Rheuma

Question 0

Rash seen in Lyme disease

Answer 0

Erythema migrans

Question 1

Most common form of arthritis in young sexually active persons

Answer 1

Gonococcal arthritis

Question 2

Test for acute, disseminated or late Lyme disease if ELISA is indeterminate

Answer 2

Western blot

Question 3

Treatment for late carditis or neurologic disease of Lyme disease

Answer 3

Ceftriaxone

Question 4

Most important risk factor for developing primary OA in men and women

Answer 4

Age

Question 5

Joint involvement of OA where x-ray is not helpful and is more specifically diagnosed with clinical examination

Answer 5

Hand OA

Question 6

Gold standard test for hip and knee OA

Answer 6

X-ray

Question 7

First-line therapy for hip and knee OA

Answer 7

Acetaminophen

Question 8

Most common cause of death in patients with RA

Answer 8

Coronary artery disease

Question 9

Most common autoimmune disease associated with Sjögren syndrome

Answer 9

RA

Question 10

Patients with Sjögren syndrome are predisposed to this malignancy

Answer 10

B cell lymphoma

Question 11

Biopsy specimen used to establish diagnosis of Sjögren syndrome

Answer 11

Labial minor salivary gland

Question 12

Percentage of patients with psoriatic arthritis who exhibit joint before skin manifestations

Answer 12

15%

Question 13

Most common pattern of joint involvement of psoriatic arthritis

Answer 13

Symmetric oligoarthritis

Question 14

Psoriasis-like skin lesion on the palms and soles of patients with reactive arthritis

Answer 14

Keratoderma blenorrhagicum

Question 15

Shallow, moist, serpiginous ulcers with raised borders on the glans penis of patients with reactive arthritis

Answer 15

Circinate balanitis

Question 16

Common first-line DMARD for reactive arthritis that persists for more than 3-5 months

Answer 16

Sulfasalazine

Question 17

Classic triad of reactive arthritis (found in only 1/3 of patients)

Answer 17

Arthritis, urethritis (or cervicitis), conjunctivitis

Question 18

Most common extra-articular manifestation of ankylosing spondylitis

Answer 18

Acute anterior uveitis

Question 19

Mainstay of management of ankylosing spondylitis

Answer 19

NSAIDs

Question 20

Percentage of patients with IBD who develop peripheral arthritis

Answer 20

20%

Question 21

Classic presentation of acute gouty attack that will not require synovial fluid analysis to make the diagnosis

Answer 21

Podagra

Question 22

Drugs that cause transplantation-associated gout

Answer 22

Calcineurin antagonists (cyclosporine)

Question 23

First-line therapy for acute gouty flare

Answer 23

NSAIDs

Question 24

Metabolic disorders that should be screened for in patients with CPDD who are <50 years old

Answer 24

Hemochromatosis Hyperparathyroidism Hypothyroidism Gout

Question 25

Conditions associated with hypertrophic osteoarthropathy

Answer 25

Lung cancer, chronic pulmonary infections, right-to-left cardiac shunts

Question 26

Major cause of death in patients with SLE

Answer 26

Cardiovascular disease

Question 27

Primary cause of morbidity and mortality in patients with systemic sclerosis

Answer 27

Pulmonary disease

Question 28

Antibodies associated with mixed connective tissue disease

Answer 28

Anti-RNP antibodies

Question 29

Two signs virtually diagnostic of dermatomyositis

Answer 29

Gottron papules and heliotrope rash

Question 30

Definitive study for idiopathic inflammatory myopathies

Answer 30

Muscle biopsy

Question 31

First-line treatment for polymyositis or dermatomyositis

Answer 31

High-dose oral corticosteroid

Question 32

Vasculitis with skin lesions (red macules, palpable purpura, nodules, or ulcers), glomerulonephritis, and elevated serum aminotransferases

Answer 32

Cryoglobulinemic vasculitis

Question 33

Vasculitis with keratitis and acute hearing loss

Answer 33

Cogan syndrome

Question 34

Most common presenting feature of relapsing polychondritis

Answer 34

Auricular pain and swelling

Question 35

Diseases associated with saddle nose deformity

Answer 35

Relapsing polychondritis Granulomatosis with polyangiitis Syphilis

Question 36

Cause of back pain characterized by neurogenic claudication exacerbated by walking and spinal extension but improved by sitting and leaning forward

Answer 36

Spinal stenosis

Question 37

A wide-based gait and abnormal Romberg test is highly specific for this condition

Answer 37

Spinal stenosis

Question 38

Most common cause of knee pain in patients <45 years, especially women

Answer 38

Patellofemoral pain syndrome

Question 39

Diagnostic test for osteonecrosis of the hip

Answer 39

MRI

Question 40

Antibiotics associated with Achilles tendon rupture

Answer 40

Fluoroquinolones

Question 41

Most common cause of inferior heel pain

Answer 41

Plantar fasciitis

Question 42

First-line therapy for carpal tunnel syndrome

Answer 42

Splinting at night plus NSAIDs

Question 43

Most sensitive and specific imaging modality for complete or partial rotator cuff tears

Answer 43

MRI | but ultrasound is more cost effective

Question 44

Cornerstone of treatment for fibromyalgia

Answer 44

Nonpharmacologic therapy (regular aerobic exercise and cognitive behavioral therapy)

Question 45

First-line treatments of fibromyalgia

Answer 45

Centrally acting medications and graded exercise

Question 46

Effective treatments for pain in complex regional pain syndrome even in the absence of osteoporosis

Answer 46

Bisphosphonates

Question 47

Elevated levels of this protein are highly specific and reflect disease activity in adult-onset Still disease

Answer 47

Ferritin (levels >2500 ng/mL)

Question 48

First-line agents in management of adult-onset Still disease

Answer 48

NSAIDs