Rhem and Derm

Question 0

Swollen, red, acutely painful great toe

Answer 0

Gout

Question 1

Postive anterior drawer sign

Answer 1

Anterior cruciate ligament injury

Question 2

Positively birefringent rhomboid-shaped crystal

Answer 2

Pseudogout

Question 3

Negatively birefringent needle-shaped crystal

Answer 3

Gout

Question 4

Bamboo spine on XRay

Answer 4

Ankylosing spondylitis

Question 5

HLA-B27

Answer 5

Seronegative spondyloarthropathies (Rh factor negative)

• Psoriatic arthritis
• Ankylosing spondylitis
• IBD
• Reactive arthritis (Reiter syndrome)

Question 6

Bone enlargement, bone pain, arthritis

Answer 6

Paget disease of the bone

Question 7

Vertebral compression fractures

Answer 7

Osteoporosis

Question 8

Swollen, hard, painful finger joints

Answer 8

Osteoarthritis

Question 9

Swollen, boggy, painful finger joints

Answer 9

Rheumatoid arthritis

Question 10

Cartilage erosion with polished bone beneath

Answer 10

Eburnation (osteoarthritis)

Question 11

Anti-Smith and anti-dsDNA Ab

Answer 11

SLE

Question 12

Anti-histone Ab

Answer 12

Drug induced lupus

Question 13

Anti-centromere Ab

Answer 13

CREST scleroderma

Question 14

Anti-topoisomerase Ab

Answer 14

Diffuse scleroderma

=anti Scl-70

Question 15

Anti-Jo-1 Ab

Answer 15

Polymyositis

Question 16

Anti-Ro Ab

Answer 16

Sjogren syndrome

=anti SSA Ab

Question 17

Arthritis, dry mouth, dry eyes

Answer 17

Sjogren syndrome

Question 18

Most common cause of death in SLE

Answer 18

Lupus nephropathy/nephritis

Question 19

Keratin pearls on skin bx

Answer 19

Squamous cell carcinoma

Question 20

Most common malignant skin tumor

Answer 20

Basal cell carcinoma