Rheumatology & Haematology — Flashcards

Flashcard 511: Gout risk factors: _____ and/or ↑ uric acid production

Answer: ↓ renal excretion

Flashcard 512: Purine-rich food such as _____ & sea food cause ↑ uric acid production thus can precipitate gout

Answer: red meats

Flashcard 513: Spot diagnosis: Symmetrical arthritis of small joints with _____, swan-neck, and boutonnière deformities = Rheumatoid arthritis

Answer: ulnar deviation

Extra: Classic hand deformities in Rheumatoid Arthritis (RA) include: - Ulnar deviation of the MCP joints. - Swan-neck deformity: Hyperextension of PIP and flexion of DIP. - Boutonnière deformity: Flexion of PIP and hyperextension of DIP.

Flashcard 514: What is the most appropriate **initial** (first-line) investigation for a suspected gouty joint? _____

Answer: Synovial fluid analysis

Flashcard 515: Fibromyalgia more commonly affects _____ 2:1

Answer: females

Flashcard 516: Gout has a _____-onset, severely painful joint

Answer: rapid

Flashcard 517: _____ is used for the management of pain in Fibromyalgia

Answer: Pregabalin

Extra: FDA-approved pharmacological treatments for Fibromyalgia include: 1. Pregabalin (Anticonvulsant) 2. Duloxetine (SNRI) 3. Milnacipran (SNRI)

Flashcard 518: Gout more commonly affects _____ 3:1

Answer: men

Flashcard 519: Tophi, secondary to gout, often arise on the _____, olecranon bursa, or Achilles tendon

Answer: external ear

Flashcard 520: Pseudogout classically presents with _____ on X-ray

Answer: cartilage calcification (chondrocalcinosis)