Mksap

Front 1

Perprosthetic lucency

Back 1

Prosthetic joint infection

Front 2

Late onset joint infection cause

Back 2

>24 month post surgery

Due to hematogenous spread

Front 3

P-ANCA

Back 3

Perinuclear pattern - microscopic polyangitis

Front 4

Organs involved in Microscopic polyangitis

Back 4

Lung and kidney

Front 5

Non granulomatous Necrotizing pauci-immune small vessel vasculitis

Back 5

Microscopic polyangitis

Front 6

Kidney biopsy in microscopic polyangitis

Back 6

Pauci-immune Necrotizing crecentric GN

Front 7

Precautions with pegloticase

Back 7

Stop other urate lowering therapy as antibodies develop to pegloticase which would manifest as riding urate level.

This would get masked if other urate lowering therapy are used concominantly

Front 8

Pegloticase mechanism of action

Back 8

Porcine derived uricase - lowers irate within hours of administration

Front 9

Prophylaxis with pegloticase

Back 9

Stop urate lowering medications

Start anti-inflammatory to prevent attacks - NSAID, prednisone or colchicine

Front 10

Probenecid contraindication

Back 10

GFR <60 i.e. any kidney disease

Or

Kidney stone

Front 11

Urate target per ACR

Back 11

If no tophi : uric acid <6

If tophi : uric acid <5

Front 12

Reactive arthritis trigger

Back 12

Chlamydia trachomatis

Front 13

Ankylosing spondylitis criteria

Back 13

Low back pain >3 months

In person <45 yr of age

Limited spinal movement

Elevated inflammatory marker

Bilateral sacroilitis on imaging

Front 14

GAVE syndrome

Back 14

Gastric Antral vascular ectasia - linear ectatic vessels that arise from the pylorus

Front 15

GI bleeding in diffuse Scleroderma

Back 15

GAVE syndrome - proliferation of blood vessels in pylorus

Front 16

Causes of GAVE/watermelon stomach

Back 16

autoimmune condition

Or

Portal hypertension due to cirrhosis

Front 17

Treatment of GAVE

Back 17

Argon plasma coagulation or laser coagulation

Front 18

Ulcers in hiatal Hernia are called?

Back 18

Cameron ulcer - caused by mechanical trauma as the hernia slides up and down

Present on the crest of gastric fold

Front 19

Dieulafoy ulcer are

Back 19

Submucosal Arterioles that bleed intermittently.

Present on lesser curvature of proximal stomach

Front 20

Portal hypertensive gastropathy endoscopy appearance

Back 20

Mosaic appearance affecting body and fundus

Front 21

Treatment of Steroid resistant acute gout

Back 21

Anakinra

Colchicine, steroids or nsaid won't be effective at this point

Front 22

Indication for surgery in OA

Back 22

Pain at rest

Pain that awakens at night

Front 23

Anti jo 1 antibody

Back 23

Antisynthetase syndrome

Front 24

Mechanic's hand

Back 24

Hyperkeratotic skin along ulnar aspect of thumb and radial aspect of fingers (index and middle commonly)

Front 25

Risk factor for

1. RA

2. Gout

Back 25

1. Smoking

2. High fructose corn syrup

Front 26

ESR, CRP abd complements in lupus

Back 26

ESR is elevated

CRP is generally normal or slightly elevated

Hypocomplementia

Front 27

Acute lupus pneumonitis

Back 27

Diffuse pulmonary infiltrate in poorly controlled lupus patient

Lymphocytic prodominence on bronchoalveolar lavage

Front 28

Diarrhea in systemic sclerosis etiology

Back 28

1. Decreased mobility leading to SIBO

Or

2. Chronic pancreatic inefficiency leading to SIBO

Front 29

diagnostic test for SIBO

Back 29

Glucose hydrogen breath testing

Or

Jejunal aspirate cultures

Front 30

Monoarticular minimally painful disease (*knee*)

Back 30

Lyme disease

Front 31

Antibody Associated with retroperitoneal fibrosis

Back 31

IgG4

Front 32

Anticentromere antibody

Back 32

90% specific for Scleroderma

Limited cutaneous systemic sclerosis

Increased risk of pulmonary arterial hypertension

Front 33

Anti U1 ribonucleoprotein

Back 33

Mixed connective tissue disease

Front 34

Systems involved in polyarteritis nodosa

Back 34

Skin - necrotic ulcers and purpura kidney - hypertension d/t renal artery vasculitis and infarction

Nerve - mononueritis multiplex

Orchitis - unilateral due to testicular artery involvement

Mysentric vasculitis

Front 35

Polyarteritis nodosa triggers

Back 35

Hepatitis B

HIV

Hairy cell leukemia

Front 36

Median age of Giant cell arteritis presentation

Back 36

70 years

Front 37

Giant cell arteritis prednisone dose

Back 37

If vision loss start with 60mg per day for 1 month.

Decrease by 10% weekly if improving

Front 38

Muscle involvement in inclusion body myositis

Muscle involvement in inclusion body myositis

Muscle involvement in inclusion body myositis

Back 38

Proximal and distal muscles

Front 39

Eye manifestation with Rheumatoid arthritis

Back 39

Scleritis - Painful eye movement, redness, photophobia

Front 40

Large vessel vasculitis types

Back 40

Young age - takayasu vasculitis

Old age - giant cell arteritis

Front 41

PMR relapse treatment

Back 41

Increase back to last pre relapse dose of prednisone

Front 42

Treatment of primary angitis of central nervous system

Back 42

Cyclophosphamide

Front 43

IBS related refractory arthritis treatment

Back 43

TNF alpha inhibitor -

Adalimumab

pegol

Certolizumab pegolGolimumabInfliximab

Golimumab

Infliximab

Front 44

Differentials for chronic monoarticular synovitis

Back 44

Mycobacterium

Lyme disease

Fungal disease

Sarcoidosis

Front 45

Markers tested in lupus flare

Back 45

ESR (elevated)

C3/C4 (low)

Anti dsDNA (elevated)

CRP (elevated if infection)

Anti Smith (used only for diagnosis)

Front 46

Antibodies for Inclusion body myositis

Back 46

Anti cytosolic 5' nucleotidase 1A

Front 47

Antibodies for immune mediated necrotising myositis

Back 47

HMG coA reductase antibodies.

Front 48

Biopsy in immune mediated necrotizing myositis

Back 48

Necrotic muscle with minimal inflammatory cells which DO NOT invade the muscle fibers

Front 49

Differentials for parotid enlargement

Back 49

Sjogren syndrome

Sarcoidosis

HIV associated diffuse lymphocytic infiltrate syndrome

IgG4 related disease

Front 50

Treatment of ILD secondary to scleroderma

Back 50

Mycophenolate mofetil

Front 51

Lofgren syndrome

Back 51

Bihilar adenopathy

Arthritis (generally ankle joint)

Erythema nodosum

Front 52

Organ involved IgA vasculitis

Back 52

Skin - purpura

Bowel - abdominal pain, intussusecption

Kidney rarely

Pulmonary hemorrhage

Front 53

Risk factor for allopurinol sensitivity

Back 53

Han dynasty Chinese population (HLA B*5801)

Thai or Korean decent

CKD

Diuretic use

Front 54

First line Treatment of ankylosing spondylitis

Back 54

NSAID

if fails, try TNF-a inhibitors

Front 55

Trachealization of esophagus is seen in

Back 55

Eosinophilic esophagitis