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Lab Med T3 - rheumatology
pa school
26
Health Care
Graduate
07/26/2010

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Cards

Term
5 tests to dx RA
Definition
1. RF
2. ANA
3. ESR
4. CRP
5. Synovial fluid analysis
Term
define rheumatic factor:
Definition
antibody that is abnormally directed against the Fc region of IgG
Term
RF is commonly present in which two conditions?
Definition
1. Sjogren's (100%)
2. RA (80%)
Term
presence of this Ab is 90-95% specific for RA
Definition
Anti-CCP
Term
the combination of positive results in these 2 labs gives a 99.5% specificity for the dx of RA:
Definition
+RF & +Anti-CCP = 99.5% specific
Term
useful in identifying inflammatory arthritis in patients with negative RFs
Definition
Anti-CCP (RF titer is low in early disease)
Term
group of antibodies directed against nucleic acid and nucleoproteins within the nucleus and cytoplasm:
Definition
ANA (anti-nuclear antibodies)
Term
4 common immunofluorescent staining patters of ANA
Definition
1. Speckled
2. Homogenous
3. Nucleolar
4. Nuclear rim
Term
which ANA staining pattern is most associated with SLE & RA?
Definition
homogenous
Term
ANA staining pattern infrequently seen in patients with SLE
Definition
nucleolar pattern
Term
ANA staining pattern that correlates with antibodies to double-stranded DNA predominantly seen in SLE
Definition
Nuclear rim pattern
Term
important for the dx and classification of various forms of vasculitis:
Definition
Antineutrophil Cytoplasmic anitbodies (ANCA)
Term
2 antigens for the ANCAs
Definition
1. proteinease3
2. myeloperoxidase (MPO)
both are granules of neutrophils and lysomes of monocytes
Term
immunofluorescence skin test: when to use? whats it for?
Definition
use when +ANA, -anti-dsDNA & -anti-Smith for the dx of SLE
Term
associated with spondyloarthropathies:
Definition
HLA B27
Term
6 spondyloarthropathies:
Definition
1. ankylosing spondylitis
2. Juvenile ank spon
3. Psoriatic Arthropathy
4. Sacroiliitis
5. intestinal arthropathies (UC/Chrones)
6. Reactive arthropathy (reiter's syndr)
Term
to detect deficient tear production in sjogren syndrome
Definition
Schirmer's Test - fluoroscene eye drops, graduated filter paper
Term
Schirmer's test result for pt with sjogren's syndrome
Definition
<5mm on graduated filter paper
Term
4 dz assoc w keratoconjunctivitis sicca
Definition
1. sjogren
2. SLE
3. RA
4. systemic sclerosis
Term
ESR is primarily determined by the ____ level in inflammation
Definition
fibrinogen
Term
may be norml in early inflammatory condition
Definition
ESR
Term
normal range of ESR increases with 2 conditions
Definition
Age & obesity
Term
which is more sensative ESR or CRP
Definition
CRP both more sensitive and specific
Term
serum and urine samples often used to R/o osteoarthritis and pseudogout
Definition
Uric acid levels
Term
Aldolase
Definition
present in the SKmm, liver and brain, it is a marker used for inflammatory myopathy w/o elevation of CPK
Term
this test has false positives in the presence of autoantibodies
Definition
RPR
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