Rheumatology Flashcards
Which of the following symptoms are NOT associated with Psoriatic arthritis ?
A - Eye inflammation and redness
B - Constipation
C - Tennis elbow
D - Back pain and stiffness worse at rest
E - Nail pitting
B - Constipation
A 30-year-old man has had back pain and stiffness for the last 6 months. His GP is concerned he may have Ankylosing spondylitis.
Which of the following questions is least helpful to reach his diagnosis?
A - Does your pain wake you up at night?
B - Do you have any chest pain?
C - Do you have any swallowing difficulties?
D - Do you have any family history of back pain?
E - Have you ever had any eye pain or redness?
C - Do you have any swallowing difficulties?
A 35-year-old lady presents with a two-year history of her fingers becoming white in cold weather. She has also been bothered with reflux for the same duration. On examination, you notice that the skin over her fingers is thickened, and she has multiple telangiectasia. Her blood tests done by her GP show an ANA titre of 1 :640 with positive anti-centromere antibodies.
What is the most likely diagnosis in her case?
Limited cutaneous systemic sclerosis
Which of the following is NOT a typical feature of large vessel vasculitis?
A - Night sweats
B - Visual loss
C - Asthma
D - Weight loss
E - Temporal headache
C - Asthma
A 42-year-old man presents with progressive muscle weakness, breathlessness, Raynaud’s, joint swelling and cracking along the edges of his fingers. His CK is significantly elevated at 8,000 and his CRP is 75.
Which of the following antibodies would you expect to be positive?
A - Anti-CCP
B - Anti-ds-DNA
C - Anti-La
D - Anti-MPO
E - Anti-Jo-1
E - Anti-Jo-1
