Rheumatology & Haematology — Flashcards

Flashcard 521: What is the first-line pharmacological management for fibromyalgia? _____

Answer: Amitriptyline

Extra: Pharmacological management of Fibromyalgia components: 1. TCAs: Amitriptyline (often used at low doses at bedtime) 2. SNRIs: Duloxetine or Milnacipran 3. Gabapentinoids: Pregabalin 4. Note: Opioids and Corticosteroids are generally avoided.

Flashcard 522: Findings on synovial fluid analysis for pseudogout: _____-shaped weakly +vely birefringent calcium pyrophosphate crystals

Answer: rhomboid

Flashcard 523: Fibromyalgia often presents with "_____"; difficulty concentrating and reduced clarity of thought

Answer: fibro fog

Flashcard 524: Rheumatologists may treat rheumatoid arthritis with _____ whilst waiting for DMARDs to take effect

Answer: short-term bridging glucocorticoids

Flashcard 525: Pseudogout classically presents with _____ on X-ray

Answer: cartilage calcification (chondrocalcinosis)

Flashcard 526: _____ is a crystal arthropathy caused by monosodium urate crystals forming in synovial joints and tissues

Answer: Gout

Flashcard 527: Purine-rich food such as _____ & sea food cause ↑ uric acid production thus can precipitate gout

Answer: red meats

Flashcard 528: What antibodies can be tested for in suspected rheumatoid arthritis? - _____ - anti-cyclic citrullinated peptide (anti-CCP)

Answer: Rheumatoid factor

Flashcard 529: Gout has a _____-onset, severely painful joint

Answer: rapid

Flashcard 530: One complication of long standing rheumatoid arthritis is _____ of the cervical spine

Answer: subluxation