Fcm Final Desperate Attempt 1

Front 1

What kind of collagen in cartilage?

Back 1

type II

Front 2

Name the dz: macrocephaly, FGF-3 mutation, thinned growth plate but unaffected secondary centers of ossificaiton and articular cartilage?

Back 2

achondroplasia

Front 3

osteochondroma

Back 3

hamartoma of skeleton, defect in Ring of Ranvier--> protuberance

Front 4

phases of fracture healing?

Back 4

1)inflammatory phase (hemorrhage, neovascularization, callus form'n), 2)reparative phase 3) remodeling phase

Front 5

single most common form of joint disease

Back 5

osteoarthritis

Front 6

Lesch-Nyhan syndrome

Back 6

X-linked deficiency of HPRT--> mentally retarded and get gout

Front 7

4 stages of gout

Back 7

1) asymptomatic hyperuricemia 2) acute gouty arthritis 3) intercritical period 4) tophaceoous gout

Front 8

destructive vertebral lesion + extension of disease along psoas muscle, think--?

Back 8

tubercular osteomyelitis

Hint 8

None

Front 9

Most likely reason for non-obese male to get boobies?

Back 9

micronodular cirrhosis (chronic EtOHism), impairs hepatic estrogen metabolism

Front 10

most common cause of spinal cord dysfuncion in >65 y/o?

Back 10

myelopathy

Front 11

Classical clinical findings of cervical myelopathy?

Back 11

loss of dexterity/coordination, impaired balance/gait

Front 12

cauda equina syndrome

Back 12

Emergency!! Get severe leg pain, saddle anesthesia, altered bladder function from a massive herniated disc/spondylolithis

Front 13

red flags for back pain

Back 13

progressive unrelenting pain, worse at night/rest, constitutional symptoms

Front 14

What nerve root and disc involved in middle finger sensation and wrist flexion?

Back 14

C7, C6-7disck

Front 15

What nerve root/disc involved in anterior tibialis movement and medial leg sensation?

Back 15

L4/L3-4

Front 16

What nerve root/disc involved in lateral foot sensation?

Back 16

S1/L5-S1

Front 17

What nerve root/disc involed in lateral arm sensation?

Back 17

C5/C4-5

Front 18

Classic triad of Sjogren's?

Back 18

dry eyes, dry mouth, arthritis

Hint 18

None

Front 19

Most frequently involved visceral organ in SSc?

Back 19

GIT

Front 20

Leading cause of morbidity and mortality in SSc?

Back 20

lung involvement (pulmonary fibrosis--diffuse; pulmonary HTN--limited)

Front 21

"watermelon stomach" seen in?

Back 21

SSc

Front 22

most deadly complication of SSc?

Back 22

renal involvement--scleroderma renal crisis

Front 23

What is scleroderma renal crisis?

Back 23

most deadly complication of SSc; malignant HTN w/HA and retinopathy, acute cardiac failure, MI, stroke, oliguria with rapidly progressive renal insufficiency

Front 24

"salt and pepper" skin seen ?

Back 24

SSc

Front 25

3 characteristic features responsible for clinicopatho manifestations of SSc?

Back 25

1)excessive collagen dep in skin and viscera 2) vascular lesions of capillaries and sm arteries 3) alterations of humoral and cellular immunity

Front 26

lab findings diffuse (D) vs limited (L) SSc?

Back 26

D--speckled/nucleolar IF, scl-70/anti-topoisomerase +; L--centromere IF, anti-centromere/anti-kinetochore +

Front 27

Arthritis in SSc?

Back 27

symmetric polyarthralgia in early SSc but true arthritis and synovitis are rare

Front 28

isolated reduction in DLCO in SSc means?

Back 28

pulmonary HTN (probably limited SSc)

Front 29

Cardiac manifestations in SSc?

Back 29

clinically significant primary dysfunction rare but tachyarrythmias and conduction disturbances common

Front 30

meralgia paresthetica

Back 30

intermittent burning pain, numbness of anterolateral thigh; lateral femoral cutaneous nerve compression

Front 31

meralgia paresthetica commonly seen in what populations?

Back 31

diabetics, preggers, obesers

Front 32

Name the dz and tx: trigger points that give rise to characteristic referred pain?

Back 32

dz: regional myofascial pain; tx: capsaicin

Front 33

Name the dz and tx: widespread pain and fatigue and 11/18 tender points

Back 33

dz: fibromyalgia; tx: TCA, gabapentin, education

Front 34

5 diagnostic critera of Giant Cell arteritis

Back 34

1) >50y/o 2) new HA 3) temporal artery abnl 4) elevated ESR (>50) 5) abnl artery bx with mononuclear cell infiltrate, granulomatous inflammaiton, giant cells

Front 35

6 diagnostic criteria of Takayasu arteritis

Back 35

1) <40 y/o 2) claudicaiton of extremities 3) dec'd brachial artery pulse 4) BP difference >10mmHg b/t arms 5) bruit over subclavian/aorta 6) arteriogram abnl

Front 36

What arteritis has patchy distribution and propensity for mesenteric aneurysm formation?

Back 36

polyarteritis nodosa

Front 37

"strawberry tongue" seen in what arteritis?

Back 37

Kawasaki dz (a necrotizing vasculitis)

Front 38

types of mixed cryoglobulinemia

Back 38

1) monoclonal Igs (MM, Waldenstrom's) 2) essential mixed (polyclonal IgG and monoclonal RF) 3) mixed polyclonal

Front 39

hep C most frequently associated with what type mixed cryoglobulinemia?

Back 39

essential mixed

Front 40

Henoch-Schonlein purpura clinical tetrad:

Back 40

1) purpura 2) arthritis 3) ab pain 4) glomerulonephritis

Front 41

Diagnostic criteria for Wegener's

Back 41

1) nasal or oral inflamm 2) abnl CXR 3) urinary sediment 4) granulomatous inflamm on bx

Front 42

Jo-1 Ab assoc'd with?

Back 42

myositis

Front 43

11 diagnostic criteria for SLE

Back 43

1. Malar rash 2. Discoid rash 3. Photosensitivity 4. Oral/nasoph. Ulcers 5. Arthritis 6. Serositis 7. Renal d/o 8. Neuro 9. Hematologic 10 immunologic 11. ANA

Front 44

major cause of death in SLE?

Back 44

increased atherosclerotic HD

Front 45

mucocutaneous manifestations of SLE?

Back 45

mucosal ulcers (usually painless), malar rash (sparing of nasolabial folds), alopecia, palpable purpura

Front 46

who gets SLE?

Back 46

young black women (mostly)