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WorksheetsCM - Spondyloarthropathies
Total questions: 23
Worksheet time: 12mins
What is a chronic inflammatory disease affecting the SI joints and axial skeleton that manifests with pain and progressive stiffening of the spine?
Ankylosing spondylitis
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
What disorders are assocaited with the HLA-B27 gene?
Ankylosing spondylitis
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
35 yo male pt presents with gradual onset of back pain and stiffness that is worse in the mornings and improves with activity. The sx seem to progress proximally. PE reveals flattened lumbar curve, exaggerated thoracic curve, and limited chest expansion. Pt may also present with enthesopathy and anterior uveitis. All of the following are treatment options, but what is 1st line?
TNF inhibitors (enteracept)
Sulfasalazine (Azulfidine)
NSAIDs
PT
Corticosteroids
What is NOT a lab finding for ankylosing spondylitis?
Elevated ESR/CRP
RF & CCP positive
X-ray w/ bamboo spine
MRI with fusion vertebra at margins
CBC with mild anemia
What disease is inflammation of the joints precipitated by a gastrointestinal or genitourinary infection?
Ankylosing spondylitis
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
What disease is characterized by arthritis, conjunctivitis, and urethritis?
Ankylosing spondylitis
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
26 yo male pt presents with asymmetric arthritis in the large weight-bearing joints, fever, weight loss, mucocutaneous lesions, fingernail involvement, conjunctivitis, anterior uveitis, carditis, and aortic regurgitation. All of the following are treatments, but what is the mainstay?
TNF inhibitors
Sulfasalazine (Azulfidine)
NSAIDs
ABX
Methotrexate
What is NOT a possible diagnostic test/finding for reactive arthritis?
HLA-B27
Cultures
X-ray
MRI
Bamboo spine
What disease is associated with balanitis, stomatitis, or keratoderma blennorrhagicum?
Ankylosing spondylitis
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
What disease is arthritis associated with inflammatory bowel condition and is a diagnosis of exclusion?
Ankylosing spondylitis
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
Pt presents with nondeforming asymmetric peripheral arthritis (oligoarthritis of large joints). PE also reveals spondylitis. Pt reports episode of bowel disease a few months ago. What is NOT part of the diagnsis and treatment?
Sulfasalazine (Azulfidine)
ROM exercises/PT
NSAIDs
X-ray
MRI
What disease is described as inflammatory arthritis with the presence of psoriasis?
Ankylosing spondylitis
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
Pt presents with symmetric polyarthritis resembling RA (or oligoarticular), DIP joints primarily, pitting of nails, onycholysis, and arthritis mutilans. Can also be spondylitic form. Of note, pt has a history of psoriasis. What is NOT a possible part of the treatment?
NSAIDs
Methotrexate
ABX
TNF inhibitors
Corticosteroids
Pt presents with symmetric polyarthritis resembling RA (or oligoarticular), DIP joints primarily, pitting of nails, onycholysis, and arthritis mutilans. Can also be spondylitic form. Of note, pt has a history of psoriasis. What is NOT a possible part of the treatment?
Combo therapy
PUVA therapy
Cognitive behavioral therapy
Apremilast (Otezla)
Ustekinumab (Stelara)
What is NOT a possible diagnostic test/finding for psoriatic arthritis?
Elevated ESR
US
X-ray
MRI
RF positive
What disease probably results from low-grade axial synovitis and bursitis, shows preference for the same HLA haplotypes as temporal arteritis, and has cytokines in blood/arteries?
Polymyalgia rheumatica
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
Fibromyalgia
60 yo pr presents with should and hip pain/stiffness that has lasted several weeks. Pt also has fever, malaise, and weight loss. Pt denies muscle weakness. What is NOT part of the diagnosis and treatment?
Decreased ESR/CRP
CBC with anemia
Benign x-ray
Prednisone
Methotrexate
What disease is associated with giant cell (temporal) arteritis?
Polymyalgia rheumatica
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
Fibromyalgia
What disease is a chronic pain syndrome that is characterized by widespread body pain for at least 3 months and tenderness of at least 11 or 18 designated tender point sites? It is a diagnsis of exclusion. Patho is possibly abnormal perception of pain stimuli, sleep disorders, depression, and viral infections.
Polymyalgia rheumatica
Reactive arthritis
Enteropathic arthritis
Psoriatic arthritis
Fibromyalgia
60 yo female pt with PMH significant for depression and hypothyroidism presents with chronic widespread pain, tender points, fatigue, sleep disturbances, depression/anxiety, cognitive dysfunction, chronic headaches, subjective numbness/tingling, stiffness, and fluid retention. Of note, her mother had similar sx throughout her life. What is NOT a possible treatment?
Narcotics
PT
CBT
Cyclobenzaprine
Fluoxetine, Duloxetine
60 yo female pt with PMH significant for depression and hypothyroidism presents with chronic widespread pain, tender points, fatigue, sleep disturbances, depression/anxiety, cognitive dysfunction, chronic headaches, subjective numbness/tingling, stiffness, and fluid retention. Of note, her mother had similar sx throughout her life. What is NOT a possible treatment?
Pregabalin
Gabapentin
Acetaminophen
Tramadol
Narcotics
What is NOT a lab that should be done for fibromyalgia work up?
ESR/CRP
Thyroid function tests
Rheumatoid factor
Vitamin B12
CCP
What is NOT a lab that should be done for fibromyalgia work up?
Vitamin D 25-OH
Aldolase
CK
AST
ANA
