Rheumatology & Haematology — Flashcards

Flashcard 491: What is the first-line pharmacological management for fibromyalgia? _____

Answer: Amitriptyline

Extra: Pharmacological management of Fibromyalgia components: 1. TCAs: Amitriptyline (often used at low doses at bedtime) 2. SNRIs: Duloxetine or Milnacipran 3. Gabapentinoids: Pregabalin 4. Note: Opioids and Corticosteroids are generally avoided.

Flashcard 492: What is the first-line management for fibromyalgia? _____

Answer: Exercise

Flashcard 493: Findings on synovial fluid analysis for pseudogout: _____-shaped weakly +vely birefringent calcium pyrophosphate crystals

Answer: rhomboid

Flashcard 494: Rheumatologists may treat rheumatoid arthritis with _____ whilst waiting for DMARDs to take effect

Answer: short-term bridging glucocorticoids

Flashcard 495: _____ is used for the management of pain in Fibromyalgia

Answer: Pregabalin

Extra: FDA-approved pharmacological treatments for Fibromyalgia include: 1. Pregabalin (Anticonvulsant) 2. Duloxetine (SNRI) 3. Milnacipran (SNRI)

Flashcard 496: Gout risk factors: _____ and/or ↑ uric acid production

Answer: ↓ renal excretion

Flashcard 497: What imaging may be done in rheumatoid arthritis? _____

Answer: X-ray

Flashcard 498: An obese 35 year old man presents with a severely painful erythematous and swollen first metatarsophalangeal joint over the last 15 hours. What is likely diagnosis? _____

Answer: Gout

Flashcard 499: What is the second-line investigation for gout if serum urate levels are negative? _____

Answer: Joint aspiration & microscopy

Flashcard 500: Pseudogout occurs in adults > _____ years

Answer: 60