Rheumatology

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Author:
pszurnicki
ID:
274671
Filename:
Rheumatology
Updated:
2014-05-17 17:07:17
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Rheumatology
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Rheumatology
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Rheumatology
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  1. most accurate test for RA
    anti-CCP
  2. feltys syndrome
    • ra
    • neutropenia
    • splenomegaly
  3. what are the blood tests ordered in ra?
    • rf
    • anti-ccp
    • esr
    • c-reactive protein
    • cbc
  4. which joint is spared in ra
    sacriilliac joint
  5. what condition has the lowest glucose level in a pleural effusion
    ra
  6. what is the best initial therapy for ra
    • DMARD
    • Nsaids
  7. side effect of hydroxychloroquine
    retinopathy
  8. major side effect of gold salts
    nephrotic syndrome
  9. moa of anakinra
    IL-1 blocker
  10. moa of tocilizumab
    IL-6 blocker
  11. when are steroids used in ra?
    for acute episode of inflammation
  12. what are two characteristics of seronegative spondyloarhtropathies
    • spine involvment- arthritis
    • sacroilliac involvment
  13. for what type of arthritis steroid do not work?
    AS
  14. Most accurate test for as?
    MRI
  15. rx for as
    • nsaids
    • anti-tnf
    • sulfasalazine
  16. rx for reiters syndrome
    nsaids
  17. best initial rx for psoriatric arthritis
    nsaids
  18. most accurate test for psoriathric arhtiris
    none
  19. presentation of juvenile ra
    • fever
    • salmon colored rash
    • hepatosplenomegaly
    • high LFT's
  20. 3 tests for JRA?
    • high ferritin
    • high wbc
    • no ra or ana
  21. rx for jra
    • nsaids
    • if not effective
    • steroids
  22. rx for whipple disease causing arhtiris
    tmp-smx
  23. level of leukocytes in tapped joint inĀ 
    oa?
    ra?
    septic
    • <2,000
    • 5,000-50k
    • >50K
  24. what is the best initial test for oa
    what tests are ordered for oa
    xray

    • ra
    • esr
    • ana
    • anti-ccp
  25. most accurate test for sle
    • anti-dsdna
    • anti-smith
  26. what markers are followed in a flare up of sle
    • complement levels go down
    • anti-dsdna go up
  27. what blood tests should be ordered for sle
    • complement
    • anti-smith
    • anti-dsDNA
  28. rx for renal disease due to sle
    mycophenolate
  29. rash in arhtiris rx
    • hydroxychloroquine
    • other malarials
  30. rx for sle between flare ups
    • azathioprine
    • cyclophosphamide
    • belizumab
  31. 3 differences between drug induced lupus and regular lupus
    • drug induced lupus has--anti-histone antibodies
    • no renal/cns involvement
    • complement and anti-dsDNA are normal
  32. rx for sjogrens syndrome
    cholinergics
  33. lung fibrosis in scleroderma is treated how?
    cyclophosphamide
  34. treatment of pulmonary htn
    • bosentan
    • prostaglandins
    • sildenafil
  35. what is eosinophilic fascitis
    thickened skin and no other findings
  36. diagnosis of eosinophilic fascitis
    • eosinophilia
    • paeu the orange
  37. rx for eosinophillic fascitis
    steroids
  38. what kind of rash is seen with dermatomyositis
    • heliotrope
    • gottrone papules
    • shawl sign
  39. what tests are ordered for inflammatory myopathies
    • cpk
    • aldolase
    • ana
    • liver functions tests
  40. rx for polymyositis and dermatomyosis
    steroids
  41. rx for fibromyalgia
    • milnacipram
    • duloxetine
    • tca's
  42. pmr vs polymyositis/dermatomyositis
    pmr only has high esr, normal cpk, aldolase
  43. best intial rx for vasculitis
    • steroids
    • if not effective
    • azathioprine
    • cyclophsophamide
    • methotrexate
  44. how does polyarteritis present
    • vasculitis +
    • abdominal pain
    • hep B background
  45. best initial test for pan
    most accurate
    • abdominal angiography
    • biopsy of vessel, sural nerve
  46. vasculitis + asthma+ eosinophilia?
    churg-strauss
  47. what is the only vasculitis where a biopsy is no the most accurate test?
    takayasu's
  48. what vasculitis is associated with hep c
    cryglobulinemia
  49. how you treat hep c
    • ribavarin
    • interferon
  50. what dz gives heperreactivity to skin needles(abscesses0
    behcet
  51. what precipitates gout attackes
    • niacin
    • thiazides
    • alcohol
  52. when is colchicine used
    if nsaids or steroids cant be used
  53. when is febuxostat used for gout
    if allopurinol is not enough
  54. when is resburicase used
    if allupurinol is not enough
  55. pseduogout occurs int eh background of what
    • hemochromatosis
    • parathyroids levels are high
    • hypothyroid
    • acromegaly
  56. what do you do when u have a septic join
    call orthopedics
  57. tests to order for pagets disease of bone
    • alp
    • xray
    • urinary hydroxyproline
    • serum ca
    • serum phosphate
    • bone scan
  58. rx for pagets disease of bone
    • bisphosphantes
    • calcitonin
  59. scenario for bakers cyst
    next step
    pt with oa or ra

    order doppler ultrasouond to exclude dvt
  60. rx for bakers
    nsaids
  61. tarsal tunnel vs plantar fascitis
    • tarsal tunnel avoid heels and boots
    • may need surgical release
  62. motor neuroma
    tenderness between 3rd and 4th toe

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