Term
| Is cognitive function intact with fibromyalgia? |
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Definition
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Term
| What is a common complaint in fibromyalgia? |
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Definition
| lack of deep sleep/ sleep disturbances |
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Term
| What 3 conditions is Enbrel used in? What is a common SE with the injection? What type of drug is this? What time frame are results seen within? |
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Definition
AS, RA, PA
Injection site may react
TNF Inhibitor
Results seen w/in 1st week |
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Term
| What condition is described as is inflammation of the entheses, the sites where tendons or ligaments insert into the bone? |
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Definition
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Term
| If pt c/o af polyarthritis, what is the best test to do? |
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Definition
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Term
| What does 100,000 WBC in a fluid analysis indicate? |
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Definition
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Term
| What autoantibody can be somewhat commonly found in healthy pts? |
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Definition
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Term
| Pt presents with intense redness, warmth, burning and pain in her hand that was tx 2 weeks ago for a fracture after she slammed it in the car door. What condition do you suspect? |
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Definition
| CRPS - Complex Regional Pain Syndrome |
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Term
| What is another name for psuedogout? What are the x ray findings in this condition? |
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Definition
Calcium Pyrophosphate Disease (CPPD)
X-rays often demonstrate calcium deposits in involved joints, particularly the knee and the wrist. These deposits often have the appearance of a thin white rim lining the cartilage. |
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Term
| Pt presents with swelling around knee joint (pictured) and the joints feel spongy on palpation. What condition do you suspect? |
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Definition
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Term
| Which dz is a + HLA B27 associated with? |
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Definition
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Term
| What is the MC fracture site in OA? |
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Definition
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Term
| Kid w/ tick on neck, tick not engorged, what’s next? |
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Definition
| Tell mother to wait and watch for 2ndary infx |
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Term
| Which med combo should not be used when treating for gout? |
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Definition
| Allopurinol and Azothioprine |
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Term
| Pt on bisphosphanates and now has GERD, what other drug can she use instead? |
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Definition
| Teriparatide (not raloxifine b/c she has Hx of CVA and it’s SE are coagulation) |
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Term
| Med to tx fibromyalgia long term |
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Definition
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Term
| Pain on medial epicondyle of elbow, what the dx? |
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Definition
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Term
| What test is pos in De Quervian syndrome? |
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Definition
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Term
| What endocrine d/o will low Vit D levels lead to? |
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Definition
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Term
| Is pseudogout influenced by hypoparathyroidism? |
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Definition
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Term
| What is the tx for men who have OA? |
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Definition
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Term
| Which condition is characterized by Swan neck and boutinier deformities? |
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Definition
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Term
| Which joints of the hand are affected in OA? |
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Definition
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Term
| In which condition does a 'squaring' of the hand occur? |
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Definition
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Term
| what T-score is indicative of Osteoporosis? |
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Definition
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Term
| Woman has twins that have slapped cheek dz, she has polyarthralgia, what condition does she have? |
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Definition
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Term
| what are a common SE of bisphosphanates |
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Definition
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Term
| Nongonnorrheal arthritis MC caused by ? |
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Definition
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Term
| Man’s finger swollen, had wood splinter before, now spread to hand and has lots of uptake in bone scan, what condition do you suspect? |
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Definition
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Term
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Definition
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Term
| What are the criteria for dx RA? |
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Definition
Morning Stiffness for >1h
Arthritis of >3 joint areas (NEW Criteria says fewer)
Arthritis of hand joints (MCP, PIP)
Symmetric Involvement (Both sides equally)
Rheumatoid Nodules (Achilles, Soles of Feet, etc)
Serum RF (Anti-CCPs not yet added to criteria)
Radiographic Changes - Erosion, Osteopenia |
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Term
| MC monoarthritic RA joint |
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Definition
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Term
| Need to tx w/ MTX, what do you have to check first in case of reactivation? |
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Definition
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Term
| Psoriatic arthritis in a young man, what test should you do? |
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Definition
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Term
| Pain in joint w/ activity? |
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Definition
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Term
| Women with dowager's hump, what do you suspect? |
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Definition
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Term
| Irritating eyes, stiffness, swollen feet/toes ? |
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Definition
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Term
| To assess C1 & C2, what views do you need on xray? |
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Definition
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Term
| When should allopurinol NOT be used? |
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Definition
| Should not be used in an acute gouty attack |
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Term
| If a pt presents with pain in their joints and pitting nail changes, what do you suspect? |
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Definition
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Term
| Patellofemoral pain b/c of weak quads what is common? |
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Definition
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Term
| What is a serious SE of Remicade? |
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Definition
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Term
| If a pt has gout, what should you tell them to avoid socially as it can precipitate an attack? |
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Definition
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Term
| what social habit can lead to raynaud's dz? |
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Definition
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Term
| Cold, numb fingers since 16 (now 20), no other sx, what conditions do you suspect? |
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Definition
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|
Term
| What is the ESR level in Wegner's? |
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Definition
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Term
| In which condition can you see anemia? |
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Definition
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Term
| In which condition are gottron's papules seen? |
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Definition
| seen as the rash in dermatomyositis |
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Term
| With sjogren's syndrome, what do you have a high risk of? |
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Definition
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Term
| If a 76 y/o presents with dermatomyositis, what should you suspect? |
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Definition
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Term
| If a pt presents with sicca, joint pain, rash and proteinuria, what condition do you suspect? |
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Definition
| Overlap Syndrome (SLE and SS) |
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Term
| What rash is present with Sarcoidosis? |
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Definition
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Term
| Pt presents with pain in 3 joints, and bilateral hilar lymphadenopathy for 1 week. What condition do you suspect? |
|
Definition
| Lofgren's syndrome (self-limiting) |
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Term
| Pt presents with saddle nose deformity, hx of asthma and a + P ANCA, what condition do you suspect? |
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Definition
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Term
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Definition
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Term
| Pt presents with jaw claudification and HA, what do you treat the pt with? |
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Definition
| Pt has GCA, so treat with prednisone 60g/day |
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Term
| In what dz are RBC casts seen? |
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Definition
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Term
| In what dz do you see an increase in ACE? |
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Definition
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Term
| How should pulm HTN be treated? |
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Definition
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Term
| What antibody is characteristic of CREST? |
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Definition
|
|
Term
| What does CREST stand for? |
|
Definition
Calcinosis
Raynaud's
Esophageal dymostility
Sclerodactyly
Telangtasia |
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Term
| What is the auto anti-body for PSS? |
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Definition
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|
Term
| What type of dz is Weber Christian dz? |
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Definition
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Term
| What is the auto anti-body for MCTD? |
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Definition
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Term
| If a pt with a hx of SLE presents with venous and arterial thrombosis, what condition do you suspect? |
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Definition
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Term
| What is key to the dx of Relapsing Polychondritis? |
|
Definition
| Inflammation of the ear that spares the earlobes |
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Term
| A pt presents with nose mass, ear pain and red eye, what condition do you suspect? |
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Definition
| RP - Relapsing Polychondritis |
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|
Term
| Which is the worst auto antibody in APL? |
|
Definition
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Term
| What is the autoantibody for drug induced lupus? |
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Definition
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Term
| Pt's baby has bradycardia. If pt has SLE, what do you suspect? |
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Definition
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Term
| What drugs can definitely cause drug induced lupus? |
|
Definition
procainimide
hydralazine,
minocin |
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Term
| Which type of lupus has photosensitivity, rash (doesn't scar) and doesn't affect organs? |
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Definition
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|
Term
| Is ANA pos in SLE? in Discoid? |
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Definition
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Term
| What diseases pathogenesis is described as exessive T helper cells w/ low T suppressor cell activity which results in B cell proliferation & autoantibody production? |
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Definition
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Term
| What is the tx used in WG after steroids tx, for long term for maintenance? |
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Definition
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Term
| What is the #1 treatment for CT disorder? |
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Definition
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Term
| What is anti-ds dna characteristic of? |
|
Definition
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|
Term
| What is the tx for APL with no thrombosis? |
|
Definition
|
|
Term
| What is the tx for APL with thrombosis? |
|
Definition
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|
Term
| What condition is associated with PMR? |
|
Definition
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