Clinical Presentations

Question 1

hands @ DIP/PIP

joint pain/stiffness

Answer 1

osteoarthritis

also knees, spine, hip

Question 2

single joint

acute onset pain/swell

Answer 2

septic arthritis

Question 3

MCP
pain/min swelling
young pt

Answer 3

hemochromatosis

Question 4

hands at PIP/MCP

Answer 4

RA

also wrists, elbows, knees, hips, toes

Question 5

sacroiliac joint and spine

asymmetric oligoarthritis

Answer 5

seronegative spondyloarthrits

Question 6

vertebral fusion

Answer 6

(bamboo spine)

ankylosing spondylitis

Question 7

asymmetric oligoarthritis
DIP
dactyitis
enthesitis

Answer 7

psoriatic spondylitis

Question 8

<5 joints, usu large joints

+ GI flare

Answer 8

type I IBD arthritis

Question 9

> 5 joints, small joints

independent of GI sx

Answer 9

type II arthritis

Question 10

1st MCP at base of great toe

Answer 10

(podagra)

gout

Question 11

bilateral proximal m. weakness

worse in AM

Answer 11

polymyalgia rheumatica

Question 12

proximal m. weakness
slow onset
distal weakness later in disease

Answer 12

inflammatory myopathies

Question 13

endomysial inflammation

Answer 13

polymyositis

Question 14

perimysial inflammation

Answer 14

dermatomyositis

Question 15

worse upon waking

Answer 15

RA

pain improves w/ use

Question 16

joint pain esp at night

Answer 16

OA

Question 17

warm swollen knee or wrist

Answer 17

pseudogout (calcium pyrophosphate crystal)

Question 18

morning axial spine stiffness

improves w/ exercise

Answer 18

seronegative spondyloarthrits

Question 19

intermittent, recurrent attacks of swelling and pain in one or a few joints at a time, especially the knee

Answer 19

lyme arthritis

Question 20

pencil in cup deformity

Answer 20

psoriatic arthritis

Question 21

morning joint stiffness <30 min

Answer 21

OA

Question 22

buckling, locking of knee joint

Answer 22

OA

Question 23

crepitus

Answer 23

OA

Question 24

asymmetric narrowing of the joint spaces

Answer 24

OA

cartilage is lost due to asymmetric mechanical forces

Question 25

tenosynovitis
bursitis
sterile cellulitis

Answer 25

gout

Question 26

large, well-demarcated erosions (rat-bite)

Answer 26

gout

Question 27

gout sx in/around joints/bursae/tendons/extensor surfaces of forearms

Answer 27

chronic tophaceous gout

Question 28

white, chalky deposits surrounded by fibrosis

Answer 28

chronic tophaceous gout

Question 29

osteophytes

Answer 29

OA

Question 30

intermittent attacks of acute mono-arthritis

Answer 30

gout

Question 31

pseudogout

Answer 31

knee and wrist

Question 32

iridocyclitis

Answer 32

systemic disorders...
JIA
sarcoidosis
ankylosing spondylitis
IBD

Question 33

IBD

Answer 33

fibromyalgia

Question 34

chronic uveitis

Answer 34

ANA + oligoarticular JIA

RF - polyarticular subtypes

Question 35

fever, rash, and arthritis

Answer 35

systemic JIA

Question 36

fever at least 2 wk duration

Answer 36

systemic JIA

Question 37

acute uveitis risk

Answer 37

ankylosing spondylitis

Enthesitis Related
(ERA) JIA

Question 38

GI sx, which JIA?

Answer 38

Enthesitis Related

ERA

Question 39

Painless iridocyclitis in JIA most likely to occur in

Answer 39

a child with JIA under the age of 5 who presents with one or just a few affected joints

Question 40

low complement

Answer 40

SLE

Question 41

high anti-dsDNA

Answer 41

SLE

Question 42

T/F

overactivity of TNF-a is a feature of SLE

Answer 42

F

a feature of RA

Question 43

sudden severe HTN with rapidly declining renal function and microangiopathic hemolytic anemi

Answer 43

scleroderma renal crisis

Question 44

closest of spondyloarthropathies to RA in chronicity and pattern of joint distribution but still distinct

Answer 44

psoriatic arthritis

Question 45

chlamydia

Answer 45

reactive arthritis

Question 46

GI bacterial infec

Answer 46

reactive arthritis