Immunologic And Inflammatory Post-test

Pseudogout – polyarticular

Gonocoocal arthritis – monoarticular

Gout – polyarticular

Lyme disease – monoarticular

Rheumatoid arthritis – polyarticular

Neisseria gonorrhoeae

Group A streptococcus

Staphylococcus aureus

E. coli

Salmonella species

She may be discharged home on oral antibiotics after a dose of IV antibiotics

It is unnecessary to perform a cervical culture on this patient

This type of arthritis is more commonly oligoarthritis than monoarthritis

The etiology of this arthritis has a high liklihood of creating long-term joint pathology

This type of arthritis is most common in children and adults > 55 years old

Absolute cell count can be used to rule out a septic etiology

Arthrocentesis is contraindicated if infection of any kind covers the joint

If you obtain a very small amount of synovial fluid, the most important test to be run is cell count and differential

The most concerning complication of arthrocentesis is a “dry tap”

Most of the white blood cells in septic arthritis are PMNs, while in inflammatory arthritis, eosinophils predominate.

Platelet count

CPK

Serum protein level

Sedimentation rate

Uric acid level

The most common extra-articular manifestation of ankylosing spondylitis is aortic root disease

There is a genetic component to theses arthropathies related to the HLA-B27 marker

Psoariatic arthropathy occurs in up to 20% of patients with psoriasis

In patients with IBD, the peripheral arthritis tends to correlate with flare-ups of the bowel disease, but the spinal manifestations do not

Reactive arthritis (Reiter’s syndrome) develops 2-6 weeks after an episode of urethritis or dysentery

Colchicine can be safely used in patients with chronic renal insufficiency

Allopurinol increases uric acid elimination and is useful during an acute gouty attack

Intramuscular injections of ACTH are useful if NSAIDs are contraindicated

Treatment with NSAIDs should continue for at least one week after symptoms have abated

There is a high likelihood that a single administration of IM ACTH may lead to suppression of the hypothalamic-pituitary-adrenomedullary axis

The attacks tend to be more severe

The typical patient is younger

The crystals cannot be identified using microscopy

Treatment with colchicines is contraindicated

The knee is the most commonly involved joint

Teres minor

Supraspinatus

Infraspinatus

Deltoid

Subscapularis

De Quervain’s tenosynovitis – Finkelstein test

Rotator cuff tendinopathy – Neer test

Achilles tendon rupture – Thompson test

Bicipital tendinopathy – Empty can test

Lateral epicondylitis – Cozen test

Subacromial and anserine bursitis

Olecrenon and trochanteric bursitis

Iliopsoas and subacromial bursitis

Prepatellar and subacromial bursitis

Prepatellar and olecrenon bursitis

Diabetes mellitus

Trauma

Advanced age

Alcohol abuse

Rheumatoid arthritis

Pericarditis

Oral ulcers

Positive antinuclear antibody

Leukocytosis

Proteinuria >0.5 g/24 hours

70% of patients develop hitchhiker’s thumb

Renal biopsy is not useful in the work-up or management of patients with SLE

Bundle branch block is the most common cardiac manifestation, reported in 30% of patients

Neurologic presentations, such as seizures, stroke, psychosis, migraines, are frequently the first signs of disease

Oral ulcerations commonly accompany disease flares

Procainamide

Acetaminophen

Sulfonamides

Phenytoin

Hydralazine

Absence of temporal artery tenderness would eliminate the possibility of this condition

Polycythemia is a common finding

Elevated ESR level may be a helpful diagnostic clue

Onset of this disease is typically the age 40 years or younger

Steroids must be withheld until arterial biopsy can be done

Goodpasture’s syndrome is characterized by deposition of anti-glomerular basement membrane antibodies and results in alveolar hemorrhage and progressive glomerulonephritis

The hallmark of Behcet’s disease is oral ulceration, which is required to make the diagnosis

Approximately 2/3 of cases of HSP follow an upper respiratory tract infection

Erythema nodosum more commonly affects men than women

The initial complaints of patients presenting with Wegener’s granulomatosis are typically upper respiratory tract symptoms

Cat hair

Crustaceans

Wasp stings

Penicillin

Radiocontrast medium

Methylprednisolone 125 mg IV

Diphenhydramine 50 mg IV

Epinephrine 0.3 mg 1:10,000 solution IM

Nebulized albuterol 2.5 mg diluted to 3 mL of normal saline

Epinephrine 0.1 mg of 1:10,000 solution IV over 5 minutes

Amlodipine

Aspirin

Levothyroxine

Metoprolol

Amiodarone

Atropine 0.3-0.5 mg IV

Glucagon 1 mg IV

Vasopressin 40 units IV

Isoproterenol 0.05-0.2 g/kg/min

Dopamine 5 g/kg/min

Angioedema involves the deeper dermal and subcutaneous tissue and commonly involves the face, mouth, lips, extremities, and genitalia

10% of cases are classified as chronic with recurrent episodes persisting longer than 6 weeks

There is a subset of angioedema which is hereditary due to an autosomal recessive condition caused by C1 esterase inhibitor deficiency or functional deficiency

ACE inhibitor-induced angioedema may occur as many as 10 years after initiation of therapy

All types of angioedema result in elevated bradykinin levels

These lesions are not contagious

Systemic antibiotics have been shown to prevent later occurrence of glomerulonephritis

Group A streptococcus is the most common causative organism

Without treatment, these lesions will heal in 3-6 weeks

Systemic antibiotics have a higher cure rate than topical agents

This illness has been associated with an exotoxin-producing S. aureus and severe group A beta-hemolytic streptococcal infections

The diagnosis of this illness requires fever, hypotension, and rash

You can see pharyngitis, a “strawberry tongue,” conjunctivitis or vaginitis with this illness

The rash associated with this illness is initially a diffuse, blanching erythroderma followed by full-thickness desquamation

Antibiotics are not indicated in the treatment of this illness

Seborrheic dermatitis

Tinea versicolor

Vitiligo

Pityriasis rosea

Erythema multiforme