Arthritic

Question 1

1.A 35 year old male diagnosed with ankylosing spondylitis is referred to physical therapy for instruction in a home exercise program. Which general treatment objective would be the most beneficial for the patient?

Answer 1

Strengthening of back extensors

Question 2

A 55 year old male out-patient’s chief complaint is mm stiffness of the shoulder and pelvic girdle muscles and states he suffers in the morning of back pain and had fever yesterday with a temperature of 38.5 degrees Celsius. What is most likely the patient’s diagnosis?. Single choice.

Answer 2

Polymyalgia Rheumatica

Question 3

3.Which radiographic hallmark is found in excessive deposition of CPPD crystals?. Single choice.

Answer 3

Chondrocalcinosis

Question 4

4.Which of the following is false regarding osteoarthritis?

Answer 4

In severe cases, ulnar deviation of the metacarpophalangeal joints is observed.

Question 5

5.The patient reports of morning stiffness and joint pain. Before treating your patient you review his medical chart. Blood tests show (+) ANA, normal ESR and CRP, joint fluid analysis shows normal results, radiographic results show bony enlargement. You suspect that the patient’s diagnosis is?. Single choice.

Answer 5

Osteoarthritis

Question 6

6.A 60 year old male present with left sided headache and generalized aches and pains of three months duration. For the last three days, he has had slight blurring of the vision from his left eye. The referring doctor has highlighted local tenderness over the left temporal artery and remarkably elevated erythrocyte sedimentation rate. Which of the ff. is the likely diagnosis?. Single choice.

Answer 6

Giant cell arteritis

Question 7

7.Which of the following is a pharmacological management for chronic gout?

Answer 7

Uricase agents and Xanthine Oxidase Inhibitors

Question 8

8.This rheumatic condition is characterized by an evanescent rash, generalized lymphadenopathy, hepatosplenomegaly, and serositis and high grade fever. Single choice.

Answer 8

Systemic JRA

Question 9

9.Which diagnostic tool is used in diagnosing RA especially during acute attacks?. Single choice.

Answer 9

2010 EULAR Classification

Question 10

10.One frequent symptom of this arthritic condition is morning back pain

Answer 10

AS

Question 11

11.Which of the following statements regarding renal involvement in SLE is true?. Single choice.

Answer 11

Clinically apparent renal disease occurs in 90% of affected persons

Question 12

12.Most common age of onset for Ankylosing spondylitis:. Single choice.

Answer 12

20-40 yo

Question 13

13.Photosensitivity and alopecia are frequent signs and symptoms of. Single choice.

Answer 13

Systemic Lupus Erythematosus

Question 14

14.Which of the following statements regarding rheumatoid arthritis is true?

Answer 14

The earliest lesion in RA is an increase in the number of synovial lining cells with microvascular injury

Question 15

15.SLE is common in. Single choice.

Answer 15

African americans

Question 16

16.The triad of dry eyes, dry mouth and rheumatoid arthritis describes

Answer 16

Sjogren’s syndrome

Question 17

17.In confirming the diagnosis of osteoarthritis, which laboratory result abnormality will you expect to note?
I. Elevated erythrocyte sedimentation rate
II. (+) rheumatic factor
III. Normochromic anemia
IV. Leukocytosis. Single choice.

Answer 17

None of the above

Question 18

18.The triad of polyarthritis, urethritis, and conjunctivitis is seen in:. Single choice.

Answer 18

Reiters syndrome

Question 19

19.A 35 year old female out-patient’s chief complaint is mm stiffness of the shoulder and pelvic girdle muscles. What is most likely the patient’s diagnosis?. Single choice.

Answer 19

Polymyositis

Question 20

20.The patient reports of joint stiffness and pain. Before treating your patient you review his medical chart. Blood tests show (-) ANA, high ESR and CRP, joint fluid analysis shows synovitis, radiographic results show no bony enlargement but a high radiographic density along the articular cartilage. You suspect that the patient’s diagnosis is?. Single choice.

Answer 20

Pseudogout

Question 21

21.Which of the following is not false in differentially diagnosing Ankylosing Spondylitis and Thoracic Spinal Stenosis?
I. Both have abnormal passive and active movements
II. In Ankylosing Spondylitis, reflexes may be affected especially in severe cases
III. Plain films are diagnostic in Thoracic Spinal Stenosis
IV. Both have pain that may refer to the lower extremity
V. None of the above
VI. All of the above. Single choice.

Answer 21

I and IV

Question 22

22.Your patient is a 21-year-old male who reports to you with complaints of low back pain and stiffness. This has been ongoing for the past several months. He has been experiencing difficulties breathing and has noticed a difficulty with cervical flexion. The stiffness is most prevalent in the morning. He has noticed a low grade fever over the past several weeks. What pathology is mostly likely the source of the patient’s symptoms?

Answer 22

Ankylosing spondylitis

Question 23

23.Malar rash, heliotropic rash, periorbital edema and proximal muscle weakness are diagnostic of this disease. Single choice.

Answer 23

Dermatomyositis

Question 24

24.Pseudo Gout is caused by deposition of. Single choice.

Answer 24

Calcium pyrophosphate dihydrate crystals

Question 25

25.You are treating a patient with RA and upon assessment, you saw the following gait deviations: Apropulsive progression, Decreased single-limb balance and diminished roll-off. Which deformity would not likely cause the gait deviations?. Single choice.

Answer 25

Hallux Valgus

Question 26

26.Gottron’s rashes, when present , always indicates:. Single choice.

Answer 26

Cancer

Question 27

27.Common pathologic findings in OA includes the ff., except?

Answer 27

Extensive Bone erosion

Question 28

28.Which rheumatic disorder has an affectation of the ophthalmic arteries that may result to partial loss of vision or even blindnes?. Single choice.

Answer 28

Polymyalgia Rheumatica

Question 29

29.The following Rheumatic conditions may warrant a muscle biopsy or electromyography exam, except?. Single choice.

Answer 29

Rheumatoid Arthritis

Question 30

30.Your patient states that his Rheumatologist explained to him his symptoms is due to the inflammation at the junction of the bone and the ligament/tendon. Which diagnosis does the patient have?. Single choice.

Answer 30

Psoriatic Arthritis

Question 31

31.The following follows the Joint Protection Principles for patients with RA except?. Single choice.

Answer 31

Engaging in activities that uses the smaller joints of the hands

Question 32

32.This deformity is often seen in advanced RA/Psoriatic Arthritis which shows on radiographs as severe bone resorption, erosion and shortening of the MCP, PIP and upon inspection an excessive transverse skin folding. Single choice.

Answer 32

Arthritis Mutilans

Question 33

33.Linear, vertical marginal syndesmophytes are most commonly seen on radiographs of?. Single choice.

Answer 33

AS

Question 34

34.Loss of skin folds and skin hyperpigmentation and hypopigmentation is evident in what stage of scleroderma?. Single choice.

Answer 34

Sclerotic

Question 35

35.An 11 year old girl presents with polyarthralgia affecting the small joints of her hands and feet. She has increasing difficulty in mobilizing and is unable to get out of a bath. On assessment, there is periorbital edema and rash and an ulcerated rash over the extensor surfaces of several MCP and PIP. She denies any episodes of painful eyes or red eye and does not have any evidence of Raynaud’s phenomenon. What is the diagnosis?. Single choice.

Answer 35

Juvenile dermatomyositis

Question 36

36.A physical therapist examines a 38 year old female diagnosed with rheumatoid arthritis. The patient presents with muscle weakness, joint stiffness, and limited motion. The patient is warm to the touch over involved joints and has moderate swelling. Which of the following would not be a component of the patient's current care plan?. Single choice.

Answer 36

active stretching techniques

Question 37

37.All of the following are true about Ankylosing Spondylitis, except?. Single choice.

Answer 37

None of the above

Question 38

38.A bony enlargement of the endjoint of a finger (DIP) commonly present with osteoarthritis.. Single choice.

Answer 38

Heberden’s nodes

Question 39

39.Methotrexate is a common drug to treat Rheumatoid Arthritis, This drug is under what drug class?. Single choice.

Answer 39

DMARDs

Question 40

40.A 34 year old woman complains of paleness and bluish discoloration of the hands upon exposure to cold for the last five years and recently developing a difficulty in swallowing solid food. On examination, there is tightness of skin over face and fingers. The diagnosis is most likely?. Single choice.

Answer 40

Systemic sclerosis