CMN 574 EXAM 3 – RHEUMATOLOGY
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
Osteoarthritis S/S - CORRECT-ANSWERS- AM stiffness <30min
- Non-inflammatory
- Pain relived at rest
- No systemic S/S
- Slow onset
- Weight bearing joints
- Normal ESR, Non-inflammatory synovial fluid
Osteoarthritis prevelence - CORRECT-ANSWERS- Women
- Age 40 or older
- Most common joint disease
Osteoarthritis TX - CORRECT-ANSWERS- Weight loss
- Vit D management
- Splinting [hands]
- Tylenol 3g/24hr
- Triamcinolone [knee/hip] injection if no response to OTC meds (No
injections in hands!)
- Ortho referral for hip / knee replacement
Gout S/S - CORRECT-ANSWERS- Mono-articular
- Inflammatory
,- 1st MTP Joint [great toe]-podagra
- Intense, tender joints + warm, dusky red skin
- Acute onset
- Tophus in cartilage, subQ / periarticular tissue, bone, kidney
Primary gout - CORRECT-ANSWERS- Hereditary
- Men >30yr
- Postmenopausal women
Secondary Gout - CORRECT-ANSWERS- Acquired causes of hyperuricemia
- Excessive ETOH [beer]
- Diuretics
- Aspirin
- Cyclosporine
- Niacin
- Changes in diet or fluid intake
Gout Labs - CORRECT-ANSWERS- Serum uric acid >6.8
- ↑ Peripheral WBC [acute attack]
Gout DX - CORRECT-ANSWERS- Na+ urate crystals [aspirated joint fluid]
- US confirms
Acute TX of gout - CORRECT-ANSWERS- NSAIDs
- Colchicine [<36hr attack; 1.2mg - 0.6mg 1hr later - 0.6mg BID for
prophylaxis]
- Allopurinol
, - Corticosteroids are most useful for pt with contraindications to NSAIDs
(given IV or PO)
2+ episodes of gout/year - CORRECT-ANSWERS- Initiate urate lowering meds
[colchicine]
- Maintain serum uric acid at or below 6mg/dL
Colchicine for gout suppression - CORRECT-ANSWERS- Usual dose = 0.6mg
once-BID daily
- Cleared by kidneys
- Co-existing CKD only take once daily
Gout prevention (things to avoid) - CORRECT-ANSWERS- ETOH
- High-purine foods [organ meat, yeast [beer]
- Seafood
- Beans, peas, lentils
- Oatmeal, spinach, asparagus, cauliflower, mushrooms
- Corn syrup drinks
- Thiazide / loop diuretics & niacin
Gout prevention fluid intake - CORRECT-ANSWERS2L/day output
What does gout increase the risk of? - CORRECT-ANSWERS- HTN
- kidney dx
- DM
- High triglycerides
- Atherosclerosis
EXAM WITH CORRECT QUESTIONS
AND ANSWERS 2025
Osteoarthritis S/S - CORRECT-ANSWERS- AM stiffness <30min
- Non-inflammatory
- Pain relived at rest
- No systemic S/S
- Slow onset
- Weight bearing joints
- Normal ESR, Non-inflammatory synovial fluid
Osteoarthritis prevelence - CORRECT-ANSWERS- Women
- Age 40 or older
- Most common joint disease
Osteoarthritis TX - CORRECT-ANSWERS- Weight loss
- Vit D management
- Splinting [hands]
- Tylenol 3g/24hr
- Triamcinolone [knee/hip] injection if no response to OTC meds (No
injections in hands!)
- Ortho referral for hip / knee replacement
Gout S/S - CORRECT-ANSWERS- Mono-articular
- Inflammatory
,- 1st MTP Joint [great toe]-podagra
- Intense, tender joints + warm, dusky red skin
- Acute onset
- Tophus in cartilage, subQ / periarticular tissue, bone, kidney
Primary gout - CORRECT-ANSWERS- Hereditary
- Men >30yr
- Postmenopausal women
Secondary Gout - CORRECT-ANSWERS- Acquired causes of hyperuricemia
- Excessive ETOH [beer]
- Diuretics
- Aspirin
- Cyclosporine
- Niacin
- Changes in diet or fluid intake
Gout Labs - CORRECT-ANSWERS- Serum uric acid >6.8
- ↑ Peripheral WBC [acute attack]
Gout DX - CORRECT-ANSWERS- Na+ urate crystals [aspirated joint fluid]
- US confirms
Acute TX of gout - CORRECT-ANSWERS- NSAIDs
- Colchicine [<36hr attack; 1.2mg - 0.6mg 1hr later - 0.6mg BID for
prophylaxis]
- Allopurinol
, - Corticosteroids are most useful for pt with contraindications to NSAIDs
(given IV or PO)
2+ episodes of gout/year - CORRECT-ANSWERS- Initiate urate lowering meds
[colchicine]
- Maintain serum uric acid at or below 6mg/dL
Colchicine for gout suppression - CORRECT-ANSWERS- Usual dose = 0.6mg
once-BID daily
- Cleared by kidneys
- Co-existing CKD only take once daily
Gout prevention (things to avoid) - CORRECT-ANSWERS- ETOH
- High-purine foods [organ meat, yeast [beer]
- Seafood
- Beans, peas, lentils
- Oatmeal, spinach, asparagus, cauliflower, mushrooms
- Corn syrup drinks
- Thiazide / loop diuretics & niacin
Gout prevention fluid intake - CORRECT-ANSWERS2L/day output
What does gout increase the risk of? - CORRECT-ANSWERS- HTN
- kidney dx
- DM
- High triglycerides
- Atherosclerosis
