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RheumTest
| Question | Answer |
|---|---|
| RF | RA |
| anti-RA 33 | RA |
| anti-CCP | RA |
| TRAP | Osteoporosis |
| m/c arthritis | OA |
| m/c viral arthritis | parvovirus |
| HLA-B8 | Lupus |
| HLA-DR3 | Lupus |
| ANA | Lupus |
| Feltys Syndrome | RA, splenomegaly, low WBC |
| sjogrens syndrome | lupus |
| sjogrens syndrome | dry glands |
| discoid rash | m/c on chest |
| jacouds | RA |
| jacouds | Lupus |
| CVAs | lupus |
| Gel phenomenon | OA |
| gel phenomenon | PMR |
| gel phenomenon | ank spond |
| pain decrease w/rest | OA |
| pain decrease w/activity | ank spond |
| short am stiffness | OA |
| prolonged am stiffness | RA |
| prolonged am stiffness | ank spond |
| prolonged am stiffness | PMR |
| decreased joint space | OA |
| decreased joint space | reiters |
| decreased joint space | psoriatic |
| osteophytes | OA |
| osteophytes | reiters axial |
| bone spurs | reiters peripheral |
| infectious gm- | RA |
| infectious | gonococcal arthritis |
| infectious | reiters |
| klebsiella | reiters |
| G/C, shigella, salmonella | reiters |
| infectious | PMR |
| sacroilitis | ank spond |
| sacroilitis | reiters |
| organic brain syndrome | SLE |
| organic brain syndrome | lyme |
| enthesitis | ank spond |
| enthesitis | reiters |
| enthesitis | of colitis |
| sausage digit | reiters |
| sausage digit | psoriatic |
| sausage digit | of colitis |
| spinal fusion ascending | ank spond |
| spinal fusion descending | reiters |
| ant eveitis | ank spond |
| conjunctivitis | reiters |
| iritis episcleritis | psoriatic |
| uveitis | J. RA |
| thick/yellow | reiters |
| pitting/onycholysis/ridging | psoriatic |
| Feltys syndrome | RA |
| feltys syndrome | enlarged spleen |
| feltys syndrome | low WBC |
| sjogrens syndrome | seen w/SLE |
| CREST | seen w/scleroderma |
| Raynauds | scleroderma |
| calcinosis | scleroderma |
| espohageal dysmotility | scleroderma |
| telangiectasis | scleroderma |
| stills disease | systemic J. RA |
| temp >101 | stills disease |
| growth delay | stills disease |
| lymphadenopathy | stills disease |
| hepatosplenomegaly | stills disease |
| weight loss | stills disease |
| urethritis | reiters |
| conjunctivitis | reiters |
| arthritis | reiters |
| ESR >60 | PMR |
| p-anca | vasculitides |
| c-anca | vasculitides |
| ANA | lupus |
| ANA | scleroderma |
| ANA | J. RA |
| vWF | PMR |
| factor 8 | PMR |
| RF | RA |
| RF | J. RA |
| RF | SLE |
| RF | lyme |
| complement | SLE |
| anti-jo1 | polymyositis |
| anti-pL7 | polymyositis |
| anti-RA33 | RA |
| anti-CCP | RA |
| anti-dsDNA | SLE nephritis |
| Anti-RNP | SLE & CT disease |
| Anti-Sm | SLE - more specific |
| TRAP | osteoporosis |
| anti-SCL-70 | scleroderma |
| bambbo spine | ank spond |
| bambbo spine | of colitis |
| pencil in cup | psoriatic |
| hep B antigen | polyarteritis nodosa |
| HLA-B8 | SLE |
| HLA-DR3 | SLE |
| HLA-B27 | ank spond |
| HLA-B27 | reiters |
| HLA-B27 | psoriatic |
| HLA-B27 | of colitis |
| juvenile B27+ | J. RA |
| anti-SSA | sjogrens & SLE |
| anti-SSB | sjogrens & SLE |
| high uric acid | gout |
| high uric acid | psoriatic |
| HLA-DR4 | PMR |
| DIP | OA |
| DIP | psoriatic |
| PIP | OA |
| PIP | RA |
| PIP | parvovirus adult |
| PIP | psoriatic |
| PIP | J. RA |
| jaccouds | RA |
| jaccouds | SLE |
| knees | pseudogout |
| knees | lyme |
| shoulder/pelvis | PMR |
| Remicade | IV |
| Remicade | 4-8 weeks |
| Enbrel | 2/wk |
| kineret | daily |
| kineret | IL1 receptor antagonist |
| humira | every other week |
| hyaluronic acid | once weekly for 3-5 weeks |
| hyaluronic acid | OA |
| normal ESR | OA |
| M/C metabolic bone disease | Osteoporosis |
| causes osteoporosis | steroids/MTX |
| BDM testing | every 2 yrs |
| contraindication of bisphosphonates | hypoglycemia & severe renal impairment |
| bisphosphonates | nothing PO one hr after |
| bisphosphonates | reduce osteoclastic activity |
| recomb. PTH | stimulates osteoblasts |
| contraindications recomb PTH | children/teens, ppl w/pagets disease, hx of bone cancer |
| dehydration followed by rehydration | gout |
| kidney stones | gout |
| 24 hr urine | gout |
| indomenthacin | gout/pseudo |
| chronic pseudogout | females more |
| early pseudogout | males more |
| gout | men |
| elderly | PMR |
| CVAs | SLE |
| renal failure | SLE |
| antihistone antibodies | SLE-drug induced |
| SLE-drug induced | minocycline |
| rash on hands & feet | gonococcal arthritis |
| screen for endocarditis & meningitis | gonococcal arthritis |
| 1g IV/IM Ceftriaxone or Rhosepin | gonococcal arthritis |
| hands M/C | parvovirus arthritis |
| 1st sign ank spond | pseudowidening |
| m/c achilles tendonitis enthesitis | reiters |
| 1st symptom reiters | urethritis |
| M/C inflammatory arthritis in young men (30s) | reiters |
| axial arthritis late finding | psoriatic |
| m/c arthritis LE | of colitis |
| Tx PMR | 10-20mg steroid |
| Tx PMR | prednisone |
| Tx PMR w/TA | 60-80mg steroid |
| Tx PMR w/TA | solumedrol |
| Side effects of chronic steroid use | GI, increased infections, glaucoma, cataracts, HTN, osteopenia |
| heart block, non specific EKG | lyme |
| CSF increased proteins | Lyme |
| early lyme tx | PO doxy, amox, clarithro 3 weeks |
| more severe lyme tx | IV ABX 2-3wks |
| stage 1 lyme | 3days - 4 weeks |
| stage 2 lyme | weeks-months |
| stage 3 lyme | >5mos |
| M/C arthritis before age nine | J. RA |
| renal crisis | scleroderma |
| restrictive lung disease | scleroderma |
| proximal muscle weakness | polymyositis |
| difficulty lifting head | polymyositis |
| Cytoxan | wegeners granulomatosis responds to this |
| prolonged morning stiffness | fibromyalgia |
| no joint abnormalities | fibromyalgia |
| seen w/IBS | fibromyalgia |
| seen w/ mult drug allergies | fibromyalgia |
| NSAIDS/analgesics dont work here | fibromyalgia |