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5 Written questions

5 Matching questions

  1. How do you tx Giant Cell Arteritis?
  2. What is the tx for ITP?
  3. How do you treat polyarteritis nodosa?
  4. What has lab findings of anemia, mild leukocytosis, elevated ESR, hilar adenopathy, C-ANCA (limited to kidney) and P-ANCA (localized to kidney)?
  5. What should you screen for in pt's with polyarteritis nodosa?
  1. a urgently with prednisone 60 mg/d immediately -> bx to confirm/ then low dose ASA 81 mg/d/ continue prednisone 1 month before tapering
  2. b Hep screening since 10% associated with Hep B
  3. c Wegener's Granulomatosis
  4. d high dose corticosteroids (60 mg Prednisone daily), Methylprednisolone 1 g IV daily for 3 days if critically ill, immunosuppressive agents like Cyclophosphamide; Hep B responds to short course of prednisone + lamivudine 100 mg/d and plasmapheresis 3 wk for 6 weeks
  5. e PISD = initial tx: Prednisone 1-2 mg/kg/day; high dose IV Ig of 1 g/kg for 1-2 days for platelet counts < 5000; Splenectomy is definitive tx; Danazol 600 mg/day if all of above fail

5 Multiple choice questions

  1. High dose prednisone 40-60 mg/d tapered slowly after 1 month; immunosuppressive agents
  2. Polyarteritis Nodosa; poor prognosis
  3. Polyarteritis Nodosa
  4. Giant Cell Arteritis
  5. angiography

5 True/False questions

  1. How do you tx Wegener's Granulomatosis?angiography


  2. What are the different types of systemic vasculitis?hematologic malignancies, aplastic anemia


  3. A pt comes in with purpura, petechiae and hemorrhagic bullae in their mouth. What do they have?Myasthenia Gravis (chronic autoimmune neuromuscular disorder with varying degrees of weakness of skeletal (voluntary) muscles of body)/ mya - muscles, anticholinesterase, acetylcholine receptor antibodies


  4. What is tx for Takayasu's arteritis?angiography


  5. What is the hallmark in lab findings for ITP?hematologic malignancies, aplastic anemia


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