Rheumatology & Haematology — Flashcards

Flashcard 581: What behavioural risk factor markedly ↑↑ risk for rheumatoid arthritis? _____

Answer: Smoking

Flashcard 582: What is the initial investigation for haemochromatosis? _____

Answer: Iron studies: ↑ Ferritin ↑ Transferrin saturation ↓ TIBC (Total Iron Binding Capacity)

Flashcard 583: Secondary haemochromatosis is often caused by chronic _____

Answer: transfusions

Flashcard 584: Folate deficiency is predominantly caused by _____ issues; malnutrition & excessive alcohol

Answer: dietary

Flashcard 585: On examination for rheumatoid arthritis, there is pain on _____ test of the MCP joints.

Answer: Gaenslen/Squeeze

Extra: Gaenslen's sign (not to be confused with Gaenslen's test for the sacroiliac joint) is positive in Rheumatoid Arthritis when there is tenderness on gripping the MCP joints. It is a sensitive clinical marker for synovitis.

Flashcard 586: What is the second-line management for haemochromatosis? _____

Answer: Iron chelation therapy e.g. both Deferasirox & Desferrioxamine

Flashcard 587: Osteoarthritis has a _____ onset

Answer: gradual

Flashcard 588: Clinical sign = _____

Answer: Swan neck deformity; advanced RA

Flashcard 589: Spot Diagnosis = _____

Answer: Osteoarthritis

Flashcard 590: What is the first-line imaging for osteoarthritis? _____

Answer: X-ray of joint