Phys Vivas · rheumatological
SJ Gren S Syndrome AND Inflammatory Myopathies — Viva Defence
DCE viva defence for SJ Gren S Syndrome AND Inflammatory Myopathies.
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Target exams
SJ Gren S Syndrome AND Inflammatory Myopathies Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as SJ Gren S Syndrome AND Inflammatory Myopathies. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
References8ShowHide
- [1]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [2]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
- [3]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906
- [4]Buonocore TM, Marino S, Albi G, Sakellariou G, et al. Ontology-Enriched Guidelines Retrieval for Complex Rheumatological Cases Stud Health Technol Inform, 2026.PMID 42175019
- [5]Talerico R, de Wit K, Barco S, Bonorino J, et al. Evidence-based risk stratification of patients with acute pulmonary embolism: communication from the ISTH SSC Subcommittee on Predictive and Diagnostic Variables in Thrombotic Disease J Thromb Haemost, 2026.PMID 41354154
- [6]Assmann G, Klemm PCM, Hedrich C, Girschick H, et al. [Diagnosis and treatment of chronic nonbacterial osteitis (CNO) and SAPHO syndrome : Implications of the current consensus recommendations of an international commission of experts for German rheumatology] Z Rheumatol, 2026.PMID 41313366
- [7]Crotti C, Ughi N, Scirè CA, Luppi F, et al. The Italian Society for Rheumatology guidelines for the treatment of patients with rheumatoid arthritis and interstitial lung disease Reumatismo, 2026.PMID 41247141
- [8]Alexander T, Roldan E, Del Papa N, Farge D, et al. Autologous haematopoietic stem cell transplantation for rheumatic diseases: best practice recommendations from the EBMT Practice Harmonization and Guidelines Committee Bone Marrow Transplant, 2025.PMID 40830237