Major Rheumatic Diseases
Other Rheumatic and Connective Tissue Disorders
Lab Tests
Medications
Specific Symptoms and Signs
100
This disease spares the DIP joints
What is Rheumatoid Arthritis
100
Polymyalgia Rheumatica is commonly associated with this disease
What is Giant Cell Arteritis
100
This antibody is most specific for SLE
What is Anti-Sm
100
Other than NSAIDs, this is the first line medication for arthritis in lupus
What is hydroxychloroquine
100
The name of this rash is what and is associated with which disease
What is Shawl Sign and Dermatomyositis
200
If you see arthritis and tophi with small joint involvement of the hands and feet think..
What is Chronic tophaceous gout
200
All patients suspected of having acute gout must have this obtained
What is synovial fluid Gram stain and cultures to exclude infection
200
This antibody is positive in drug-induced lupus
What is Antihistone antibody
200
This is the initial DMARD for most patients with Rheumatoid Arthritis
What is methotrexate
200
This image is characteristic of which disease
What is Ankylosing Spondylitis
300
Patients with Sjögren syndrome are at increased risk for what type of malignancy
What is non-Hodgkin lymphoma
*large B-cell and MALT lymphomas being the most common
300
These are potential cardiac complications of Giant Cell Arteritis
What is aortic aneurysm and aortic dissection
300
This lab correlates with disease activity in SLE and is highly specific for renal involvement
What is anti-dsDNA antibody
300
This medication should be used during scleroderma renal crisis
What is ACE inhibitor
**use regardless of creatinine level and continue even during renal failure
300
What is this finding called and what disease is it involved with
What is nail pitting and psoriasis
400
Explosive onset or severe flare-up of psoriatic arthritis should prompt testing for
What is HIV infection
400
This syndrome is characterized by interstitial lung disease, inflammatory polyarthritis, fever, Raynaud phenomenon, mechanic's hands (scaly, rough, dry, cracked horizontal lines on the palmar and lateral aspects of the fingers), and increased risk of sudden death
What is antisynthetase syndrome
*can be seen in patients with polymyositis or dermatomyositis but not with inclusion body myositis
*increased risk of death is associated with the severity of ILD
400
There is an increased risk of pulmonary hypertension in scleroderma if this antibody is positive
What is Anticentromere pattern of ANA
400
Other than prednisone, this is a common treatment option for organ threatening disease in Granulomatosis with polyangiitis
What is Rituximab
*Cyclophosphamide is commonly used too
400
What is this exam finding and what disease is it associated with
What is Sclerodactyly and Scleroderma
500
All patients at the time of diagnosis of Systemic Sclerosis should undergo what baseline testing
What is pulmonary function tests and high-resolution CT chest
*screen for interstitial lung disease, and pulmonary function testing with DLCO should be repeated annually. Should also undergo echocardiography annually, or more frequently, and for new or concerning symptoms suggestive of PAH
500
Suspect this disease in young women with fever, malaise, weight loss, and arthralgia preceding arm/leg claudication, pulse deficits, vascular bruits, and asymmetric arm BP readings
What is Takayasu arteritis
*rare type of vasculitis that affects the largest arteries
500
This antibody is associated with dermatomyositis and a characteristic “mechanic’s hands” rash, as well as a higher risk of interstitial lung disease
What is anti-Jo-1
500
Patients taking hydroxychloroquine require annual routine screening of what
What is ophthalmologic examinations
500
The below deformity is called what and associated with which disease
What is Pencil-in-cup deformity and Psoriatic Arthritis