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Rheumatology I FCP III Exam 2 – Latest Version Exam Review with Complete Questions & Correct Detailed Answers (Medicine)

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Rheumatology I FCP III Exam 2 – Latest Version Exam Review with Complete Questions & Correct Detailed Answers (Medicine)

Institution
Rheumatology
Course
Rheumatology

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rheumatology I FCP III EXAM 2--Complete
Exam Questions with Correct Detailed Answers
| 100% Guaranteed Pass | Latest & Updated
Version
This guide contains complete exam questions with correct, well-explained answers, carefully
compiled to reflect the type of material commonly tested in exams. The structured format
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Each answer is accompanied by clear and detailed explanations to ensure you not only know
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gout involves ______________ _________ deposition into joints and soft tissue. an immune
response to these crystals then follows and leads to the inflammation.

monosodium urate (MSU)

what is the most common affected joint for acute gouty arthritis?

1st MTP

what is the special name for gout that occurs at the 1st MTP joint?

podagra

what is the clinical presentation of acute gouty arthritis?

sudden onset, severe pain, skin is red and warm

what is the name for collections of solid urate in subq tissue, bone, cartilage, and joints?

tophi (present in chronic arthropathy / tophaceous gout)

what is the clinical presentation of chronic gout arthropathy/tophaceous gout?

non-tender nodules, yellow/white

what is the diagnostic study of choice for confirming acute gout?

arthrocentesis with synovial fluid analysis (MSU crystals that are needle-like or rod-shaped)

what may xrays show with gout in chronic disease?

small, punched-out erosions (rat bite)

what is the treatment for acute gout flare?

rest, dietary modifications, reduce inflammation (NSAIDs, colchicine, or steroids)

what is the best anti-inflammatory medication for gout in someone with kidney disease?

, corticosteroids (NSAIDs and colchicine cannot be used in kidney disease)

what are the 2 major complications of hyperuricemia (other than gout)?

nephrolithiasis, CKD

what is the most common affected joint in CPPD (calcium pyrophosphate crystal deposition
disease)?

knee

what are the risk factors for CPPD?

age, trauma, hyperparathyroidism, hemochromatosis

what is the clinical presentation of acute CPPD/pseudogout?

provoking event (trauma, surgery, severe illness), monoarticular severe pain, swelling, redness

what is the diagnostic study of choice for confirming CPPD?

arthrocentesis with synovial fluid analysis (CPP crystals that are rhomboid-shaped and positively
birefringent)

what will xray show in CPPD?

chondrocalcinosis (cartilage calcification)

what is the treatment for CPPD?

NSAIDs, colchicine, corticosteroids

what is the most common joint disease?

OA

what are the most common affected joints for OA?

hands, feet, knees, hips

what is the clinical presentation of OA?

pain aggravated with activity, morning stiffness (<30 min), limited ROM

how can OA be diagnosed?

clinically, xrays (osteophytes, joint space narrowing, subchondral sclerosis/thickening)

what are the non-pharmacologic therapies for OA?

weight loss, low impact exercise

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Institution
Rheumatology
Course
Rheumatology

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