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Post Lec Exam > Rheuma > Flashcards

Rheuma Flashcards

1
Q 
The inflammatory reaction that occurs in early RA
involves the:
a. Articular cartilage
b. Enthesis
c. Synovium
d. Articular capsule
A

c. Synovium

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2
Q

OA is characterized by:

a. All of these
b. Increased synthesis of ground substances
c. Destructive bony changes
d. Widening of joint space

A

c. Destructive bony changes

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3
Q

Oligoarticular JRA is defined as synovitis of

a. 6 joints or more
b. More than 4 joints
c. Polyarticular
d. None of these

A

d. None of these

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4
Q

Destructive changes in joints of patients with RA:

a. Erosion by synovial pannus
b. Vasculitis with infarction
c. Ligamentous instability
d. Osteoporosis with bone cysts

A

a. Erosion by synovial pannus

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5
Q

This area of the shoulder has the highest
incidence of degenerative arthritis.

a. Acromioclavicular joint
b. Sternocostal joint
c. Glenohumeral joints
d. Sternoclavicular joint

A

a. Acromioclavicular joint

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6
Q

Psoriatic arthritis usually involves the

a. DIP joints
b. PIP joints
c. Wrist joint
d. MCP joints

A

a. DIP joints

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7
Q

Treatment for AS should not include:

a. Deep breathing exercise
b. Back extension exercise
c. Stretching
d. None of these

A

d. None of these

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8
Q

Arthritis of the cervical spine leads to the most
severe limitation of which neck motion?

a. Lateral bending
b. Rotation
c. Extension
d. Flexion

A

b. Rotation

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9
Q

Positive urethritis and conjunctivitis is seen in:

a. Felty’s syndrome
b. Reactive arthritis
c. SLE
d. Gout
e. OS

A

b. Reactive arthritis

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10
Q

Which of the following is not a characteristic of
psoriatic arthritis?

a. HLA B27 is positive
b. RF-positive
c. Asymmetric inflammatory arthritis
d. (+) Dactylitis
e. None of these

A

b. RF-positive

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11
Q

DIP hyperextension and PIP extension is a
characteristic of:

a. Mallet finger
b. Hammer toes
c. Boutonniere
d. Swan neck
e. None of these

A

e. None of these

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12
Q 
The first manifesctation of Ankylosing Spondylitis
is usually:
a. kyphosis
b. sacroilitis
c. iritis
d. carditis
A

b. sacroilitis

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13
Q

In confirming a diagnosis of osteoarthritis, which
laboratory abnormality will you expect to note?
a. ESR is elevated
b. RF-positive
c. Leukocytosis
d. Polyarticular involvement
e. None of these

A

e. None of these

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14
Q 
Most common age of onset for Ankylosing
Spondylitis:
a. 30 years old
b. 40-60 years old
c. 20-40 years old
d. >60 years old
e. None of these
A

c. 20-40 years old

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15
Q

Which of the following definitions best fits the
term enthesis?
a. Alteration of joint alignment so that the
articulating surfaces incompletely
approximate each other
b. Inflammation at the site of tendinous or
ligamentous insertion into bone
c. Inflammation of the periarticular membrane
lining of the joint capsule
d. Inflammation of the sac-like cavity near a joint
that decreases friction
e. A crackling sensation elicited with joint
motion

A

b. Inflammation at the site of tendinous or

ligamentous insertion into bone

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16
Q 
The following are common pathologic features of
OA, except:
a. Bone proliferation
b. None of these
c. Bony cysts
d. Symmetrical joint narrowing
A

d. Symmetrical joint narrowing

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17
Q 
An arthritic condition associated with cognitive
impairment:
a. OA
c. Gout 
d. SLE
b. RA 
e. None of these
A

d. SLE

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18
Q

A 36-year-old female is diagnosed with
rheumatoid arthritis, which of the following
statements regarding RA is true?
a. There is an association with HLA-B27
b. The earliest lesion is an increase in the
number of synovial lining cells with
microvascular lesion
c. Females are affected 3x more often than are
males, and it is maintained throughout life
d. African Americans are involved
e. RF-positive is not predictive of the severity of
RA and its complications

A

b. The earliest lesion is an increase in the
number of synovial lining cells with
microvascular lesion

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19
Q 
Arthritic joints, renal manifestations and
photosensitivity:
a. OA d. SLE
b. RA e. None of these
c. Gout
A

d. SLE

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20
Q

Heberden’s nodes are seen in:

a. RA
b. Gout
c. OA
d. SLE
e. None of these

A

c. OA

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21
Q

Following statements describe fibromyalgia,
except:
a. A nonarticular rheumatic disease of unknown
origin characterized by tenderness at 11 or
more of the 18 tender points sites
b. Cardiovascular training offers no benefir in
reducing the symptoms
c. There maybe patient-reported joint swelling
without objective findings of swelling
d. The tender points are primarily localized to
the musculotendinous junctions
e. Generalized fatigue, chronic headache and
sleep disturbance may be present

A

b. Cardiovascular training offers no benefir in

reducing the symptoms

22
Q

On examination of a female obese patient with
knee pain, she complains of years of knee
stiffness and pain for about 30 minutes every
morning when she wakes up, and has recurrent
knee aches towards the end of the day. What is
this common pathology?
a. Chondromalacia Patella
b. Patellar Bursitis
c. Patellar Tendonitis
d. Knee OA

A

d. Knee OA

23
Q

A 45-year-old Aunt complains of pain and swelling
in both wrists and knees for three months. There
is increased stiffness in the hands early in the
morning, which lasts close to 40 minutes. The
MCP joints and wrists are warm and tender. There
is no alopecia, photosensitivity, kidney disease or
rash. What is the most likely diagnosis of this
patient?
a. Gouty arthritis
b. Systemic Lupus Erythematosus
c. Osteoarthritis
d. Rheumatoid arthritis
e. none of these

A

d. Rheumatoid arthritis

24
Q 
Positive subchondral sclerosis, crescent sign and
symmetric arthritis can be found in:
a. AS
b. RA
c. OA
d. SLE
e. Gout
A

d. SLE

25
Q

Acute gouty arthritis is characterized by:

a. Attack in big toe
b. Fever
c. Podagra
d. All of these

A

d. All of these

26
Q

Most common arthritis seen in the elderly:

a. RA
b. OA
c. Gout
d. SLE
e. All of these

A

b. OA

27
Q

An individual with RA that has a functional
capacity adequate to perform only a few or none
of the duties of occupation or self-care is
classified as Class:
a. III
b. IV
c. V
d. II
e. I

A

a. III

28
Q

Indicators of a poor prognosis in rheumatoid
arthritis include the following, except:
a. RF-positive
b. Persistently elevated ESR or C-reactive
protein accompanied by active synovitis
c. Generalized oligoarthritis involving both small
and large joints (>10 to 20 total joints)
d. Radiographic erosions within 2 years of
disease onset
e. None of these

A

c. Generalized oligoarthritis involving both small

and large joints (>10 to 20 total joints)

29
Q

An individual with RA that is largely or wholly
incapacitated, bedridden or using a wheelchair,
permitting little or no self-care is classified as
Class:
a. V
b. IV
c. I
d. III
e. II

A

b. IV

30
Q 
Tophaceous deposits of Gouty Arthritis are most
commonly seen on the:
a. 1st MTP
b. Ear Cartilage
c. Olecranon Bursae
d. None of these
A

a. 1st MTP

31
Q

Linear, vertical marginal syndesmophytes is seen
in which of the following?

a. OA
b. Gout
c. RA
d. AS
e. None of these

A

d. AS

32
Q

Involvement of the lumbosacral spine will suggest more of:

a. OA
b. RA
c. SLE
d. Gout
e. None of these

A

a. OA

33
Q

Which joint is usually spared from involvement in
the pauciarticular form of Juvenile Rheumatoid
Arthritis?
a. Hip
b. Ankle
c. Knee
d. Wrist

A

a. Hip

34
Q 
Photosensitivity and alopecia are frequent signs
of:
a. OA
b. RA
c. SLE
d. Gout
e. None of these
A

c. SLE

35
Q

Progressive, symmetric, erosive for of arthritis:

a. OA d. RA
b. Gout e. None of these
c. SLE

A

d. RA

36
Q

Koebner phenomenon is a finding in:

a. SLE d. RA
b. Psoriasis e. None of these
c. OA

A

b. Psoriasis

37
Q 
The best orthosis for relief of pain in osteoarthritis
of the base of the thumb is:
a. 3 point IP orthosis
b. Thumb spica
c. Cock-up splint
d. All of these
A

b. Thumb spica

38
Q 
Erythematous rashes over the cheeks and
fingertips associated with polyarthritis of small
joints of the hands is suggestive of:
a. RA
b. OA
c. SLE
d. Psoriasis
e. None of these
A

c. SLE

39
Q 
Common pathologic findings in OA includes the
following:
a. Degradation of articular cartilage
b. Thickening of subchondral bone
c. Osteophytes formation
d. All of these
A

d. All of these

40
Q

Which of the following statements is not true
about SLE?
a. Common in women
b. Males are spared
c. Common among blacks
d. Polyarticular involvement of small joints
e. None of these

A

b. Males are spared

41
Q 
The most commonly involved joint in psoriasis is
the:
a. 1st CMC
b. MCP
c. 1st MTP
d. MTPs
e. None of these
A

e. None of these

42
Q 
Which of the following epidemiology of
inflammatory arthritis is true?
a. RA is high in whites than blacks
b. Gout is common among Caucasians
c. SLE is common among Caucasians
d. All of these
e. None of these
A

a. RA is high in whites than blacks

43
Q 
In patients with Acute RA, immobilization of joints
is best accomplished by:
a. Static splinting
b. Bed rest for 1-2 weeks
c. Traction
d. Suspension devices
A

a. Static splinting

44
Q

SLE is common among:

a. Blacks
b. Caucasians
c. Asians
d. None of these

A

blacks

45
Q

To prevent thumb flexion deformity in RA, the
position of splinting of the thumb should be:
a. Extension, apposition
b. 10 degrees IP flexion
c. Extension, same plane as thumb
d. 20 degrees IP extension

A

a. Extension, apposition

apposition - opporite opposition

46
Q

Which of the following statements is true about
gout?
a. Asymmetric involvement of joints
b. Joints involved presents with agonizing pain
and intense inflammation
c. Mainly affects peripheral joints of the lower
extremities
d. Attacks are correlated with rapid increase in
serum urate
e. All of these

A

e. All of these

47
Q 
If glenohumeral joint is involved in RA, this
motion is limited early:
a. Flexion
b. Extension
c. Internal rotation
d. External rotation
A

c. Internal rotation

48
Q

Jaccoud’s arthritis is seen in:

a. SLE
b. RA
c. Gout
d. OA
e. Psoriasis

A

a. SLE -

jacc - non erossive small jts

49
Q

Fatigue, severe stiffness of the shoulder and
pelvic girdles, depression and low grade fever are
hallmarks of this disorder:
a. Polymayalgia rheumatica
b. Polyarteritis
c. Metabolic arthropathies
d. Systemic lupus erythematosus

A

a. Polymayalgia rheumatica

50
Q

Tophi of gouty arthritis are usually seen on:

a. Ulnar surface of the forearm
b. Ears
c. All of these
d. Achilles tendon

A

c. All of these

Post Lec Exam (14 decks)

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