Arthritis: The Early Years
Age cut-off for the diagnosis of JIA.
What is 16 years old?
Common dermatologic findings of Lupus.
(List 3 to get full points!)
What are alopecia, butterfly (Malar) rash, discoid skin lesions, nasal ulcers, oral ulcers, nasal septum perforation?
Three classes of antipyretics.
What are Acetaminophen, NSAIDS, and Glucocorticoids?
WHAT THEY DO: Modulate prostaglandin E2 to varying degrees to control pyrogenic (PGE2-mediated) fevers.
Name of a rash characteristic of lupus that appears on the face or trunk.
What is a Malar (butterfly) rash?
What is TB or not TB?
Amount of time in which a child needs to have symptoms for a diagnosis of Juvenile Idiopathic Arthritis.
What is at least 6 weeks?
This sub-type of Lupus affects only the skin.
What is cutaneous lupus?
Without THIS TYPE of immunity, you would get recurrent infections of the same pathogens.
(HINT: It is due to the lack of ability to create memory of the infection).
What is humoral immunity?
MORE INFO: Memory B cells "remember" antigens of certain pathogens that the immune system has previously encountered, so that upon re-exposure, antibodies are produced and the infection is cleared quicker - resulting in little or no infectious symptoms.
What is Molluscum Contagiosum?
MORE INFO: Caused by poxvirus. Treatment is watchful waiting and/or topical creams/cyrotherapy. Self resolves in months-years (median 13 months).
Waleed, Sujeev, and Luv did a trio costume for halloween.
1) What was the trio?
2) Who was who?
1) Alvin and the chipmunks
2) Simon - Waleed, Theo - Sujeev, Alvin - Luv
Gene loci that is thought to be a factor in the pathophysiology of Juvenile Idiopathic Arthritis (JIA).
What are MHC loci?
Mnemonic for lupus symptoms!
(WITHOUT USING NOTES you get a bonus 10 cents for each of the symptoms that you list from the mnemonic)
What is MD SOAP BRAIN
A general group of diagnoses you would explore in a patient presenting with BENIGN (i.e. no B symptoms, acute) but DIFFUSE lymphadenopathy.
What are autoimmune diseases?
The medical term for peeling skin.
HINT: Also a secondary morphology commonly seen in staph. scalded skin syndrome (SSSS).
What is desquamation?
The name of the student organization that Leena and Nabilah are co-VP externals of.
(NATALIA CANNOT ANSWER)
What is the Women's Heart Health Club?
One of the broad subclassifications of JIA that presents with arthritis with fever, rash, organomegaly, or serositis.
What is systemic arthritis?
First line medication for SLE that reduces mortality, improves fatigue, joint, and skin symptoms and requires regular retinal monitoring.
What are antimalarials (ex. Hydroxychloroquine)?
The 3 anatomical borders of Traube's space for spleen exam percussion.
List all 3 anatomical markers and what side of the body you would conduct this exam for full points.
What are:
1. Left mid-axillary line - lateral boundary
2. Left 6th ICS (demarcated by the Xiphoid process) - superior boundary
3. Left intercostal margin (bottom of the ribs) - inferior boundary
Pharmacological treatment of Pediculosis capitis is given with an interval of THIS MANY days.
ANSWER FORMAT: a number.
What is 6 days?
Pediculosis capitis is head lice. Topical treatment is given on day 1 and day 7.
Who are Darren and Johnny?
3 non-specific lab result findings that may be part of the presentation of systemic JIA
(Bouns point: lab result that is typically NEGATIVE)
What are:
1. Elevated WBCs
2. Anemia
3. Elevated CRP and ESR
BONUS: Negative serum ANA, serum RF (these are more likely to be positive in lupus or RA)
Anti-dsDNA is a serum test for lupus that has:
1) (HIGH/LOW) sensitivity
2) (HIGH/LOW) specificity
What test is: LOW SENSITIVITY (negative test does not rule out lupus, many pts with lupus are seronegative) and HIGH SPECIFICITY (a positive test is likely lupus rather than any other autoimmune condition)?
Conditions in which oral amoxicillin is used.
(LIST AT LEAST 2).
What are:
- Acute otitis media
- Sinusitis
- C.A.P.?
Cancer that can present as purple patches or nodules on the skin.
HINT: AIDS
What is Kaposi sarcoma?
The names of the patients of the week when Harneet and Kelly led tutorial in unit 1.
(3 right answers - answer at least 2 to get full points)
Who are Trina Karlsson (tutorial group A), George Janus-Dupre (tutorial group B), and Sam Ansari (POTW)?
Topics for that week were: Anemia, gender-affirming care, peds anemia.