Rheuma... a snap shot - alibi

[ArchivalUser]

Polymyalgia rheumatica is often times confused with polymyositis. Polymyositis differs from Polymyalgia Rheumatica with one of the following characteristics
A. Affects proximal muscle
B. Deceased CPK
C. Elevated Aldolase
D. Negative EMG finding
E. No asociation with Dermatomyositis

[ArchivalUser]

A. affect proximal muscles..................as other dz in stem involve shoulder and pelvic gurdle and neck.

[ArchivalUser]

A and C sound right. I will pick C because I like it better.

[ArchivalUser]

i'll choose A

[ArchivalUser]

C

[ArchivalUser]

Is there anyone who think about E ?

[ArchivalUser]

a

[ArchivalUser]

Tajjas, I thought you have passed already?

[ArchivalUser]

C. happens to be the correct answer. Both PMR and PM have proximal muscle weakness. But CPK and Aldolase are elevated in PM. There is impaired conduction in EMG in PM. PMR is associated with temporal arteritis, whereas PM is associated with Dermatomyositis, with the associated skin changes. PM is a true inflammatory condition as the name suggests and has Anti Jo-l antibody. Alibism

[ArchivalUser]

1. What is the best screening test for SLE?
2. The -------- and -------are specific antbidies for lupus (these occur only with lupus so if found, think lupus only)
3. For RA, there needs to be involvement of multiple joints, but some joints are never involved in RA: ------- and -----------. Do not forget this important feature