Rheumatology & Haematology — Flashcards

Flashcard 501: On examination a joint affected by gout appears _____ & swollen

Answer: erythematous

Flashcard 502: Findings on synovial fluid analysis for gout: _____-shaped -vely birefringent Monosodium urate crystals

Answer: needle

Extra: <b>Gout vs. Pseudogout (CPPD):</b><br>• <b>Gout:</b> Needle-shaped, negatively birefringent, Monosodium urate crystals.<br>• <b>Pseudogout:</b> Rhomboid-shaped, positively birefringent, Calcium pyrophosphate crystals.

Flashcard 503: _____ and thiazide diuretics can cause hyperuricemia, which can lead to the precipitation of gout

Answer: Loop

Flashcard 504: What is a final management option for rheumatoid arthritis? _____

Answer: Surgical opinion

Flashcard 505: Pseudogout acute attacks are _____ duration than gout

Answer: longer

Flashcard 506: What is the most appropriate **initial** (first-line) investigation for a suspected gouty joint? _____

Answer: Synovial fluid analysis

Flashcard 507: Fibromyalgia is NOT a diagnosis of _____

Answer: exclusion

Flashcard 508: What is the prophylactic management for gout? 1st-line: _____ 2nd-line: Febuxostat

Answer: Allopurinol

Flashcard 509: What is the acute management for pseudogout? _____, colchicine, or NSAIDs

Answer: Intra-articular steroids

Flashcard 510: What is the specialist management for rheumatoid arthritis? 1st-line: _____ 2nd-line: 2x cDMARD combination 3rd-line: Biologics ± cDMARD

Answer: cDMARD