What does IL-2 stimulate?
All types of T cells.
What does IL-4 enhance?
Class switching to IgE and IgG, and induces B cell growth.
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p.2
Cytokines and Their Functions

What does IL-2 stimulate?

All types of T cells.

p.2
Cytokines and Their Functions

What does IL-4 enhance?

Class switching to IgE and IgG, and induces B cell growth.

p.2
Cytokines and Their Functions

What does IL-10 inhibit?

Activated macrophages and dendritic cells.

p.1
Autoantibodies and Associated Diseases

What is the most cost-effective means of managing allergic rhinitis?

Allergen avoidance.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What is the most common chronic dermatitis in SLE?

Discoid lupus erythematosus.

p.1
B Cell Surface Markers and Immunoglobulins

What is the primary antibody secreted in mucosal surfaces?

IgA.

p.5
Gouty Arthritis and Pseudogout

What is the common presentation of gouty arthritis?

Severe joint pain, swelling, and redness, often starting in the first metatarsophalangeal (MTP) joint.

p.7
Rheumatoid Arthritis (RA) Characteristics

What essential treatment is needed for a favorable outcome in infectious arthritis?

Timely drainage of pus and necrotic debris.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What is the best screening test for SLE?

ANA (Antinuclear Antibody).

p.3
Systemic Lupus Erythematosus (SLE) Overview

What is the most common manifestation of diffuse CNS lupus?

Cognitive dysfunction.

p.2
Cytokines and Their Functions

What is the function of IL-1?

Induces fever and activates osteoclasts.

p.8
Vasculitis Types and Symptoms

What autoimmune disease is characterized by lymphocytic infiltration of exocrine glands leading to xerostomia and dry eyes?

Sjogren's syndrome.

p.4
Rheumatoid Arthritis (RA) Characteristics

What environmental factor is most implicated in RA?

Smoking.

p.6
Infectious Arthritis

What is the most common site of infectious arthritis?

Knee.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What is the most common pulmonary manifestation of SLE?

Pleuritis without effusion.

p.7
Rheumatoid Arthritis (RA) Characteristics

What is Poncet's disease?

A reactive symmetric form of polyarthritis affecting persons with visceral or disseminated tuberculosis.

p.6
Reactive Arthritis

What is the classic triad of symptoms in Reactive Arthritis?

Arthritis, urethritis, and conjunctivitis.

p.4
Rheumatoid Arthritis (RA) Characteristics

What is the most common form of chronic inflammatory arthritis?

Rheumatoid Arthritis (RA).

p.5
Gouty Arthritis and Pseudogout

What are the characteristics of crystals found in gout?

Needle-shaped crystals that are negatively birefringent (yellow under parallel light and blue under perpendicular light).

p.1
Cytokines and Their Functions

What are anaphylatoxins involved in anaphylaxis?

C3a, C4a, C5a.

p.5
Gouty Arthritis and Pseudogout

What serum uric acid level indicates a rapid progression of gout?

Serum uric acid levels greater than 535 μmol/L (greater than 9.0 mg/dL).

p.6
Reactive Arthritis

What is Reactive Arthritis (ReA)?

Acute non-purulent arthritis complicating an infection elsewhere.

p.5
Psoriatic Arthritis Patterns

What is the ideal treatment for psoriatic arthritis?

Anti-TNF-alpha agents.

p.7
Vasculitis Types and Symptoms

What is associated with Polyarteritis nodosa?

Necrotizing vasculitis, renal and visceral artery involvement with aneurysmal dilatations.

p.4
Rheumatoid Arthritis (RA) Characteristics

How long must joint symptoms persist to be suggestive of RA?

6 weeks or more.

p.6
Infectious Arthritis

What is the most common etiologic agent for infectious arthritis among sexually active young adults?

Neisseria gonorrhoeae.

p.1
Antigen Presenting Cells and Immune Response

What type of immunity involves T and B cells and memory cells?

Adaptive immunity.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What antibody is associated with Sicca syndrome and neonatal lupus?

Anti-Ro (SS-A).

p.1
Antigen Presenting Cells and Immune Response

What is the function of opsonins like IgG and C3b?

Facilitate phagocytosis by coating antigens.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What is a common demographic for Systemic Lupus Erythematosus (SLE)?

Females of reproductive age.

p.8
Vasculitis Types and Symptoms

What syndrome is characterized by stiffness, aching, and pain in the muscles of the neck, shoulders, lower back, hips, and thighs?

Polymyalgia rheumatica.

p.8
Vasculitis Types and Symptoms

What condition is characterized by systemic symptoms, arm claudication, and diminished pulses on one arm?

Takayasu arteritis.

p.7
Vasculitis Types and Symptoms

What is the first step in the workup of a patient with suspected vasculitis?

Exclude other diseases.

p.3
Systemic Lupus Erythematosus (SLE) Overview

Which SLE-specific antibody correlates with disease activity, nephritis, and vasculitis?

Anti-dsDNA.

p.5
Gouty Arthritis and Pseudogout

What is the mainstay treatment during an acute attack of gout?

NSAIDs (like Indomethacin), colchicine, or glucocorticoids.

p.7
Rheumatoid Arthritis (RA) Characteristics

What is a late manifestation of congenital syphilis?

Chronic painless synovitis with effusion of large joints, particularly the knees and elbows.

p.8
Vasculitis Types and Symptoms

What are the key features of Dermatomyositis?

Malar rash, Gottron's papules, heliotrope rash, mechanic's hands, high creatine kinase, positive ANA.

p.4
Rheumatoid Arthritis (RA) Characteristics

What is the most common cardiac manifestation in RA?

Pericarditis and mitral regurgitation.

p.6
Ankylosing Spondylitis

What is the most common extra-articular manifestation of AS?

Acute anterior uveitis.

p.2
Autoantibodies and Associated Diseases

What condition is linked to Anti-glomerular basement membrane antibodies?

Goodpasture's Syndrome.

p.4
Osteoarthritis (OA) Features

What are the symptoms of OA?

Unilateral knee pain exacerbated by exertion and relieved by rest and NSAIDs; no warmth, swelling, or redness; (+) crepitus.

p.2
Autoantibodies and Associated Diseases

What is associated with Anti-U1 RNP autoantibodies?

Mixed Connective Tissue Disease (MCTD).

p.4
Osteoarthritis (OA) Features

What nodes are found on the PIP joint in OA?

Bouchard's nodes.

p.8
Vasculitis Types and Symptoms

What is the most effective therapy for systemic vasculitides?

Cyclophosphamide.

p.7
Vasculitis Types and Symptoms

What differentiates microscopic polyangiitis from GPA (Wegener's)?

The absence of granulomatous inflammation and no pulmonary nodules.

p.6
Ankylosing Spondylitis

What is the first-line pharmacologic management for Ankylosing Spondylitis?

NSAIDs.

p.2
Autoantibodies and Associated Diseases

What autoantibodies are associated with Type 1 Diabetes Mellitus?

Anti-glutamic acid decarboxylase and islet cell cytoplasmic antibodies.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What is the most serious manifestation of SLE?

Nephritis.

p.5
Gouty Arthritis and Pseudogout

What is the target therapeutic blood uric acid level for gout?

Less than or equal to 6 mg/dL.

p.8
Vasculitis Types and Symptoms

What are some drugs implicated in vasculitis syndromes?

Allopurinol, Thiazides, Gold, Sulfonamides, Phenytoin, Penicillin.

p.5
Psoriatic Arthritis Patterns

What are the five patterns of psoriatic arthritis?

1. Arthritis of the DIP joints, 2. Asymmetric oligoarthritis, 3. Symmetric polyarthritis, 4. Axial involvement, 5. Arthritis mutilans.

p.6
Ankylosing Spondylitis

What genetic marker plays a direct role in the pathogenesis of AS?

HLA-B27.

p.2
Cytokines and Their Functions

What does TNF-alpha activate?

Endothelium, causing WBC recruitment and vascular leak.

p.2
Autoantibodies and Associated Diseases

What diseases are associated with Antisynthetase autoantibodies?

Dermatomyositis and Polymyositis.

p.1
B Cell Surface Markers and Immunoglobulins

Which immunoglobulin is the only isotype able to cross the placenta?

IgG.

p.8
Vasculitis Types and Symptoms

What are the symptoms of Giant Cell Arteritis?

Fever, anemia, headaches, temporal tenderness, jaw claudication, high ESR, stiffness, and muscle pains.

p.8
Vasculitis Types and Symptoms

What is a dreaded complication of Giant Cell Arteritis?

Ischemic optic neuropathy.

p.5
Gouty Arthritis and Pseudogout

What is the most frequently affected joint in CPPD or pseudogout?

The knee.

p.6
Reactive Arthritis

Which organisms are commonly implicated in Reactive Arthritis?

Chlamydia, Shigella, Salmonella, Yersinia, Campylobacter, E. coli.

p.6
Ankylosing Spondylitis

What demographic is most commonly affected by Ankylosing Spondylitis (AS)?

Young adult males.

p.2
Cytokines and Their Functions

What is IL-8 known for?

It is a major neutrophil chemotactic factor and modulates inflammatory response.

p.4
Rheumatoid Arthritis (RA) Characteristics

What is the initial radiological finding in RA?

Periarticular osteopenia.

p.2
Autoantibodies and Associated Diseases

What condition is linked to Anti-Centromere autoantibodies?

Limited Scleroderma and CREST Syndrome.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What are some common symptoms of SLE?

Joint pains, pleural or pericardial effusions, photosensitive rash, microscopic hematuria or proteinuria, oral ulcers.

p.1
Cytokines and Their Functions

What is the role of TH1 cells in the immune response?

Secrete IFN-y, enhancing the ability of monocytes and macrophages to kill microbes.

p.1
Cytokines and Their Functions

What do TH2 cells secrete to recruit eosinophils?

IL-4, IL-5, IL-6, IL-13.

p.7
Rheumatoid Arthritis (RA) Characteristics

Which joints are commonly affected by infectious arthritis among IV drug abusers?

Sternoclavicular joints.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What is the most frequent cardiac manifestation of SLE?

Pericarditis.

p.3
Systemic Lupus Erythematosus (SLE) Overview

What is the most frequent hematologic manifestation of SLE?

Normocytic normochromic anemia.

p.5
Psoriatic Arthritis Patterns

What are the common patterns of nail involvement in psoriatic arthritis?

Pitting, horizontal ridging, onycholysis, yellowish discoloration, and dystrophic hyperkeratosis.

p.2
Cytokines and Their Functions

What is the function of IL-5?

Stimulates growth and differentiation of eosinophils.

p.6
Infectious Arthritis

What condition is characterized by sudden onset of severe pain in the knee with fever?

Infectious arthritis.

p.2
Autoantibodies and Associated Diseases

What disease is linked to Anti-TSH receptor autoantibodies?

Graves' Disease.

p.4
Osteoarthritis (OA) Features

What is the fulcrum of the longest lever arm in the body?

Knee.

p.7
Rheumatoid Arthritis (RA) Characteristics

What is the most common presentation of infectious arthritis?

Monoarthritis.

p.8
Vasculitis Types and Symptoms

What is Henoch-Schonlein Purpura (HSP) associated with?

Glomerulonephritis, palpable purpura, gastrointestinal symptoms, and recent respiratory infection.

p.6
Reactive Arthritis

What is the initial treatment of choice for Reactive Arthritis?

NSAIDs.

p.4
Rheumatoid Arthritis (RA) Characteristics

What is the leading cause of death in patients with RA?

Cardiovascular disease.

p.2
Cytokines and Their Functions

What is the role of IL-12?

Differentiates T cells into TH1 and activates NK cells.

p.4
Rheumatoid Arthritis (RA) Characteristics

What is the DMARD of choice for RA?

Methotrexate.

p.4
Osteoarthritis (OA) Features

What is the initial analgesic of choice for OA?

Acetaminophen or Paracetamol.

p.5
Psoriatic Arthritis Patterns

What is a classic radiographic finding in psoriatic arthritis?

Pencil-in-cup deformity and marginal erosions with adjacent bony proliferation.

p.7
Vasculitis Types and Symptoms

What are the predominant findings in Churg-Strauss syndrome?

Asthma, peripheral and tissue eosinophilia, extravascular granuloma, and vasculitis of multiple organ systems.

p.2
Cytokines and Their Functions

What does IL-6 stimulate?

Fever and acute phase proteins.

p.4
Rheumatoid Arthritis (RA) Characteristics

What serum marker has higher specificity for RA than RF?

Anti-CCP.

p.6
Infectious Arthritis

What is the most common etiologic agent for infectious arthritis after surgery or penetrating injuries?

Staphylococcus aureus.

p.2
Autoantibodies and Associated Diseases

What disease is associated with Anti-Scl-70 autoantibodies?

Diffuse Scleroderma.

p.1
B Cell Surface Markers and Immunoglobulins

What is the major receptor for antigen in B cells?

IgM and IgD.

p.1
Antigen Presenting Cells and Immune Response

What do dendritic cells function as in the immune system?

A link between innate and adaptive immune systems.

p.8
Vasculitis Types and Symptoms

What is the most commonly encountered vasculitis in clinical practice?

Cutaneous vasculitis.

p.7
Vasculitis Types and Symptoms

What is Wegener's granulomatosis characterized by?

Granulomatous necrotizing vasculitis of the upper and lower respiratory tract and kidney.

p.2
Cytokines and Their Functions

What is the role of IL-3?

Stimulates bone marrow stem cells.

p.4
Rheumatoid Arthritis (RA) Characteristics

What is Felty's syndrome?

A triad of neutropenia, splenomegaly, and nodular RA.

p.2
Autoantibodies and Associated Diseases

What disease is associated with Anti-Ach Receptor autoantibodies?

Myasthenia Gravis (MG).

p.4
Osteoarthritis (OA) Features

What demographic is most commonly associated with Osteoarthritis (OA)?

Obese, elderly females.

p.4
Osteoarthritis (OA) Features

What is the most potent risk factor for OA?

Age.

p.4
Osteoarthritis (OA) Features

What is the radiographic hallmark of OA?

Osteophytes.

p.7
Vasculitis Types and Symptoms

What symptoms are suggestive of vasculitis?

Palpable purpura, pulmonary infiltrates, microscopic hematuria, chronic inflammatory sinusitis, mononeuritis multiplex, unexplained ischemic events, and glomerulonephritis.

p.6
Ankylosing Spondylitis

What is a key symptom of Ankylosing Spondylitis?

Insidious onset of dull pain in the lower lumbar or gluteal region.

p.4
Rheumatoid Arthritis (RA) Characteristics

What are the pathologic hallmarks of RA?

Synovial inflammation and proliferation, focal bone erosions, thinning of the articular cartilage.

p.6
Infectious Arthritis

What is the most common nongonococcal cause of infectious arthritis in adults?

Staphylococcus aureus.

p.4
Osteoarthritis (OA) Features

What are the two major factors contributing to the development of OA?

Joint loading and joint vulnerability.

p.6
Ankylosing Spondylitis

What is often an early manifestation of Ankylosing Spondylitis?

Sacroiliitis.

p.6
Infectious Arthritis

What is the most common route of infection for infectious arthritis?

Hematogenous.

p.2
Autoantibodies and Associated Diseases

What autoantibodies are linked to Hashimoto's Thyroiditis?

Anti-Thyroglobulin and Anti-TPO (Thyroid Peroxidase).

p.4
Osteoarthritis (OA) Features

What nodes are found on the DIP joint in OA?

Heberden's nodes.

p.4
Rheumatoid Arthritis (RA) Characteristics

What is the rheumatoid factor (RF)?

IgM against the Fe portion of IgG.

p.4
Rheumatoid Arthritis (RA) Characteristics

What test has the greatest sensitivity for detecting synovitis in RA?

Joint MRI.

p.2
Autoantibodies and Associated Diseases

What condition is associated with Anti-Mitochondrial antibodies?

Primary Biliary Cirrhosis (PBC).

p.2
Autoantibodies and Associated Diseases

What autoantibodies are linked to Sjogren syndrome?

Anti-Ro (SS-A) and Anti-LA (SS-B).

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