Rheum/MSK Review

Question 1

Anti-centromere antibodies

Answer 1

CREST

Question 2

Anti-CCP antibodies

Answer 2

Rheumatoid Arthritis

Question 3

ANA and anti-DS DNA antibodies

Answer 3

Lupus

Question 4

Anti-Jo-1

Answer 4

Polymyositis

Question 5

Anti-Ro and Anti-La

Answer 5

Srojen’s

Question 6

elder
tenderness of mid-trapezius, deltoid and trochanter
Elevated sed rate

Answer 6

Polymyalgia rheumatica

Question 7

arthralgia, photosensitivity, rash on cheeks, serositis, cytopenia

Answer 7

SLE

Question 8

AM stiffness, symmetric arthritis in hands and feet. Joint erosions on X-ray

Answer 8

Rheumatoid arthritis

Question 9

Acute arthritis in a patient on hydralazine

Anti-histone antibodies

Answer 9

drug induced SLE

Question 10

dry eyes
dry mouth
+ANA and RF

Answer 10

Sjogren’s

Question 11

young man
pain in SI join
back stiffness

Answer 11

ankylosing spondylitis

Question 12

Two organisms that most commonly cause septic arthritis

Answer 12

staph and gonococcus

Question 13

drugs that can precipitate gout

Answer 13

furosemide

thiazide diuretics

Question 14

Xray finding in pseudogout

Answer 14

chondrocalcinosis (calcium phosphate depositing on cartilige)

Question 15

knee pain after hyperextension

Answer 15

PCL tear

Question 16

younger than 45, knee pain when walking down stairs or pain at rest when knee is flexed

Answer 16

patellofemoral pain syndrome

Question 17

Teenager

tender tibial tuberosity

Answer 17

Osgood Schlatter

Question 18

What ligament is damaged when you roll your ankle

Answer 18

anterior talofibular ligament

Question 19

Hand pain after punching a wall

Answer 19

Boxer’s fracture

metacarpals

Question 20

pain after forced dorsiflexion of wrist in elderly

Answer 20

Colle’s fracture

avulsion of styloid process from shaft of radius

Question 21

hand/wrist fracture with ulnar nerve involvement

Answer 21

hamate bone

Question 22

mass in distal femur with elevation of the periosteum

Family history of retinoblastoma

Answer 22

osteosarcoma

Question 23

What protein is defective in osteogenesis imperfecta

Answer 23

Type I collagen

Question 24

poor dentition
blue sclera
fractures

Answer 24

osteogenesis imperfecta

Question 25

young child
aseptic join pain after URI
normal ESR

Answer 25

transient synovitis

Question 26

7 y/o boy
history of painless limp
decreased hip internal rotation
decreased hip abduction

Answer 26

Legg-Calve- Perthes Disease

Question 27

eitiology of Legg-Calve-Perthes

Answer 27

idiopathic avascular necrosis of capital femoral epiphysis

Question 28

Overweight teen
after jump down
hip ache worse with walking
associated with endocrine disorder
limited internal rotation and increased external rotation

Answer 28

Slipped capital femoral epiphysis

Question 29

baby
decreased hip abduction
“clunk” on exam

Answer 29

developmental dysplasia of the hip

Question 30

generalized joint pain
mono neuritis multiplex
history of hepatitis B infection

Answer 30

Polyarteritis nodosa

Question 31

Eitiology of Paget’s

Answer 31

increased bone resorption and remodeling

Question 32

Pain in areas of high bone turnover
“simian” posture
hearing loss

Answer 32

Paget’s disease