Rheumatology & Haematology — Flashcards

DMARDs are particularly useful in _____ ankylosing spondylitis

Hint: type

Polymyalgia rheumatica _____ involve loss of power in affected limbs

Hint: Does/Doesn't

Inflammatory markers are _____ and creatinine kinase is normal in polymyalgia rheumatica

Hint: Normal/raised

What complication of PMR should be excluded before initiating treatment? _____

What investigations should be ordered as part of a polymyalgia rheumatica diagnosis? _____, Creatinine kinase

Psoriatic arthritis is a _____ spondylarthropathy

Hint: Seronegative/Seropositive

Psoriatic rashes are typically found on _____ surfaces

Hint: Flexor/Extensor

What is the management of psoriatic arthritis after symptomatic relief? 1st line: _____ 2nd line: Biological DMARDs - e.g. anti-TNF 3rd line: Targeted synthetic DMARDs - e.g. Tofacitinib

Patterns of psoriatic arthritis: • _____ - most common; resembles rheumatoid arthritis • Asymmetrical oligoarthritis - usually affects hands and feet • Distal interphalangeal (DIP) disease - classic but occurs in ~10% • Sacroiliitis - spondylitis-like; involves spine and sacroiliac joints • Arthritis mutilans - severe/rare; characterized by telescoping of digits (pencil-in-cup deformity)

Polymyalgia rheumatica typically presents with _____ & morning stiffness of the proximal limb muscles

Hint: Character