Rheumatology & Haematology — Flashcards

Flashcard 501: Findings on synovial fluid analysis for gout: _____-shaped -vely birefringent Monosodium urate crystals

Answer: needle

Extra: <b>Gout vs. Pseudogout (CPPD):</b><br>• <b>Gout:</b> Needle-shaped, negatively birefringent, Monosodium urate crystals.<br>• <b>Pseudogout:</b> Rhomboid-shaped, positively birefringent, Calcium pyrophosphate crystals.

Flashcard 502: What is the second-line investigation for gout if serum urate levels are negative? _____

Answer: Joint aspiration & microscopy

Flashcard 503: One complication of long standing rheumatoid arthritis is _____ of the cervical spine

Answer: subluxation

Flashcard 504: An obese 35 year old man presents with a severely painful erythematous and swollen first metatarsophalangeal joint over the last 15 hours. What is likely diagnosis? _____

Answer: Gout

Flashcard 505: What antibodies can be tested for in suspected rheumatoid arthritis? - _____ - anti-cyclic citrullinated peptide (anti-CCP)

Answer: Rheumatoid factor

Flashcard 506: On examination a joint affected by gout appears _____ & swollen

Answer: erythematous

Flashcard 507: What is a final management option for rheumatoid arthritis? _____

Answer: Surgical opinion

Flashcard 508: What is the acute management for gout? _____, colchicine, or oral steroids

Answer: NSAIDs

Flashcard 509: Rheumatoid arthritis joint x-ray will show _____, soft tissue swelling, loss of joint space, & marginal erosions

Answer: juxta-articular osteopenia

Flashcard 510: _____ is an idiopathic chronic functional neurosensory disorder characterised by diffuse chronic MSK pain

Answer: Fibromyalgia