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T tx for polymyositis - CORRECT ANSWER MTX
Azathioprine
tx for polymyositis - CORRECT ANSWER MTX
Azathioprine
Dermatomyositis - CORRECT ANSWER Polymyositis
+ Gottron's papules + Heliotrope rash
associated w malignancy:
*ovarian*, lung, colorectal, NH lymphoma
Dermatomyositis - CORRECT ANSWER Polymyositis
+ Gottron's papules + Heliotrope rash
associated w malignancy:
*ovarian*, lung, colorectal, NH lymphoma
Ehlers Danlos - CORRECT ANSWER def procollagen peptidase
= N terminal propetide removal
Ehlers Danlos - CORRECT ANSWER def procollagen peptidase
= N terminal propetide removal
Fibromuscular Dysplasia - CORRECT ANSWER *no internal elastic lamina*
--> Carotid aneurysm
Renal stenosis
TIA/CVA
Fibromuscular Dysplasia - CORRECT ANSWER *no internal elastic lamina*
--> Carotid aneurysm
Renal stenosis
TIA/CVA
McCune Albright - CORRECT ANSWER *GNAS*
,fibrous dysplasia (lytic hip/pelvis)
cafe au lait
Endocrine (*ex: hyperthyroid)
McCune Albright - CORRECT ANSWER *GNAS*
fibrous dysplasia (lytic hip/pelvis)
cafe au lait
Endocrine (*ex: hyperthyroid)
Synovitis - CORRECT ANSWER tender, swollen, restricted movement
Synovitis - CORRECT ANSWER tender, swollen, restricted movement
dx septic arthritis - CORRECT ANSWER arthrocentesis, *synovial fluid* analysis
dx septic arthritis - CORRECT ANSWER arthrocentesis, *synovial fluid* analysis
Osteoarthritis joint involvement - CORRECT ANSWER DIP
PIP
Osteoarthritis joint involvement - CORRECT ANSWER DIP
PIP
Osteoarthritis is inflammatory? - CORRECT ANSWER NO!!!!
Osteoarthritis is inflammatory? - CORRECT ANSWER NO!!!!
Osteoarthritis tx - CORRECT ANSWER NSAIDs,
Glucocorticoids
Osteoarthritis tx - CORRECT ANSWER NSAIDs,
Glucocorticoids
CPDD (Ca Pyrophosphate) - CORRECT ANSWER Pseudogout
+ birefringe in knee
CPDD (Ca Pyrophosphate) - CORRECT ANSWER Pseudogout
+ birefringe in knee
tx CPDD - CORRECT ANSWER colchicine
tx CPDD - CORRECT ANSWER colchicine
,Rheumatoid arthritis markers - CORRECT ANSWER anti CCP (*citrillinated *- Fc of
IgG)
RhF
Rheumatoid arthritis markers - CORRECT ANSWER anti CCP (*citrillinated *- Fc of
IgG)
RhF
Rheumatoid arthritis joints involved - CORRECT ANSWER PIP
*MCP *
CERVICAL SPINE
Rheumatoid arthritis joints involved - CORRECT ANSWER PIP
*MCP *
CERVICAL SPINE
Why should you not trach
someone with RhA - CORRECT ANSWER flaccid paralysis due to
involvement of cervical spine
Why should you not trach
someone with RhA - CORRECT ANSWER flaccid paralysis due to
involvement of cervical spine
Rheumatoid Arthritis joint pain overtime - CORRECT ANSWER IMPROVES with use
Rheumatoid Arthritis joint pain overtime - CORRECT ANSWER IMPROVES with use
tx RhA - CORRECT ANSWER *Glucocorticoid/NSAID*: inhibit PMN
DMARD (*MTX, Sulfalazine*)
TNF-an inhibitor = *etanercept* (decoy), *infliximab* (anti-TNF)
tx RhA - CORRECT ANSWER *Glucocorticoid/NSAID*: inhibit PMN
DMARD (*MTX, Sulfalazine*)
TNF-an inhibitor = *etanercept* (decoy), *infliximab* (anti-TNF)
Sero Negative Spondyloarthritis - CORRECT ANSWER *HLA B27* - CD8, no IgG
Ankylosing Spondylitis
Reactive Arthritis
, Sero Negative Spondyloarthritis - CORRECT ANSWER *HLA B27* - CD8, no IgG
Ankylosing Spondylitis
Reactive Arthritis
Ankylosing Spondylitis - CORRECT ANSWER *sacroiliac fusion*
young man w morning stiffness
monitor *chest wall expansion*
Ankylosing Spondylitis - CORRECT ANSWER *sacroiliac fusion*
young man w morning stiffness
monitor *chest wall expansion*
what should you monitor in
ankylosing spondylitis - CORRECT ANSWER chest wall expansion
what should you monitor in
ankylosing spondylitis - CORRECT ANSWER chest wall expansion
Reactive arthritis - CORRECT ANSWER *asymmetric arthritis* of large joints
+ *conjunctivitis, uveitis, sacroilitis *
Chlamydia; Salmonella; Yersina; Campy; Shigella
Reactive arthritis - CORRECT ANSWER *asymmetric arthritis* of large joints
+ *conjunctivitis, uveitis, sacroilitis *
Chlamydia; Salmonella; Yersina; Campy; Shigella
Gout - CORRECT ANSWER - birefringe (yellow parallel,
blue perpendicular)
Gout - CORRECT ANSWER - birefringe (yellow parallel,
blue perpendicular)
Gout can be caused by what vitamin - CORRECT ANSWER *Niacin *
- decrease renal excretion of
uric acid
Gout can be caused by what vitamin - CORRECT ANSWER *Niacin *
- decrease renal excretion of
uric acid
tx gout - CORRECT ANSWER *NSAID*
Glucocorticoids