Spondyloarthropathies Flashcards

1
Q

What is meant by spondyloarthropathy?

A

Inflammatory arthritis affecting both spine and joints

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2
Q

What is enthesitis?

A

Inflammation at the site where tendon joins to bone

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3
Q

What is dactylitis?

A

Inflammation of an entire digit

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4
Q

What is ankylosing spondylitis?

A

Inflammatory spinal arthritis, usually affecting sacroiliac joint too

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5
Q

Is ankylosing spondylitis more common in males or females?

A

Males

Late adolescence

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6
Q

What is an extra-articular feature of ank. spond. in the eye?

A

Anterior uveitis

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7
Q

Which HLA is associated with ank. spond?

A

HLA B27

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8
Q

What examinations can be used to diagnose ank. spond?

A

Schober’s test
Occiput-to-wall test
Chest expansion

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9
Q

List treatment for ankylosing spondylitis

A

Exercise, physiotherapy
NSAID
Anti-TNF (infliximab)
Steroid

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10
Q

What are the 2 typical nail changes that occur in psoriatic arthritis?

A

Nail pitting

Onycholysis

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11
Q

Rheumatoid factor is positive in psoriatic arthritis. True/False?

A

False

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12
Q

What is the source of reactive arthritis?

A

Infection, leading to inflammatory synovitis

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13
Q

Symptoms of reactive arthritis come on at the start of infection. True/False?

A

False

Typically up to 4wks after infection

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14
Q

Which organisms typically cause reactive arthritis?

A

Chlamydia
Enterogenic (salmonella, campylobacter)
Neisseria

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15
Q

Reactive arthritis is HLA B27 positive. True/False?

A

True

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16
Q

Reiter’s syndrome is a form of reactive arthritis made up of which disease triad?

A

Urethritis
Conjunctivitis/uveitis/iritis
Arthritis