Musculoskeletal and Autoimmune Evaluation in Health Assessment Quiz
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Questions and Answers

What is the leading cause of death in patients with Systemic Sclerosis?

  • Pulmonary hypertension (correct)
  • Coronary artery disease
  • Interstitial lung disease
  • Heart failure

    • Which of the following is NOT one of the classes of Systemic Sclerosis based on skin involvement?

  • Localized (just skin)
  • Generalized skin, multiple end-organs (correct)
  • Diffuse (generalized skin)
  • Limited (skin of face and UE, GI involvement)

    • What is the main concern regarding Raynaud syndrome in patients with Systemic Sclerosis from an anesthesia perspective?

  • Joint hypermobility
  • Cutaneous vasospasm (correct)
  • Pulmonary fibrosis
  • Elevated lytes levels

    • Which connective tissue disease is commonly associated with patients having both systemic sclerosis and Raynaud syndrome?

    <p>Sjogren disease</p> Signup and view all the answers

    What is the primary concern in patients with Ehlers-Danlos Syndrome Type IV undergoing anesthesia due to vascular fragility?

    <p>Vascular fragility</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with Marfan Syndrome?

    <p>Peripheral vascular disease</p> Signup and view all the answers

    Why is the presence of pulmonary hypertension considered an ominous sign in patients with Systemic Sclerosis?

    <p>It leads to increased risks during surgery</p> Signup and view all the answers

    Which condition has joint hypermobility, muscle weakness, scoliosis, and osteopenia as its characteristics?

    <p>Ehlers-Danlos Syndrome Type VI</p> Signup and view all the answers

    In Systemic Sclerosis, which is more common than end-organ failure?

    <p>Pulmonary hypertension</p> Signup and view all the answers

    Which of the following is NOT a key component of musculoskeletal and autoimmune diseases/disorders?

    <p>Acute pain</p> Signup and view all the answers

    In rheumatoid arthritis, which joints are more commonly affected?

    <p>Distal joints</p> Signup and view all the answers

    What is the approximate prevalence of atlantoaxial subluxation in patients with rheumatoid arthritis?

    <p>46%</p> Signup and view all the answers

    Which of the following is NOT a potential complication of rheumatoid arthritis involving the airway?

    <p>Tracheal stenosis</p> Signup and view all the answers

    What is the typical gender distribution of rheumatoid arthritis?

    <p>Women are double the number of men</p> Signup and view all the answers

    Which of the following is NOT a common dermatologic manifestation of systemic lupus erythematosus (SLE)?

    <p>Purpuric rash</p> Signup and view all the answers

    What is the primary cause of pulmonary hypertension in patients with systemic lupus erythematosus (SLE)?

    <p>Chronic pulmonary emboli and vasculopathy</p> Signup and view all the answers

    Which of the following is NOT a potential cardiovascular manifestation of systemic lupus erythematosus (SLE)?

    <p>Aortic stenosis</p> Signup and view all the answers

    In patients with systemic lupus erythematosus (SLE), what is a potential paradoxical finding despite a prolonged partial thromboplastin time (PTT)?

    <p>Increased risk of thromboembolic events</p> Signup and view all the answers

    What percentage of patients with Rheumatoid Arthritis may experience atlantoaxial subluxation?

    <p>46%</p> Signup and view all the answers

    Which joint is commonly involved in Rheumatoid Arthritis and is known for limited mouth opening and hoarseness?

    <p>Temporomandibular joint (TMJ)</p> Signup and view all the answers

    What is a potential consequence of chronic inflammation in Systemic Lupus Erythematosus (SLE) involving the integumentary system?

    <p>Hair loss (alopecia)</p> Signup and view all the answers

    Which feature is characteristic of systemic sclerosis and can result in Raynaud phenomenon, skin thickening, and nailfold capillary changes?

    <p>Sclerodactyly</p> Signup and view all the answers

    In Systemic Lupus Erythematosus (SLE), what is considered end-stage renal disease?

    <p>Lupus nephritis</p> Signup and view all the answers

    What is a potential musculoskeletal manifestation that can occur in up to 46% of patients with Rheumatoid Arthritis involving the cervical spine?

    <p>Atlantoaxial subluxation</p> Signup and view all the answers

    Which organ system is commonly affected by vasculitis due to chronic inflammation in autoimmune diseases?

    <p>Renal system</p> Signup and view all the answers

    What is the primary concern regarding airway management in patients with Systemic Sclerosis?

    <p>All of the above</p> Signup and view all the answers

    Which of the following statements about Raynaud syndrome is accurate?

    <p>It is an exaggerated vascular response to cold or stress, often associated with connective tissue diseases</p> Signup and view all the answers

    In patients with Ehlers-Danlos Syndrome Type IV, what is the primary concern regarding anesthesia due to vascular fragility?

    <p>All of the above</p> Signup and view all the answers

    Which of the following statements about Marfan Syndrome is accurate?

    <p>It is associated with an increased risk of aortic dissection and mitral valve prolapse</p> Signup and view all the answers

    In patients with Systemic Sclerosis, which of the following is the leading cause of death?

    <p>Pulmonary hypertension due to interstitial lung disease</p> Signup and view all the answers

    Which of the following statements regarding antiphospholipid antibodies in Systemic Sclerosis is accurate?

    <p>They are associated with an increased risk of thromboembolic events</p> Signup and view all the answers

    Which of the following statements about the classification of Systemic Sclerosis is accurate?

    <p>The diffuse form is characterized by generalized skin involvement and multiple end-organ involvement</p> Signup and view all the answers

    Which of the following laboratory tests is commonly indicated in the evaluation of patients with Systemic Sclerosis?

    <p>EKG, electrolytes, complete blood count, and partial thromboplastin time</p> Signup and view all the answers

    Which of the following is a primary function of hepatocytes?

    <p>All of the above</p> Signup and view all the answers

    Which of the following conditions primarily impacts the biliary system?

    <p>Primary sclerosing cholangitis</p> Signup and view all the answers

    Which symptom is not typically associated with liver disease?

    <p>Fever</p> Signup and view all the answers

    What is the minimum bilirubin level required to detect jaundice (icterus) in mucous membranes during a physical exam?

    <p>$2.5 \text{ mg/dL}$</p> Signup and view all the answers

    Which of the following tests is not typically included in the initial evaluation of liver disease?

    <p>Magnetic resonance imaging (MRI)</p> Signup and view all the answers

    Which of the following is the primary cause of coagulopathy in liver disease?

    <p>All of the above</p> Signup and view all the answers

    Which viral hepatitis is diagnosed by the presence of immunoglobulin M (IgM) antibodies?

    <p>Hepatitis A</p> Signup and view all the answers

    Which condition is characterized by the presence of surface and core antigens?

    <p>Hepatitis B</p> Signup and view all the answers

    Which of the following is not a potential cause of obstructive liver disease?

    <p>Hepatocellular carcinoma</p> Signup and view all the answers

    What is the primary concern regarding extrahepatic bile duct obstruction in the perioperative period?

    <p>Increased risk of acute kidney injury (AKI)</p> Signup and view all the answers

    Which of the following is NOT a predictor of poor outcome in patients with liver disease undergoing surgery?

    <p>Thrombocytopenia</p> Signup and view all the answers

    In the management of coagulopathy in liver disease, what is the recommended treatment for a factor deficiency etiology?

    <p>Fresh frozen plasma (FFP)</p> Signup and view all the answers

    What is the primary concern regarding cirrhosis and its end result of portal hypertension?

    <p>Esophageal varices</p> Signup and view all the answers

    Which of the following is NOT a recommended risk reduction strategy for patients with liver disease undergoing surgery?

    <p>Increasing sodium intake</p> Signup and view all the answers

    In the management of encephalopathy in liver disease, what is the recommended dosing schedule for lactulose?

    <p>30 ml every 6 hours, with the last dose at least 12 hours before surgery</p> Signup and view all the answers

    What is the primary concern regarding airway management in patients with systemic sclerosis?

    <p>Potential for airway edema and obstruction due to skin tightening</p> Signup and view all the answers

    Which of the following is a potential cause of pulmonary hypertension in patients with systemic lupus erythematosus (SLE)?

    <p>All of the above</p> Signup and view all the answers

    In patients with Ehlers-Danlos Syndrome Type IV, what is the primary concern regarding anesthesia due to vascular fragility?

    <p>Potential for spontaneous arterial dissection or rupture</p> Signup and view all the answers

    Which liver function is primarily affected in obstructive disorders involving the biliary system?

    <p>Bile regulation</p> Signup and view all the answers

    What is the main cause of hepatocellular carcinoma?

    <p>Viral infections</p> Signup and view all the answers

    Which symptom would warrant further workup in a patient with liver disease?

    <p>Pruritus</p> Signup and view all the answers

    What is the expected bilirubin level required to observe jaundice in mucous membranes during a physical examination?

    <p>&gt; 2.5 mg/dL</p> Signup and view all the answers

    Which of the following is a potential cause of coagulopathy in liver disease?

    <p>Cholestasis</p> Signup and view all the answers

    What are the three main components of a Coagulopathy in liver disease?

    <p>Factor deficiency, Thrombocytopenia, Cholestasis</p> Signup and view all the answers

    Which of the following is a primary risk reduction strategy for patients with liver disease undergoing surgery?

    <p>Delaying elective surgery in the face of acute hepatitis or encephalopathy</p> Signup and view all the answers

    What is the recommended treatment for coagulopathy due to factor deficiency in patients with liver disease?

    <p>Fresh frozen plasma (FFP)</p> Signup and view all the answers

    What is the typical dosing schedule for lactulose in the management of encephalopathy in liver disease?

    <p>30ml every 6 hours, with the last dose at least 12 hours before surgery</p> Signup and view all the answers

    Which of the following is considered a predictor of poor outcome in patients with liver disease undergoing surgery?

    <p>PT less than 3 seconds refractive to vitamin K</p> Signup and view all the answers

    What is the primary concern regarding obstructive jaundice in the perioperative period?

    <p>Increased risk of acute kidney injury</p> Signup and view all the answers

    What is the leading cause of death in patients with Systemic Sclerosis?

    <p>Pulmonary hypertension</p> Signup and view all the answers

    Which of the following is NOT a potential cardiovascular manifestation of Systemic Lupus Erythematosus (SLE)?

    <p>Rheumatoid nodules</p> Signup and view all the answers

    What is the primary cause of coagulopathy in liver disease?

    <p>Decreased clotting factor production</p> Signup and view all the answers

    Which of the following is NOT a predictor of poor outcome in patients with liver disease undergoing surgery?

    <p>Serum creatinine less than 1.5 mg/dL</p> Signup and view all the answers

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