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DIP nodules in OA
PIP nodules in OA
- DIP-heberdens
- PIP- bouchards
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what type of stroke gives you locked in syndrome
basilar stroke
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caplan syndrome
rheumatoid nodules
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which biologic you need to stop before surgery
abatacept
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what biologic can cause diverticular rupture
toclizumab
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MTX is contraindicated in what conditions
- liver disease
- hep b or C
- bactrim
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what RA med can cause hypersensitivity pneumonitis
MTX
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decreased mortality and fastest acting med in RA
MTX
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rx for MTX induced renal failure
glucarpidase
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what anti tnf causes demyelinating dz, drug induced lupus
infliximab
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what anti tnf causes +ana, +anti DNA
etanercept
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what med for infertility in PCOS
letrozole
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what blood test for PCOS
anti-mullerian hormone
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RA + hoarseness
crico arytenoid involvement
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who gets CMV pneumonitis
transplant people
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hydroxychloroquine when to do exam
now, 5 years later then yearly
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how do you follow RA
CBC, LFTS, Cr q4x3 then q8x3 then annually
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can you give live vaccines with DMARDS
no
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what vaccines you give before giving biologic and nonbiological DMARDS
influenza and pneumococcal
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intermittent migrating joint pain that goes away
palindromic rheumatism
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RA foot drop, ulceration of diners
rheumatoid vasculitis
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RA + splenomegaly + leukopenia, Dx
felty syndrome
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poly arthritis, fever, salmon colored rash, very high ferritin, dx
adult onset still dz
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what Rheum disease has high incidence of periodontal disease
RA
-
what AED causes kidney stones
topiramate
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Ceilac sprue and lymphoma increased incidence is seen with what rheum dz
RA
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rx for AS
exercise, PT, NSAIDS, if no improvements, give anti-TNF
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what 3 conditions give uveitis
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how to treat reactive arthritis
- NSAIDS
- IF it doesn't improve
- Sulfasalazine and TMX
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rx for mucocutanoues disease-Behcet
severe
- colchicine
- steroids for severe
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aortic aneurysm + ulcers everywhere
Behcet disease
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mcc of diarrhea(bacteria)
campylobacter
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woman comes from a country with zika, how long barrier protection
6 months
-
decreased thoracic lateral flexion, +ossification of anterior longitudinal ligaments, dx
DISH-diffuse idiopathic skeletal hyperostosis
-
-
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oa +valgus deformity, rx
OA + varus deformity, rx
medial wedge insole
medial unloading brace
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what is effective for knee OA and hand
capsaicin
-
MRI with double line sign with pt with RA, dx
avascular necrosis
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rx for trochanteric bursitis
inject steroids
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bilateral groin pain , pt <40 yo
acetabular impingement
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PAIN in the buttock that shots down
piriformis syndrome
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right knee pain, pt is given cane, should use it on what side
left side
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what gout med increases level of azathioprine
allopurinol
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2 causes of pseduogout
- hyperparathyroidism
- Hemochromatosis
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drop arm test goes with
rotator cuff test
-
+ cross arm test
acromio clavicular joint arthritis
-
pain more on active than passive abduction
sub acromial bursitis
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calcification, +wbc, hemorrhagic effusion
Milwaukee shoulder
-
loss of both active and passive ROM
adhesive capsulitis
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pain when lying on the side of the shoulder
rotator cuff tendinopathy
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swelling of elbow, can't flex
olecranon bursitis
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rx for milwaukee shoulder
intra articular steroids, if no improvement, sx
-
recurrent olecranon bursitis
surgery
-
what is commonly affected in lateral epicondylitis
extensor carpi radials brevis
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finger stuck in flexion
digital tenosynovitis stenosans
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