A Real Pain in the Vessel
Per the 2021 guidelines this remains the diagnostic test of choice in GCA despite the development of advanced imaging modalities
(EX. On demand vs continuous)
Continuous
This carries a strong recommendation as a nonpharmacologic intervention in active PsA
Primary recommended diagnostic test when assessing a patient for possible Lyme arthritis
Serum antibody testing
According to the 2019 ACR guideline, this intervention is strongly recommended for patients with knee and/or hip osteoarthritis who are overweight or obese
Weight loss
For severe GPA or MPA this agent is conditionally recommended over cyclophosphamide for induction therapy
Rituximab
According to the 2019 guidelines, this is the recommended first-line biologic treatment for an adult with active ankylosing spondylitis who has not responded to NSAIDs?
TFNi
Concern for this leads to a conditional recommendation for other OSM agents other than methotrexate in a patient with active PsA and diabetes in treatment-niave patients
Liver toxicity
This circumstance necessitates prophylactic antibiotic course following tick exposure
High risk Ixodes tick bite if removed within 72 hours
This is the minimum percent of body fat loss associated with improved clinical outcomes
5%
According to the 2021 ACR/VF guideline, this is the standard-of-care initial therapy for all patients diagnosed with Kawasaki Disease
IVIG, reduces risk for coronary artery aneurysms
This is the next step for a patient who experiences primary failure of their first TNFi
Switch to an IL17
This would be the next best therapy in a patient with PsA and IBD that has failed OSM
TNFi
Recommended antibiotic and duration for treating a typical case of erythema migrans (2)
10 days of oral doxycycline
14 days of amoxicillin
This joint carries a strong recommendation for the use of topical NSAIDS per the ACR guidelines in the treatment of osteoarthritis
Knee
This is the conditionally recommended regimen for a patient with active, non-severe EGPA
Mepolizumab + steroids
This is the strength of recommendation regarding routine use of spine radiographs for disease monitoring in patients with AS
Conditionally recommended against
This biologic class is generally not effective in a patient with active axial disease resistant to NSAIDs
IL 12/23s
These circumstances should prompt consideration for co-infection with anaplasmosis or babesiosis (2)
prolonged, high-grade fevers
Thrombocytopenia
This graded recommendation is provided to the use of glucosamine in the treatment of hand, knee, or hip osteoarthritis
Strongly recommend against
This diagnostic test is conditionally recommended for all patients at the time of EGPA diagnosis regardless of symptoms
Echocardiogram
According to the most recent guidelines, this is the level of recommendation given to the following statement: "In adults with stable nonradiographic AxSpA receiving a biologic discontinuation should be considered"
Conditionally recommended against
In clinical trials, this Psoriasis Area and Severity Index (PASI) score is considered severe psoriasis
>12 and BSA >/= 10%
This is the next step if a patient continues to have synovitis following a 28-day course of oral antibiotics for the treatment of Lyme arthritis
2-to-4-week course of ceftriaxone
Hand OA