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52 Cards in this Set
- Front
- Back
What is the goal uric acid level to prevent further attacks in patients with gout? |
Less than 6mg/dl
|
|
What class of medication is the first-line treatment of renal crisis in scleroderma?
|
ACE inhibitors
|
|
What is the most specific test for diagnosing rheumatoid arthritis?
|
Anti-citrullinated protein (anti-CCP) antibody
|
|
What are the two most common nerve root impingements in lower back pain? |
L5 and S1
|
|
Which agent used in the treatment of rheumatoid arthritis requires frequent eye exams?
|
Hydroxychloroquine
|
|
Which antibody is associated with CREST syndrome?
|
Anti-centromere
|
|
What is the most common cause of septic arthritis in inviduals greater than 40 years of age? |
Staph aureus
|
|
What is the most sensitive method of diagnosing avascular necrosis?
|
MRI
|
|
What HLA marker can often be associated with ankylosing spondylitis?
|
HLA-B27
|
|
With systemic lupus erythematosus exacerbation, what would you expect the complement (high/low), anti-dsDNA (pos/neg) and ESR (high/low) levels to be? |
Low complement, pos anti-dsDNA, high ESR
|
|
Patient with rheumatoid arthritis on leflunomide decides she wants to get pregnant. What is the best next step in management?
|
Give cholestyramine for 9-11 days
|
|
Before starting patient on TNF-alpha inhibitors, what test should be performed?
|
Purified protein derivative (PPD) tuberculin skin test
|
|
If pts with osteoarthritis present with morning stiffness, what length of time should it not exceed? |
30 minutes
|
|
Greater than what value is the white blood cell (WBC) count expected to be in cases of septic arthritis?
|
More than 50,000/uL
|
|
Of the MCP, PIP, and DIP joint, which of the following is least likely to be involved with rhematoid arthritis?
|
DIP joint
|
|
With osteoarthritis, what would you expect the ESR and CRP levels to be?
|
Normal (versus elevated in rheumatoid arthritis)
|
|
Which knee test can indicate that patient has a lateral collateral ligament tear?
|
Positive varus test
|
|
What is the most common extra-articular manifestation of rheumatoid arthritis?
|
Rheumatoid nodules
|
|
What rheumatological condition can often be associated with temporal arteritis?
|
Polymyalgia rheumatica (PMR)
|
|
Patient with polymyositis is on high dose steroids. CPK levels are improving but weakness worsening. What to do?
|
Taper down on the steroids
|
|
Back pain that improves with leaning forward is the the classic presentation of what musculoskeletal condition?
|
Spinal stenosis
|
|
Patient who uses cocaine and has a weak handshake. What is the likely diagnosis?
|
Inclusion body myositis
|
|
What is the leading cause of death in patients with systemic lupus erythematosus?
|
Cardiovascular disease
|
|
What is the initial diagnostic test to check in an individual you suspect to have temporal arteritis?
|
Erythrocyte sedimentation rate (ESR)
|
|
What is the initial diagnostic test to check in an individual you suspect of having polymyositis?
|
Creatine phosphokinase (CPK) or Creatinine kinase (CK)
|
|
Loss of passive flexion of the foot when the calf is squeezed with achilles tendon tears is known as what test?
|
Positive Thompson test
|
|
What is the goal uric acid level to prevent further attacks in patients with gout?
|
Less than 6mg/dl
|
|
What class of medication is the first-line treatment of renal crisis in scleroderma?
|
ACE inhibitors
|
|
What is the most specific test for diagnosing rheumatoid arthritis?
|
Anti-citrullinated protein (anti-CCP) antibody
|
|
What are the two most common nerve root impingements in lower back pain?
|
L5 and S1
|
|
Which agent used in the treatment of rheumatoid arthritis requires frequent eye exams?
|
Hydroxychloroquine
|
|
Which antibody is associated with CREST syndrome?
|
Anti-centromere
|
|
What is the most common cause of septic arthritis in inviduals greater than 40 years of age?
|
Staph aureus
|
|
What is the most sensitive method of diagnosing avascular necrosis?
|
MRI
|
|
What HLA marker can often be associated with ankylosing spondylitis?
|
HLA-B27
|
|
With systemic lupus erythematosus exacerbation, what would you expect the complement (high/low), anti-dsDNA (pos/neg) and ESR (high/low) levels to be?
|
Low complement, pos anti-dsDNA, high ESR
|
|
Patient with rheumatoid arthritis on leflunomide decides she wants to get pregnant. What is the best next step in management?
|
Give cholestyramine for 9-11 days
|
|
Before starting patient on TNF-alpha inhibitors, what test should be performed?
|
Purified protein derivative (PPD) tuberculin skin test
|
|
If pts with osteoarthritis present with morning stiffness, what length of time should it not exceed?
|
30 minutes
|
|
Greater than what value is the white blood cell (WBC) count expected to be in cases of septic arthritis?
|
More than 50,000/uL
|
|
Of the MCP, PIP, and DIP joint, which of the following is least likely to be involved with rhematoid arthritis?
|
DIP joint
|
|
With osteoarthritis, what would you expect the ESR and CRP levels to be?
|
Normal (versus elevated in rheumatoid arthritis)
|
|
Which knee test can indicate that patient has a lateral collateral ligament tear?
|
Positive varus test
|
|
What is the most common extra-articular manifestation of rheumatoid arthritis?
|
Rheumatoid nodules
|
|
What rheumatological condition can often be associated with temporal arteritis?
|
Polymyalgia rheumatica (PMR)
|
|
Patient with polymyositis is on high dose steroids. CPK levels are improving but weakness worsening. What to do?
|
Taper down on the steroids
|
|
Back pain that improves with leaning forward is the the classic presentation of what musculoskeletal condition?
|
Spinal stenosis
|
|
Patient who uses cocaine and has a weak handshake. What is the likely diagnosis?
|
Inclusion body myositis
|
|
What is the leading cause of death in patients with systemic lupus erythematosus?
|
Cardiovascular disease
|
|
What is the initial diagnostic test to check in an individual you suspect to have temporal arteritis?
|
Erythrocyte sedimentation rate (ESR)
|
|
What is the initial diagnostic test to check in an individual you suspect of having polymyositis?
|
Creatine phosphokinase (CPK) or Creatinine kinase (CK)
|
|
Loss of passive flexion of the foot when the calf is squeezed with achilles tendon tears is known as what test?
|
Positive Thompson test
|