Clin Med-Rheumatology Spondyloarthropathis

Front 1

Spondyloarthropathies are a group of conditions manifested by inflammatory ______ of back

Back 1

arthritis

Front 2

____ and ____ are tests that are negative in Spondyloarthropathies

Back 2

ANA and RF

Front 3

_____ and ____ are tests that may be positive in Spondyloarthropathies

Back 3

ESR and CRP

Front 4

Spondyloarthropathies are all associated with the ______ gene

Back 4

HLA-B27

Front 5

_____ back pain is a prolonged am stiffness in back > 30 minutes, better with exercise, slow onset, different from mechanical back pain

Back 5

inflammatory

Front 6

Inflammatory back pain is NOT __________

Back 6

acute

Front 7

Mechanical back pain is

Back 7

muscle spasm (from lifting something)

Front 8

Peripheral Arthritis is ________ joint pain

Back 8

asymmetric

Front 9

_________ arthritis is more in the lower extremities

Back 9

peripheral

Front 10

Enthesopathy is the inflammation of tendon insertion and you will see

Back 10

dactylitis or sausage digit

Front 11

Urethritis, arthritis and uveitis is the triad found in

Back 11

Reiters Syndrome

Front 12

Ankylosing means

Back 12

thickening

Front 13

Ankylosing Spondylitis is a chronic inflammartory disease of the

Back 13

spine

Front 14

fusion of the spinal vertebrae occurs in

Back 14

ankylosing spondylitis

Front 15

this is more common in 20-30 yo men

Back 15

ankylosing spondylitis

Front 16

Pt has : am stiffness, back pain, SI pain, >3months duration, progressively gets worse, slow onset, sometimes enthesopathy (inflammation of tendon insertion), limitation of spinal rotation or lumbar flexion, no curve in back when they bend over. Diagnosis:

Back 16

ankylosing spondylitis

Front 17

Pt blood test is: ESR, CRP, +HLA-B27 Imaging: inflammation of lining of SI joint or bony changes with plain-xray, the joint looks bumpy and fused the patient probably has

Back 17

ankylosing spondylitis

Front 18

A patient can ___ have ankylosing spondylitis if they are negative for HLA-B27

Back 18

still

Front 19

a bamboo spine is on xrays and it shows

Back 19

a thickening or scerlosis of the disk between each vertebral body and the vertebrae eventually fuse together at the bony overgrowths at the edges

Front 20

Diffuse idiopathic skeletal hyperostosis has no symtoms but a _______ ____ on x-ray

Back 20

bamboo spine

Front 21

there is no cure for

Back 21

ankylosing spondyltis

Front 22

do not use ____ meds to help treat ankylosing spondylitis

Back 22

toxic

Front 23

methotrexate at low doses is

Back 23

safe

Front 24

can slow down ankylosing spondylitis with

Back 24

TNF inhibitors

Front 25

If patient has uveitis give ocular __

Back 25

steroids

Front 26

Reiter's is more male then female and associated with

Back 26

STD's

Front 27

If a man gets Chlamydia then they get uveitis and arthritis and urethritis he has

Back 27

Reiter's

Front 28

If there is a large joint pain with no back pain, oral painful ulcers the pt. probably has

Back 28

Reiters

Front 29

Labs: ESR and CRP increased, HLA-B27 sometimes and X-rays are normal

Back 29

Reiters

Front 30

Treat Reiters with NSAIDS, Sulfasalazinem, Methotrexate and local ____ _____

Back 30

steroid injections

Front 31

Psoriatic Arthritis happens to people with

Back 31

psoriasis

Front 32

Psoriatic Arthritis will have an elevated uric acid (from skin turnover from rash) so it can be mistaken for

Back 32

gout

Front 33

treat inflammatory bowel disease with

Back 33

TNF

Front 34

Septic Arthritis is not a

Back 34

spondyloarthropathy

Front 35

septic arthritis either directly or _______ gets in a joint

Back 35

hematologically

Front 36

There are two groups of septic arthritis

Back 36

gonoccocal and non gonoccocal

Front 37

this type of arthritis requires bacteremia and abnormal joint

Back 37

nongonococcal

Front 38

prosthetic joints can get this

Back 38

nongonococcal joint sepsis

Front 39

this bacteria is most common in nongonoccocal joint infections

Back 39

S. aureus then strep then gram negatives

Front 40

Pt: sudden onset of knee pain, swelling, heat, red joint, tender, pain with movement, groin pain(hip joint), fever, WBC increased, ESR/CRP increased, joint fluid WBC's >50,000 with 90% neutrophils. they have

Back 40

septic arthritis

Front 41

septic arthritis occurs in the ______ and ____ joints in IVDA (IV drug abusers)

Back 41

SI and sternoclavicular joints

Front 42

treatment for septic arthritis is

Back 42

antibiotics, drain, rest acute then move

Front 43

Antibiotics for septic arthritis is given

Back 43

IV to start and then po when clinically better

Front 44

The antibiotic used for septic arthritis is

Back 44

oxacillin ( or 3rd gen. cephalosporin)

Front 45

If the patient is not getting better with arthrocentesis then do a

Back 45

arthrotomy (surgical)

Front 46

Gonococcal Arthritis occurs in a _____ joint

Back 46

normal : just needs GC

Front 47

If a patient is <35yo and they have monoarticular arthritis, ACUTE and are sexually active they have

Back 47

GC arthritis until proven wrong

Front 48

GC arthritis starts as migrating polyarthralgia, multiple joint pain without frank arthritis they they either have

Back 48

tenosynovitis or purulent monoarthritis

Front 49

CULTURE is gold standard for

Back 49

GC arthritis