Rheumatological

Question 1

Question mark stature with marked thoracic kyphosis

Answer 1

Ankylosing spondylitis

Question 2

Recurrent episodes of mouth/genital ulcers + uveitis + arthritis

Answer 2

Behçet’s disease

Question 3

Pain prominent at front of shoulder, radiating down arm

Answer 3

Biceps tendinitis

Question 4

Joint hyperextensibility + skin extensibility/fragility + eye problems

Answer 4

Ehlers-Danlos syndrome

Question 5

Splenomegaly + neutropenia + arthritis

Answer 5

Felty’s syndrome

Question 6

pANCA + aneurysms

Answer 6

Polyarteritis nodosa

Question 7

Vasculitis associated with chronic hepatitis B infection

Answer 7

Polyarteritis nodosa

Question 8

Scaly rash + joint pain

Answer 8

Psoriatic arthritis

Question 9

Conjunctivitis + urethritis + arthritis

Answer 9

Reactive arthritis

Question 10

Idiopathic juvenile kyphosis with vertebral wedging

Answer 10

Scheuermann’s disease

Question 11

Staph. aureus infection after intra-articular injection

Answer 11

Septic arthritis

Question 12

Intermittent neurologic claudication

Answer 12

Spinal stenosis

Question 13

Inability to adduct 60-120º

Answer 13

Supraspinatus tendinitis

Question 14

Anti-dsDNA

Answer 14

Systemic lupus erythematosus

Question 15

Anti-Sm

Answer 15

Systemic lupus erythematosus

Question 16

Anti-Ro + anti-La

Answer 16

Sjögren’s syndrome

Question 17

Anti-centromere

Answer 17

Limited scleroderma

Question 18

Anti-Scl-70 (anti-topoisomerase-1)

Answer 18

Diffuse scleroderma

Question 19

Anti-Jo-1

Answer 19

Polymyositis/dermatomyositis

Question 20

Anti-SRP

Answer 20

Polymyositis/dermatomyositis

Question 21

Anti-Mi-2

Answer 21

Dermatomyositis

Question 22

Anti-β2 glycoprotein

Answer 22

Antiphospholipid syndrome

Question 23

Anticardiolipin

Answer 23

Antiphospholipid syndrome

Question 24

Lupus anticoagulant

Answer 24

Antiphospholipid syndrome

Question 25

Low back pain in buttocks radiating down back of legs

Answer 25

Ankylosing spondylitis

Question 26

Low back pain in young man + iritis

Answer 26

Ankylosing spondylitis

Question 27

Lymphocytic infiltration of exocrine glands

Answer 27

Sjögren’s syndrome

Question 28

Telescoping fingers

Answer 28

Psoriatic arthritis

Question 29

Pencil-in-cup deformity on x-ray

Answer 29

Psoriatic arthritis

Question 30

Schirmer’s test

Answer 30

Sjögren’s syndrome

Question 31

Proximal muscle weakness + bone pain

Answer 31

Osteomalacia

Question 32

Back stiffness + shooting pains down legs + lordosis + waddling gait

Answer 32

Spondylolisthesis

Question 33

HLA-B27

Answer 33

Seronegative spondyloarthropathies

Question 34

Enthesitis

Answer 34

Seronegative spondyloarthropathies

Question 35

Progressively worsening back pain refractory to analgesia in elderly patient

Answer 35

Metastatic cancer

Question 36

Backache into buttocks + tenderness

Answer 36

Spondylosis

Question 37

Blue sclera

Answer 37

Osteogenesis imperfecta

Question 38

Gottron’s papules

Answer 38

Dermatomyositis

Question 39

Heliotrope rash

Answer 39

Dermatomyositis

Question 40

Shawl sign

Answer 40

Dermatomyositis

Question 41

Keratoderma blennorrhagicum (vesiculopustular, waxy, yellow-brown lesion)

Answer 41

Reactive arthritis

Question 42

Circinate balanitis (painless ulcers and plaques on penis)

Answer 42

Reactive arthritis