Answer:
arthrocentesis for synovial fluid analysis, ANA negative to rule out SLE, Rheumatoid factor,
Anti-CCP antibodies
Q: 1st line treatment for RA?
Answer:
Methotrexate- DMARD; myelosuppression and hepatic fibrosis SE; CI in child-bearing women
Q: Non-biologic DMARDS continued through perioperative period?
Answer:
Methotrexate, Leflunomide, Hydroxychloroquine, and Sulfasalazine
,Q: Dx of Giant cell arteritis (vasculitis
Answer:
temporal artery biopsy; MRA of CTA if unable to do biopsy, elevated CRP >10
Q: highly specific for Temporal Arteritis?
Answer:
jaw claudication
Q: tx of giant cell arteritis
Answer:
high dose corticosteroids (prednisone), aspirin to decrease risk of vision loss or CVA
Q: ? binds to CD4 receptor and co-receptor CCR5 or CXCR4?
Answer:
gp 120 = HIV protein
Q: most common, most aggressive and world wide HIV?
Answer:
HIV-1
, Q: AIDs?
Answer:
CD4 <200 &/OR AIDs defining illness
Q: can be detected in blood in 10 days after infection?
Answer:
P24 antigen- NOT a standalone test
Q: serum testing, EIA and Western Blot?
Answer:
3rd generation immunoassasy for HIV antibody testing @12 weeks post infection
Q: better for acute HIV infection detection?
Answer:
4th generation antigen/antibody test; if positive, differentiation HIV1 or 2 immunoassay should
be completed
Q: viral load?
Answer:
perform to clarify Dx in negative or indeterminate differentiation immunoassasy and Tx
monitoring
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