RACP Rheum

Question 1

Calcinosis cutis is most commonly found in what condition?
a) Systemic Sclerosis
b) Systemic Lupus Erythematosus
c) Sarcoidosis
d) Bechet’s Disease
e) Sjogren’s Syndrome

Answer 1

A) systemic sclerosis

Question 2

Which of the following medications is known to trigger a Scleroderma Renal Crisis?
a) Prednisone
b) Ibuprofen
c) Penicillamine
d) Hydrochlorothiazide
e) Hydroxychloroquine

Answer 2

A) Prednisone

Question 3

Compare DISH vs ankylosing spondylitis

Answer 3

Ankylosing spondylitis
- Syndesmophytes
- Sacroiliitis
- Osteoporosis
- Young patients

DISH
- Enthesopathy
- Older patients

Question 4

Q11. Which of the following features is most specific clinical sign for psoriatic arthritis?
A. Asymmetrical swelling of DIP joints
B. Dactilitis
C. Nail pitting
D. Enthesisits

Answer 4

A. Asymmetrical swelling of DIP joints

Question 5

Q47. A 30 year old female presents with worsening Raynaud’s phenomenon over winter. She has no significant
past medical background except for gastrooesophageal reflux disease. Her examination is unremarkable except
for some mild pitting of her finger pulps. Her investigations show a mild leukopenia, with an ANA of 1:640, and
her U1RNP antibodies are positive.
Beyond advising her to avoid the cold weather, what is the most appropriate initial therapy for her Raynaud’s
phenomenon?
A. Alpha-1 blocker
B. Dihydropyridine calcium channel blocker
C. Endothelin antagnoist
D. Phosphodiesterase 5 inhibitor

Answer 5

B. Dihydropyridine calcium channel blocker

Question 6

Q48. A man presents with nephritic syndrome and bilateral shin petechial rash. Renal biopsy shows a pauci-
immune glomerulonephritis. What is the most likely diagnosis?
A. Anti-basement (GBM) disease
B. Cryoglobulinaemia
C. ANCA vasculitis
D. Infection-related glomerulonephritis

Answer 6

C. ANCA vasculitis