Side Effects of Corticosteroid Therapy and DMARDs
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Questions and Answers

Which condition leads to the straightening of lumbar curvature?

  • Pendulous abdomen
  • Osteoporosis
  • Ankylosing spondylitis (correct)
  • Pregnancy
  • What characterizes the abnormal exaggeration of lumbar lordosis?

  • Pregnancy (correct)
  • Osteoporosis
  • Pendulous abdomen
  • Ankylosing spondylitis
  • In which condition is the abnormal exaggeration of dorsal kyphosis commonly observed?

  • Osteoporosis (correct)
  • Ankylosing spondylitis
  • Pendulous abdomen
  • Pregnancy
  • What leads to the straightening of lumbar curvature in longstanding cases?

    <p>Ankylosing spondylitis</p> Signup and view all the answers

    Which condition is associated with the normal curvature of the vertebral column known as cervical lordosis?

    <p>None of the above</p> Signup and view all the answers

    What are the parts that can differentiate between vertebrae along the vertebral column?

    <p>Transitional vertebrae, spinous process, and transverse process</p> Signup and view all the answers

    Which cervical vertebrae allows head nodding “yes”?

    <p>C1 (Atlas)</p> Signup and view all the answers

    What is the characteristic feature of the Axis (C2) vertebrae?

    <p>Odontoid process</p> Signup and view all the answers

    Which joint is located on each side of the four cervical discs between levels C3 and C7 in the spine?

    <p>Uncovertebral joint</p> Signup and view all the answers

    What is the composition of the disc between the cervical vertebrae?

    <p>80% water, annulus fibrosus “outer”, nucleus pulposus “inner”</p> Signup and view all the answers

    Which muscle has its origin at the sternum and clavicle, and insertion at the mastoid process of the skull?

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

    What are dermatomes and myotomes used to detect?

    <p>Level of affection</p> Signup and view all the answers

    Which autoimmune disease is characterized by primary affection of synovial joints and is more common in females?

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

    What is the primary aim of the criteria used to detect early cases of rheumatoid arthritis?

    <p>To pick up the patient early</p> Signup and view all the answers

    What is the most common joint deformity associated with rheumatoid arthritis?

    <p>Ulnar deviation</p> Signup and view all the answers

    Which antibody, when positive, is considered high positive if it is more than 3 folds the upper limit?

    <p>Anti-cyclic citrullinated peptide antibody (ACPA)</p> Signup and view all the answers

    What is the role of corticosteroids in the treatment of rheumatoid arthritis?

    <p>Bridge therapy with rapid effect</p> Signup and view all the answers

    What is the relative incidence of joint involvement in rheumatoid arthritis, with MCP and PIP joints of hands & MTP of feet being affected in 90% of cases?

    <p>80%</p> Signup and view all the answers

    What is the prevalence range of subclinical inflammation of the gut in AS patients?

    <p>40% to 60%</p> Signup and view all the answers

    Which of the following is a common cardiac abnormality in AS patients?

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

    What is the most common ophthalmic disorder occurring in AS cases?

    <p>Anterior uveitis</p> Signup and view all the answers

    What does an electromyogram measure?

    <p>Electrical activity of muscles at rest and during contraction</p> Signup and view all the answers

    What is the main purpose of nerve conduction studies?

    <p>To locate the site of nerve damage</p> Signup and view all the answers

    What anatomical site does myasthenia gravis affect?

    <p>Neuromuscular junction</p> Signup and view all the answers

    Which medication used for rheumatoid arthritis is known for its potential teratogenic effects and requires a chest X-ray before administration?

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

    What is the most common side effect of Methotrexate used for rheumatoid arthritis?

    <p>Nausea and vomiting</p> Signup and view all the answers

    Which biological treatment for rheumatoid arthritis is associated with the need for a tuberculin test before administration?

    <p>Anti-TNF</p> Signup and view all the answers

    What is a common symptom of Ankylosing Spondylitis?

    <p>Swollen knee joints</p> Signup and view all the answers

    What is the male to female ratio in Ankylosing Spondylitis?

    <p>2:1</p> Signup and view all the answers

    Which part of the spine is most often affected by inflammation in Ankylosing Spondylitis?

    <p>Thoracic spine</p> Signup and view all the answers

    Which type of nerve injury is characterized by focal demyelination and/or ischemia, with recovery potentially occurring within hours to months?

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

    What is the characteristic feature of carpal tunnel syndrome?

    <p>Sensory - paresthesia and motor - weakness and atrophy of the thenar muscles</p> Signup and view all the answers

    What is the provocative test used to diagnose carpal tunnel syndrome?

    <p>Applying pressure over the wrist for 30sec</p> Signup and view all the answers

    What is the treatment approach for double crush syndrome of the median nerve?

    <p>Wrist splinting and elevation</p> Signup and view all the answers

    Which condition is characterized by trauma, rheumatoid arthritis, pregnancy, hypothyroidism, gout, acromegaly, and amyloidosis as causes?

    <p>Carpal tunnel syndrome</p> Signup and view all the answers

    What type of nerve injury involves broken axons and myelin sheaths with partial or fully intact surrounding stroma?

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

    What is the prognosis for spontaneous recovery in neurotmesis without surgical intervention?

    <p>Extremely poor</p> Signup and view all the answers

    What are the causes of carpal tunnel syndrome?

    <p>Nerve compression and ischemia</p> Signup and view all the answers

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