Question 1

A provider performs a nail fold capillaroscopy on a patient who reports marked color changes of both hands with cold exposure and notes tortuous and dilated capillary loops. This finding is consistent with what condition?

A) Polymyositis
B) Primary Raynaud's phenomena
C) Scleroderma
D) Secondary Raynaud's phenomena

D

Accepted Answer

D

Question 2

A patient has secondary Raynaud's phenomena with severe digital ischemia. Which treatment is indicated for this patient? A) Ginkgo biloba B) Intravenous prostaglandin E₁ C) Oral nifedipine D) Sildenafil as needed

Accepted Answer

Intravenous prostaglandin E₁ has been approved by the FDA for treatment of severe Raynaud's phenomena with digital ischemia. It works by opening up blood vessels and increasing blood flow to the affected areas. Ginkgo biloba has not been shown to significantly improve Raynaud's phenomena. Oral nifedipine may be used for milder cases but is not recommended for severe ischemia. Sildenafil is not indicated for Raynaud's phenomena.

Deck 196: Raynauds Phenomenon