Gout
This medication inhibits xanthine oxidase
What is allopurinol?
What is the most commonly injured ligament in an ankle sprain?
Anterior Talofibular Ligament
Methotrexate
What is first line for rheumatoid arthritis?
Selective estrogen receptor modulator (or SERM)
What is raloxifene?
2nd most common reason for medical office visit
low back pain
This drug class can increase risk of gout
What are thiazide diuretics?
Which of the following situations is most appropriate to have radiographs of the involved bones?
A. A 6-year-old boy injures his ankle riding a scooter.
B. A 33 -year-old woman injures both ankles and knees in a motor vehicle accident.
C. A 43 -year-old man injured his ankle yesterday while playing volleyball.
D. A 2 2-year-old woman injures her ankle after falling while drunk.
C. A 43 -year-old man injured his ankle yesterday while playing volleyball.
Neutropenia, splenomegaly, rheumatoid arthritis
What is the triad of Felty’s Syndrome?
1) All women age 65 or older
2) Women <65 with added risk factor
What are the USPSTF recommendations for DEXA screening?
patient complains of "shooting/electric" pain down the leg
sciatica
This the most common joint affected in pseudogout
What is the knee?
A patient has a sprained ankle, he for how long should he completely rest his ankle?
48 - 72 hours. After this the patient should start moving his ankle, as tolerated
1) X-rays of the cervical spine?
2) Spinal cord compromise
1) What needs to be done for RA patients before surgery requiring intubations?
2) When is surgery indicated to correct cervical spine instability?
Sit upright for at least 30 minutes following ingestion of the medication.
What do providers tell their patients prior to prescribing a bisphosphonate?
1st line treatment for acute low back pain
NSAIDs + activity modification
This medication binds tubulin, preventing neutrophil chemotaxis
What is colchicine?
A 15 year old comes to you for ankle pain. He hurt his right foot when landing from a jump while playing basketball. He had immediate pain that kept him from playing and he had to walk off the court. Exam shows right ankle tenderness, swelling, and bruising. Pressing on the malleoli is not particularly painful.
What is the most appropriate next step?
A) Tape the ankle
B) place the ankle in an elastic compression wrap
C) place the ankle in a lace-up ankle support
D) get X-ray of ankle
E) use a below knee cast
C) place ankle in lace-up ankle support
23 year old female elementary school teacher with no past medical history presents with swelling in bilateral PIP joints.
What is an adult parvovirus B19 infection?
True or false: Rheumatoid arthritis is a risk factor for developing osteoporosis.
True. The body is in an inflammatory state, which increases the risk of developing osteoporosis. Also, medications typically used to manage RA, such as glucocorticoids tend to increase the risk of osteoporosis.
low back pain
saddle anesthesia
Urate crystals appear this color in perpendicular light
What is blue?
A grade 3 ankle sprain is characterized by?
Complete rupture of both Anterior Talofibrular ligament and Calcano fibular ligament
9 year old presents to clinic with salmon color rash which comes and goes and evansecent fever worse in the afternoon.
What is Still’s disease?
T less than -1 but greater than -2.5
2 things you absolutely want to rule out with low back pain
neoplasm
infection