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Still's Disease refers to which arthropathy?
Classic Systemic Arthritis
3 multiple choice options
True or false, most forms of juvenile rheumatoid arthritis are seronegative?
True
Which is not a symptom of Still's Disease?
loss of appetite
3 multiple choice options
Which form of JRA would be diagnosed if 3 joints were affected?
pauciarticular arthritis
3 multiple choice options
Which form of JRA occur most commonly in the knee and present with inflammation of eye?
pauciarticular JRA
3 multiple choice options
How many joints must be affected for a polyarticular JRA diagnosis?
>4
3 multiple choice options
What demographic is most affected by Systemic Lupus Erythematosus (SLE)?
women of childbearing age
3 multiple choice options
What is a hallmark lab finding of SLE?
FANA
3 multiple choice options
What is the leading cause of death in SLE patients?
kidney failure
3 multiple choice options
What deformity is most common in SLE patients?
reversible and non-rigid
3 multiple choice options
What type of tissue is affected by scleroderma?
connective
Which of the following is not a component of CREST?
butterfly rash
3 multiple choice options
What is the leading cause of death in scleroderma patients?
impaired gas exchange
3 multiple choice options
Which of the following are the most common locations of scleroderma? PATA
fingers, knees
3 multiple choice options
Which immunoglobulin is elevated in scleroderma?
IgG
3 multiple choice options
Which of the following is not one of the most common seronegative arthropathies (PEAR)?
rheumatoid arthritis
3 multiple choice options
Which of the following are AKAs for Ankylosing Spondylitis (AS)? PATA
bechterew's disease, marie strumpell disease
3 multiple choice options
What is the hallmark lab finding of AS?
HLA B27+
3 multiple choice options
True or false, typically AS starts at the top of the spine and works its way down?
False
Which of the following is not a name sign of AS in the SI joint?
romanus lesion
3 multiple choice options
What is a term for vertical bridging of a vertebra due to ligament ossification?
syndesmophyte
3 multiple choice options
What are the different name signs of AS in the spine?
carrot stick fracture,
dagger sign,
romans lesion,
shiny corner sign,
trolley track sign,
anderson lesion
Why can AS be a contra-indication to upper cervical rotatory adjustments?
because it causes atlanto-axial instability
3 multiple choice options
Which of the following is not an extra-spinal complication of AS?
mitral regurgitation
3 multiple choice options
Which seronegative arthropathy has the hallmark extra-skeletal feature of "silver scales and pitted nails"?
psoriatic arthritis
3 multiple choice options
Which of the following is not name sign of PA on X-ray?
overhanging margin
3 multiple choice options
What is the name sign for enthesopathy of the calcaneus due to reactive arthritis?
lover's heel
3 multiple choice options
Which of the following is not member of the classic triad of reactive arthritis?
cholecystitis
3 multiple choice options
Which diseases can lead to enteropathic arthritis? PATA
ulcerative colitis, Crohn's disease
3 multiple choice options
Which seronegative arthropathies present with bilaterally symmetrical sacroilitis?
ankylosing spondylitis
3 multiple choice options
Which seronegative arthropathies present with non-marginal syndesmophytes? PATA
psoriatic arthritis, reactive arthritis
3 multiple choice options
Which gender is more affected by PEAR arthropathies?
male
What type of crystal is deposited in joints affected by gout?
monosodium urate
3 multiple choice options
What is the characteristic mass of gout?
tophi
3 multiple choice options
What is the most common location of gout?
big toe
What is the name sign associated with gout?
overhanging margin
3 multiple choice options
Which dietary component would not contribute to gout formation?
fresh fruits/veggies
3 multiple choice options
What are the AKAs of CPPD?
chondrocalcinosis, pseudo gout, calcium phosphate deposition disease
3 multiple choice options
Which of the following is not one of most common locations of CPPD?
shoulder
3 multiple choice options
In a patient with OA-like (osteoarthritis-like) changes seen in the shoulder, what condition should you suspect?
CPPD
3 multiple choice options
True or false, primary tumors are not normally found on the axial skeleton?
True
True or false, secondary tumors typically originate in connective tissue while primary tumors originate in epithelial tissue?
False (primary = bone = CT, secondary = organ and can metastasize to bone)
Acral metastasis refers to secondary tumors that develop where?
past elbow or knee
3 multiple choice options
Which of the following is the most common bone malignancy?
metastasis
3 multiple choice options
Being spread via Batson's venous plexus is the reason why secondary tumor's are most common where?
axial skeleton
3 multiple choice options
True or false, metastatic carcinoma is usually blastic in nature?
False (destroys, not builds)
Which of the following is not an AKA of pathological compression fracture?
carrot stick vertebra
3 multiple choice options
Which of the following is not a common cause of vertebral compression fracture?
osteochondroma
3 multiple choice options
Which of the following lab findings indicates prostate metastasis?
acid phosphatase
3 multiple choice options
Which of the following name signs of metastasis can be found on X-ray? PATA
ivory vertebra, winking owl sign, pathological compression fracture
3 multiple choice options
How can you distinguish pedicle agonies from metastatic pedicle destruction?
opposite pedicle will hypertrophy
3 multiple choice options
What is the most common primary malignant bone tumor?
multiple myeloma
3 multiple choice options
What is a name sign of multiple myeloma?
raindrop skull
3 multiple choice options
Which of the following has "mottled calcification" in its tumor matrix?
chondrosarcoma
3 multiple choice options
Which tumor arises from mesenchymal cells of the medullary cavity?
osteochondroma
3 multiple choice options
Which part of the bone does Ewing's sarcoma typically effect?
diaphysis
3 multiple choice options
Which primary bone tumors typically effect younger individuals?
osteosarcoma, ewing's sarcoma
3 multiple choice options
Which of the following is an AKA of osteochondroma?
exostosis
3 multiple choice options
What type of osteochondroma is a "coat hanger exostosis"?
pedunculate
2 multiple choice options