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25 Cards in this Set

  • Front
  • Back

Alternative to allopurinol

Febuxostat

Non erosive arthritis Caused by systemic lupus and is characterized by reducible subluxation of the digits swan neck deformity’s and ulnar deviation of the fingers due to attenuation of the joint supporting structures

Jaccoud arthropathy in SLE

Presence of small vessel vasculitis affecting the skin, joints, kidneys, and gastrointestinal tract. Deposition of igAin the skin confirms the diagnosis of

Henoch-schonlein purpura

Cyclophosphamide is an alkylating agent that is commonly used to treat what rheumatological diseases?

SLE and ANCA- vasculitis

Expert opinion recommends conception when SLE has been quiescent for at least________. A major risk to her child would be congenital heart block, which affects approximately 2% of pregnancies in which the mother is positive for ________ and SLE

6 Months. Anti-Ro/SSA or anti-La/SSB antibodies.

development of lupus nephritis is connected to which antibody?

Double stranded DNA ab

_____ is the most sensitive imaging technique for detecting early soft tissue inflammation in the spine and sacroiliac joints in patients with suspected spondyloarthritis

MRI

limited cutaneous systemic sclerosis now with SOB, think of: ______

Pulm Art Htn

__________is strongly associated with polymyositis and the presence of positive autoantibodies to transfer RNA synthetases, including anti–Jo-1 antibodies.

Interstitial lung disease

According to the 2012 American College of Rheumatology gout guidelines, gradual dose escalation of allopurinol, with monitoring for side effects, is a safe approach for patients (even those with chronic kidney disease) with gout who have not reached a target serum urate level of less than

6.0 mg/dL (0.35 mmol/L).

83 yo w temporal artery pain and tenderness, along with jaw claudication in the setting of low-grade fever and a very high erythrocyte sedimentation rate. Dx and tx

Giant cell arthritis . 60 pred/day (or 1 mg/kg/d)

episodes of fever, polyserositis, arthritis, erysipeloid rash around the ankles, and elevated acute phase reactants

Fam Mediterranean fever. To with colchicine

noninflammatory condition defined by the presence of flowing osteophytes involving the anterolateral aspect of the thoracic spine at four or more contiguous vertebrae with preservation of the intervertebral disk space and the absence of apophyseal joint or sacroiliac inflammatory changes such as erosions.

Diffuse idiopathic skeletal hyperostosis

the sinus symptoms, abnormal urinalysis suggestive of glomerulonephritis, and scleritis are suggestive of

granulomatosis with polyangiitis.

only ———— crystals are diagnostic of an acute crystalline attack.

Intracellular

Maintenance therapy for mild lupus versus severe lupus

Hydroxy Clora Quinn or mild Azathioprene for severe

Patients presenting with a multisystem vasculitic disease should be considered for————, particularly if the C4 is low, the C3 is relatively preserved, and rheumatoid factor is present.

cryoglobulinemia

overlap syndrome that includes features of systemic lupus erythematosus, systemic sclerosis, and/or polymyositis in the setting of positive anti-U1-ribonucleoprotein antibodies.

Mixed connective tissue Disease

patients with ankylosing spondylitis treatment with a———- is currently recommended if first-line therapy with NSAIDs is inadequate.

tumor necrosis factor α inhibitor. Adalimumab

Patients with systemic lupus erythematosus who have pain or limitation of motion of the large joints, especially the hips, should be evaluated for——- using ——-when plain radiographs are normal

osteonecrosis. Mri

The risk of this cancer may be especially increased in women with dermatomyositis.

Ovarian

Patients with this typically present with fever, arthralgia, myalgia, skin findings, abdominal pain, weight loss, and peripheral nerve manifestations, most commonly mononeuropathy or mononeuritis multiplex.

polyarteritis nodosa

American College of Rheumatology currently recommends ——-rather than oral NSAIDs for patients aged 75 years or older.

topical NSAIDs

This disease is characterized by recurrent painful oral ulcers plus at least two of the following: recurrent painful genital ulcers, eye involvement, skin involvement, and pathergy.

Behçet syndrome

Raynaud phenomenon may be the initial symptom of an underlying connective tissue disease; the predictors/features include severe and prolonged vasospastic episodes, asymmetric involvement of the digits, and abnormal nailfold capillary examination and/or digital pitting. But without these features dx is:

Primary raynauds. Observe.