1. usually mono articular, inflammatory, intense pain, Acute Gouty Arthritis
redness, swelling
2. MC joint in Acute Gouty Arthritis 1st metatarsophalangeal
joint
3. negatively birefringent and needle shaped urate crystals
4. "overhanging edges" of bone associated with bone gout
erosions due to tophi
5. gout attack meds NSAID, glucocorticoids,
colchicine
6. recommended uric acid lowering tx in most pts allopurinol
7. allopurinol is a xanthine oxidase inhibitor
8. contraindicated in gout bc increases uric acid aspirin
9. increases urate reabsorption loop and thiazides
10. are glucocorticoids used to prophylactically decrease no
frequency of gout attacks?
11. triad = glomerulonephritis, upper and lower respira- granulomatosis with
tory tract disease polyangitis
12. positive antineutrophil cytoplasmic antibody directed granulomatosis with
towards myeloperoxidase or proteinase-3 polyangitis
13. PE granulomatosis with polyangitis saddle nose deformity,
proptosis, DVT
14. granulomatosis with polyangitis tx mild
, glucocorticoids and
methotrexate
15. granulomatosis with polyangitis tx severe corticosteroids, with rit-
uximab or cyclophos-
phamide
16. osteochondrosis or traction injury at the insertion of Osgood-Schlatter
the patellar tendon into the tibial tubercle apophysis
17. anterior knee pain worse with activity, improves with Osgood-Schlatter
rest
18. Osgood Schlatter tx NSAID, rest, ice
19. diabetic neuropathic arthropathy Charcot foot
20. MCC Charcot foot diabetic neuropathy
21. collapse of arch of midfoot, prominence of navicular Charcot foot
22. Maisonneuve fracture
23. spiral fracture of proximal third of fibule in association Maisonneuve
with distal medial malleolar fracture or deltoid liga-
ment rupture
24. Maisonneuve results from injury of ankle pronation and external ro-
tation
25. Campylobacter jejuni
2/8