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Musculoskeletal and Dermatology · USMLE Step 1 · Healthcare and Nursing

USMLE Musculoskeletal: Connective Tissue and Autoimmune Disease

Lupus, rheumatoid arthritis, scleroderma, and other connective tissue diseases with their hallmark clinical and lab findings.

About this set

35 basic cards for USMLE Step 1 Musculoskeletal and Dermatology. Set 2 of 4 in USMLE Musculoskeletal. It opens with "What skin finding is classic for SLE and is worsened by sun exposure?" and "Which antibody test is highly sensitive but not specific for SLE?". Study it alongside the other USMLE Step 1 sets below.

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What skin finding is classic for SLE and is worsened by sun exposure?
Show answerMalar (butterfly) rash
Which antibody test is highly sensitive but not specific for SLE?
Show answerANA (antinuclear antibody)
Which antibody is specific for SLE and correlates with lupus nephritis activity?
Show answerAnti-double-stranded DNA (anti-dsDNA)
Which antibody is specific for SLE but does not track with disease activity?
Show answerAnti-Smith (anti-Sm) antibody
Which antibody is characteristic of drug-induced lupus?
Show answerAnti-histone antibody
Name three drugs classically associated with drug-induced lupus.
Show answerHydralazine, procainamide, and isoniazid
What cardiac lesion in SLE features sterile vegetations on both sides of the valve leaflets?
Show answerLibman-Sacks endocarditis
What is the most common and severe class of lupus nephritis?
Show answerDiffuse proliferative glomerulonephritis
Name three antibodies associated with antiphospholipid syndrome.
Show answerAnticardiolipin, lupus anticoagulant, and anti-beta2 glycoprotein I
Why can antiphospholipid syndrome cause a false-positive VDRL/RPR test?
Show answerThe antiphospholipid antibodies cross-react with the cardiolipin antigen used in the test
What are the two hallmark clinical features of antiphospholipid syndrome?
Show answerRecurrent thrombosis and recurrent pregnancy loss
What inflamed synovial tissue erodes joints in rheumatoid arthritis?
Show answerPannus
Which antibody is most specific for rheumatoid arthritis?
Show answerAnti-cyclic citrullinated peptide (anti-CCP)
What is rheumatoid factor?
Show answerAn IgM antibody directed against the Fc portion of IgG
Which finger joints are involved in rheumatoid arthritis, and which are spared?
Show answerMCP and PIP joints are involved; DIP joints are spared

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