Final (Lab Results)

Question 0

lyme dz

Answer 0

antibody for borrelia

IgM to IgG via ELISA

Question 1

Acute rheumatic fever

Answer 1

anti-streptolysin O

Question 2

gonococcal septic arthritis

Answer 2

increased neutrophils

(+) gram stain culture

Question 3

nongonococcal septic arthritis

Answer 3

increased ESR

increased WBC -> neutrophils

Question 4

gouty arthritis (seronegative)

Answer 4

increased ESR

hyperuricemia

Question 5

enteropathic arthropathies (seronegative)

Answer 5

HLA b27
increased ESR
(RF and ANA in JI bypass pts)

Question 6

adult rheumatoid arthritis

Answer 6

RF (sens)

anti-CCP * (spec)

Question 7

systemic lupus

Answer 7

ANA (sens)
anti-native DNA * (spec) OR
anti-SM (spec)

Question 8

systemic sclerosis (scleroderma)

Answer 8

ANA (sens)
anti-scleroderma antibody * SCL-70 = most specific
anti-centromere antibody

Question 9

idiopathic inflammatory myopathies

Answer 9

increased ESR or
increased RF
ANA
increased CK *
muscle biopsy *

Question 10

MCTD

Answer 10

ANA

anti-RNP*

Question 11

Sjogrens syndrom

Answer 11

ANA
anti-SSA (anti-Rho)
anti-SSB (anti-La)
RF
polyclonal hypergammaglobulinemia
biopsy of gland

Question 12

polymyalgia rheumatica

Answer 12

increased ESR

Question 13

giant cell arteritis (temporal)

Answer 13

increased ESR >100 mm/hr

temporal artery biopsy

Question 14

ankylosing spondylitis (seronegative)

Answer 14

HLA B27 * (sens)
increased ESR
sacroiliitis

Question 15

reactive arthritis (seronegative)

Answer 15

HLA B27*
increased ESR
can’t see, can’t pee, can’t dance with me