Knowmedge Internal Medicine Abim Exam Review Flashcards Questions - Rheumatology / Orthopedics

Front 1

What is the goal uric acid level to prevent further attacks in patients with gout?

Back 1

Less than 6mg/dl

Front 2

What class of medication is the first-line treatment of renal crisis in scleroderma?

Back 2

ACE inhibitors

Front 3

What is the most specific test for diagnosing rheumatoid arthritis?

Back 3

Anti-citrullinated protein (anti-CCP) antibody

Front 4

What are the two most common nerve root impingements in lower back pain?

Back 4

L5 and S1

Front 5

Which agent used in the treatment of rheumatoid arthritis requires frequent eye exams?

Back 5

Hydroxychloroquine

Front 6

Which antibody is associated with CREST syndrome?

Back 6

Anti-centromere

Front 7

What is the most common cause of septic arthritis in inviduals greater than 40 years of age?

Back 7

Staph aureus

Front 8

What is the most sensitive method of diagnosing avascular necrosis?

Back 8

MRI

Front 9

What HLA marker can often be associated with ankylosing spondylitis?

Back 9

HLA-B27

Front 10

With systemic lupus erythematosus exacerbation, what would you expect the complement (high/low), anti-dsDNA (pos/neg) and ESR (high/low) levels to be?

Back 10

Low complement, pos anti-dsDNA, high ESR

Front 11

Patient with rheumatoid arthritis on leflunomide decides she wants to get pregnant. What is the best next step in management?

Back 11

Give cholestyramine for 9-11 days

Front 12

Before starting patient on TNF-alpha inhibitors, what test should be performed?

Back 12

Purified protein derivative (PPD) tuberculin skin test

Front 13

If pts with osteoarthritis present with morning stiffness, what length of time should it not exceed?

Back 13

30 minutes

Front 14

Greater than what value is the white blood cell (WBC) count expected to be in cases of septic arthritis?

Back 14

More than 50,000/uL

Front 15

Of the MCP, PIP, and DIP joint, which of the following is least likely to be involved with rhematoid arthritis?

Back 15

DIP joint

Front 16

With osteoarthritis, what would you expect the ESR and CRP levels to be?

Back 16

Normal (versus elevated in rheumatoid arthritis)

Front 17

Which knee test can indicate that patient has a lateral collateral ligament tear?

Back 17

Positive varus test

Front 18

What is the most common extra-articular manifestation of rheumatoid arthritis?

Back 18

Rheumatoid nodules

Front 19

What rheumatological condition can often be associated with temporal arteritis?

Back 19

Polymyalgia rheumatica (PMR)

Front 20

Patient with polymyositis is on high dose steroids. CPK levels are improving but weakness worsening. What to do?

Back 20

Taper down on the steroids

Front 21

Back pain that improves with leaning forward is the the classic presentation of what musculoskeletal condition?

Back 21

Spinal stenosis

Front 22

Patient who uses cocaine and has a weak handshake. What is the likely diagnosis?

Back 22

Inclusion body myositis

Front 23

What is the leading cause of death in patients with systemic lupus erythematosus?

Back 23

Cardiovascular disease

Front 24

What is the initial diagnostic test to check in an individual you suspect to have temporal arteritis?

Back 24

Erythrocyte sedimentation rate (ESR)

Front 25

What is the initial diagnostic test to check in an individual you suspect of having polymyositis?

Back 25

Creatine phosphokinase (CPK) or Creatinine kinase (CK)

Front 26

Loss of passive flexion of the foot when the calf is squeezed with achilles tendon tears is known as what test?

Back 26

Positive Thompson test

Front 27

What is the goal uric acid level to prevent further attacks in patients with gout?

Back 27

Less than 6mg/dl

Front 28

What class of medication is the first-line treatment of renal crisis in scleroderma?

Back 28

ACE inhibitors

Front 29

What is the most specific test for diagnosing rheumatoid arthritis?

Back 29

Anti-citrullinated protein (anti-CCP) antibody

Front 30

What are the two most common nerve root impingements in lower back pain?

Back 30

L5 and S1

Front 31

Which agent used in the treatment of rheumatoid arthritis requires frequent eye exams?

Back 31

Hydroxychloroquine

Front 32

Which antibody is associated with CREST syndrome?

Back 32

Anti-centromere

Front 33

What is the most common cause of septic arthritis in inviduals greater than 40 years of age?

Back 33

Staph aureus

Front 34

What is the most sensitive method of diagnosing avascular necrosis?

Back 34

MRI

Front 35

What HLA marker can often be associated with ankylosing spondylitis?

Back 35

HLA-B27

Front 36

With systemic lupus erythematosus exacerbation, what would you expect the complement (high/low), anti-dsDNA (pos/neg) and ESR (high/low) levels to be?

Back 36

Low complement, pos anti-dsDNA, high ESR

Front 37

Patient with rheumatoid arthritis on leflunomide decides she wants to get pregnant. What is the best next step in management?

Back 37

Give cholestyramine for 9-11 days

Front 38

Before starting patient on TNF-alpha inhibitors, what test should be performed?

Back 38

Purified protein derivative (PPD) tuberculin skin test

Front 39

If pts with osteoarthritis present with morning stiffness, what length of time should it not exceed?

Back 39

30 minutes

Front 40

Greater than what value is the white blood cell (WBC) count expected to be in cases of septic arthritis?

Back 40

More than 50,000/uL

Front 41

Of the MCP, PIP, and DIP joint, which of the following is least likely to be involved with rhematoid arthritis?

Back 41

DIP joint

Front 42

With osteoarthritis, what would you expect the ESR and CRP levels to be?

Back 42

Normal (versus elevated in rheumatoid arthritis)

Front 43

Which knee test can indicate that patient has a lateral collateral ligament tear?

Back 43

Positive varus test

Front 44

What is the most common extra-articular manifestation of rheumatoid arthritis?

Back 44

Rheumatoid nodules

Front 45

What rheumatological condition can often be associated with temporal arteritis?

Back 45

Polymyalgia rheumatica (PMR)

Front 46

Patient with polymyositis is on high dose steroids. CPK levels are improving but weakness worsening. What to do?

Back 46

Taper down on the steroids

Front 47

Back pain that improves with leaning forward is the the classic presentation of what musculoskeletal condition?

Back 47

Spinal stenosis

Front 48

Patient who uses cocaine and has a weak handshake. What is the likely diagnosis?

Back 48

Inclusion body myositis

Front 49

What is the leading cause of death in patients with systemic lupus erythematosus?

Back 49

Cardiovascular disease

Front 50

What is the initial diagnostic test to check in an individual you suspect to have temporal arteritis?

Back 50

Erythrocyte sedimentation rate (ESR)

Front 51

What is the initial diagnostic test to check in an individual you suspect of having polymyositis?

Back 51

Creatine phosphokinase (CPK) or Creatinine kinase (CK)

Front 52

Loss of passive flexion of the foot when the calf is squeezed with achilles tendon tears is known as what test?

Back 52

Positive Thompson test