RHEUMATOLOGY Flashcards
Which symptom is NOT typical to lower leg nerve root compression? A) Positive Lasegue-sign B) Tenderness at the Valleix points C) Positive femoral sign D) Loss of the Achilles tendon reflex E) Patellar ballottement
E) Patellar ballottement
Patellar ballottement is typical to knee joint fluid, the four other symptoms could be the sign of nerve route compression.
What medicine is NOT used to treat rheumatoid arthritis? A) Methotrexate B) Leflunomide C) Methylprednisolone D) Diclofenac E) Colchicine
E) Colchicine
Which of the following is an interleukin-6 R-inhibitor biological drug? A) Etanercept B) Adalimumab C) Tocilizumab D) Infliximab E) Rituximab
C) Tocilizumab
Which clinical symptom is NOT characteristic of rheumatoid arthritis?
A) Early morning stiffness in the hands
B) Symmetrical small joint inflammation of the hands
C) Small joint erosions on X-ray
D) Anti-CCP positivity
E) Early low back pain with sacroiliitis
E) Early low back pain with sacroiliitis
Which symptom is NOT characteristic of Felty syndrome?
A) Inflammatory arthritis
B) High titer rheumatoid factor positivity
C) Splenomegaly
D) Pneumoconiosis
E) Granulocytopenia
D) Pneumoconiosis
Pneumoconiosis is part of Caplan’s syndrome, the other four symptoms are characteristic of Felty’s syndrome.
It does NOT belong to the characteristics of adult-onset Still’s disease:
A) Pigmented villonodular synovitis
B) High fever
C) Maculopapular rash on the upper arms
D) Arthralgia
E) Visceral symptoms
A) Pigmented villonodular synovitis
Pigmented villonodular synovitis is a benign synovial proliferation and an independent disease, the other four symptoms are characteristic of the adult-onset Still’s disease.
It does NOT belong to the diagnostic criteria for systemic lupus erythematosus: A) Anti-DNA positivity B) Nervous system manifestation C) Erosive arthritis D) Renal involvement E) Butterfly (malar) rash
C) Erosive arthritis
Characterized by non-erosive arthritis.
Which is the most common autoimmune disease among the following? A) Systemic lupus erythematosus B) Rheumatoid arthritis C) Systemic sclerosis D) Sjögren syndrome E) Dermatomyositis
B) Rheumatoid arthritis
Prevalence of RA (0.5-1%) far exceeds other autoimmune disorders’ prevalence.
Which advanced disease state could be characterized by subcutaneous rheumatoid nodules? A) Polymyalgia rheumatica B) Systemic lupus erythematosus C) Rheumatoid arthritis D) Ankylosing spondylitis E) Systemic sclerosis
C) Rheumatoid arthritis
Which of the listed diseases is more common in men? A) Ankylosing spondylitis B) Rheumatoid arthritis C) Systemic lupus erythematosus D) Polymyalgia rheumatica E) Sjögren syndrome
A) Ankylosing spondylitis
What is the base (first-line) therapy for rheumatoid arthritis? A) Sulfasalazine B) Cyclophosphamide C) Methotrexate D) Chloroquine E) Azathioprine
C) Methotrexate
What is the most important immunological marker of mixed connective tissue disease (MCTD)? A) Anti-CCP B) Antinuclear factor C) Anti-SSA D) Anti-U1RNP E) Anti-SSB
D) Anti-U1RNP
What joints are NOT affected in rheumatoid arthritis?
A) Metacarpophalangeal (MCP) joints
B) Proximal interphalangeal (PIP) joints
C) Distal interphalangeal (DIP) joints
D) Knee joints
E) Radiocarpal joints
C) Distal interphalangeal (DIP) joints
What side effect is NOT characteristic of the antirheumatic biological treatment? A) Bone marrow depression B) Elevated liver enzymes C) Growing joint complaints D) Allergic skin reaction E) Latent tuberculosis flare-up
C) Growing joint complaints
Symptoms of sarcoidosis, EXCEPT: A) Granulomatous systemic process B) Bilateral hilaris lymphadenopathy C) Erythema nodosum D) Arthritis E) Polychondritis
E) Polychondritis
