
Definition
Kneecap popping
Term
What is a serious SE of Remicade?
Definition
drug induced lupus
Term
If a pt has gout, what should you tell them to avoid socially as it can precipitate an attack?
Definition
Alcohol
Term
what social habit can lead to raynaud's dz?
Definition
Smoking
Term
Cold, numb fingers since 16 (now 20), no other sx, what conditions do you suspect?
Definition
raynaud's dx
Term
What is the ESR level in Wegner's?
Definition
ESR > 90
Term
In which condition can you see anemia?
Definition
SLE
Term
In which condition are gottron's papules seen?
Definition
seen as the rash in dermatomyositis
Term
With sjogren's syndrome, what do you have a high risk of?
Definition
lymphoma
Term
If a 76 y/o presents with dermatomyositis, what should you suspect?
Definition
malignancy
Term
If a pt presents with sicca, joint pain, rash and proteinuria, what condition do you suspect?
Definition
Overlap Syndrome (SLE and SS)
Term
What rash is present with Sarcoidosis?
Definition
E. nodosum
Term
Pt presents with pain in 3 joints, and bilateral hilar lymphadenopathy for 1 week. What condition do you suspect?
Definition
Lofgren's syndrome (self-limiting)
Term
Pt presents with saddle nose deformity, hx of asthma and a + P ANCA, what condition do you suspect?
Definition
Churgg-Strauss Syndrome
Term
Who is PAN MC in?
Definition
Males
Term
Pt presents with jaw claudification and HA, what do you treat the pt with?
Definition
Pt has GCA, so treat with prednisone 60g/day
Term
In what dz are RBC casts seen?
Definition
WG
Term
In what dz do you see an increase in ACE?
Definition
Sarcoidosis
Term
How should pulm HTN be treated?
Definition
ACE I
Term
What antibody is characteristic of CREST?
Definition
anti-centromere
Term
What does CREST stand for?
Definition
Calcinosis
Raynaud's
Esophageal dymostility
Sclerodactyly
Telangtasia
Term
What is the auto anti-body for PSS?
Definition
Anti-SCL 70
Term
What type of dz is Weber Christian dz?
Definition
panniculitis
Term
What is the auto anti-body for MCTD?
Definition
anti-RNP abs
Term
If a pt with a hx of SLE presents with venous and arterial thrombosis, what condition do you suspect?
Definition
APL
Term
What is key to the dx of Relapsing Polychondritis?
Definition
Inflammation of the ear that spares the earlobes
Term
A pt presents with nose mass, ear pain and red eye, what condition do you suspect?
Definition
RP - Relapsing Polychondritis
Term
Which is the worst auto antibody in APL?
Definition
IgG
Term
What is the autoantibody for drug induced lupus?
Definition
antihistone
Term
Pt's baby has bradycardia. If pt has SLE, what do you suspect?
Definition
Neonatal lupus
Term
What drugs can definitely cause drug induced lupus?
Definition
procainimide
hydralazine,
minocin
Term
Which type of lupus has photosensitivity, rash (doesn't scar) and doesn't affect organs?
Definition
SCLE - Sub-q Lupus
Term
Is ANA pos in SLE? in Discoid?
Definition
+ in SLE
- in Discoid
Term
What diseases pathogenesis is described as exessive T helper cells w/ low T suppressor cell activity which results in B cell proliferation & autoantibody production?
Definition
SLE pathogenesis
Term
What is the tx used in WG after steroids tx, for long term for maintenance?
Definition
MTX
Term
What is the #1 treatment for CT disorder?
Definition
Steroids
Term
What is anti-ds dna characteristic of?
Definition
renal nephritis
Term
What is the tx for APL with no thrombosis?
Definition
ASA 81 mg
Term
What is the tx for APL with thrombosis?
Definition
warfarin aggressive tx
Term
What condition is associated with PMR?
Definition
giant cell arteritis
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