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Rheumatology Flashcards

1
Q

The most common type of arthritis in psoriasis is:

A. Spondylitis
B. Symmetric polyarticular
C. Asymmetric polyrticular
D. Symmetric oligoarticular
E. Asymmetric oligoarticular

A

E. Asymmetric oligoarticular

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2
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
B. SLE
C. OA
D. RA
E. None of these

A

D. RA

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3
Q

(+) Subchondral sclerosis, crescent sign and symmetric arthritis can be found in:

A. AS
B. RA
C. OA
D. SLE
E. Gout

A

D. SLE

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4
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

Code: TOEdagra

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5
Q

Most common arthritis seen in the elderly:

A.RA
B.OA
C. Gout
D. SLE
E. All of these

A

B.OA

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6
Q

Most common type of arthritis among men:

A. RA
B. OA
C. Gout
D. SLE
E. All of these

A

C. Gout

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7
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 (less than 5 joints)
D. Radiographic erosions within 2 years of disease onset
E. None of these

A

C. Generalized oligoarthritis involving both small and large joints (less than 5 joints)

Dapat 10

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8
Q

A 23 year old man presents with about one week history of foreign body sensation in both eyes, bilateral heel pain and painless ulcers on his penis.RF is negative. Which of the following is the most likely diagnosis?

A. Ankylosing spondylitis
B. Gouty arthritis
C. Osteoarthritis
D. Rheumatoid arthritis
E. Reactive arthritis

A

E. Reactive arthritis

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9
Q

Aunt Jone is diagnosed with arthritis and she comes to you for management. Which of the following will you not advice the patient?

I. Use two hands if possible
II. Avoid making a fist
III. Grip objects parallel across the palm
IV. Avoid pinching motions
V. Prolonged holding of objects

A. I,ll, lV andV
B. Il, lll and IV
C. I,IV, and V
D. V only
E. I, ll, lll, iV and V

A

D. V only

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10
Q

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

A. OA
B.Gout
C. RA
D. AS

A

D. AS

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11
Q

Involvement of the lumbosacral spine will suggest more of:

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

A

a. OA
Remember: Lumbosacral spine is a WB joint

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12
Q

Characteristics of Felty’s Syndrome include the following, except:

A. Anemia
B. Neutropenia
C. Leukopenia
D. None of these

A

D. None of these
REMEMBER: Felty’s Syndrome (SLLAANT)

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13
Q

Photosensitivity and alopecia are frequent signs of:

A. OA
B. RA
C. SLE
D. Gout

A

C. SLE

Remember: DOPAMIN RASH

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14
Q

Progressive, symmetric, erosive for of arthritis:

A. OA
B. Gout
C. SLE
D. RA
E. None of these

A

D. RA

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15
Q

Koebner phenomenon is a finding in:

A. SLE
B. RA
C. Psoriasis
D. OA

A

C. Psoriasis

Remember: DAKO

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16
Q

What joint is greatly involved in ACP rheumatoid arthritis?

A. Knee
B. Hip
C. Cervical spine
D. MCP
E. Wrist

A

D. MCP

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17
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

A

C. SLE

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18
Q

Common pathologic findings in OA includes the following:

I. Non-inflammatory
lI. Joint space narrowing V
IIl. Crepitus
IV. Erosions

A. I, ll and Ill
B. Ill only
C. Il and IV
D. All of these

A

A. I, ll and Ill
OA: Non-erosive

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19
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

A

B. Males are spared
Males are not spared

20
Q

Mr. Omar has a frequent symptom of morning back pain.Which of the following is the likely cause for this?

A. RA
B. Gout
C. Reactive arthritis
D. AS
E. None of these

21
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

22
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
REMEMBER: 20-40 years usually yung mga uncle ng bata

23
Q

An arthritic condition associated with cognitive impairment:

A. OA
B. SLE
C. RA
D. Gout

A

B. SLE
Affected din kasi neurology

24
Q

Diana 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
D. 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

25
Q

The most commonly involved joint in psoriasis is the:

A. First CMC
B. MCP
C. First MTP
D. PIP
E. DIP

A

E. DIP

Remember: DAKO

26
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. None of these

A

A. RA is high in whites than blacks

Caucasians = whites

27
Q

Circinate balanitis is associated with reactive arthritis

A. Gout
B. Psoriasis
C. RA
D. SLE
E. Reactive Arthritis

A

E. Reactive Arthritis

28
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

29
Q

Jaccoud’s arthritis is seen in:

A. SLE
B. RA
C. Gout
D. OA
E. Psoriasis

A

A. SLE

REMEMBER: JaccoLE

30
Q

Psoriasis is:

A. RF-positive
B. HLA DR4 positive
C. Spondyloarthropathy
D. Non-inflammatory
E. None of these

A

C. Spondyloarthropathy

31
Q

The gait abnormality typical of patients with RA is redness, swell termed apropulsive because of:

A. Excessive push off
B. Absence of push off
C. Excessive heel strike
D. None of these

A

B. Absence of push off

32
Q

The inflammatory reaction that occurs in early RA

A. Articular cartilage
B. Enthesis
C. Synovium
D. Articular capsule

A

C. Synovium

33
Q

Pauciarticular JRA is defined as synovitis of

A. 6 joints or more
B. More than 4 joints
C. 1-4 joints
D. None of these

A

C. 1-4 joints
REMEMBER: Pussy Cat (Pauci Kawt)

34
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

35
Q

This area of the shoulder has the highest incidence of inflammatory arthritis

A. Acromioclavicular joint
B. Sternocostal joint
C. Glenohumeral joints
D. Sternoclavicular joint

A

C. Glenohumeral joints
Inflammatory is RA

36
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

37
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. Positive Dactylitis
E. None of these

A

B. RF-positive

Seronegative ang Psoriatic arthritis

38
Q

In osteoarthritis of the thumb CMC joint, this splinting position is best:

A. Thumb palmar abd; MCP extended
B. Thumb palmar add; MCP extended
C. Thumb palmar abd; MCP 30 deg flexion
D. Thumb palmar add; MCP 30 deg flexion

A

C. Thumb palmar abd; MCP 30 deg flexion

Para functional yung position

39
Q

The following rheumatic diseases require routine steroids, except:

a. RA
b. SLE
c. DM-PM
d. Gouty Arthritis

A

d. Gouty Arthritis
This is only given kapag severe na

40
Q

A patient with severe knee pain, there is a note of redness, swelling and warmth. Concomitantly, the patient has febrile episodes. What condition does the patient has?

a. Knee OA
b. Infective Arthritis
c. Torn ACL
d. Knee bursitis

A

b. Infective Arthritis

Other name: Septic Arthritis
Main manifestation: Febrile episodes

41
Q

Cause of Gout:

A. Monosodium urate crystals
B. Hyperuricemia
C. Calcium pyrophosphate dihydrate crystals
D. Autoimmune responses

A

A. Monosodium urate crystals

B –> Acute
C –> Tophi

42
Q

Most common cause of death in SLE:

A. Infection
B. Kidney Disease
C. Pulmonary Disease
D. Cardiovascular Disease

A

D. Cardiovascular Disease

43
Q

HLA-B27 is specific for:

A. Psoriatic Arthritis
B. Scleroderma
C. Ankylosing Spondylitis
D. Systemic Lupus Erythematosus

A

C. Ankylosing Spondylitis

44
Q

Manual Therapy may also be used for your 69-year-old aunt with severe Degenerative Osteoarthritis of the knees. She has genu varus and limitation towards full knee flexion and extension. Which of the following are allowed for her?

A. Passive ROM, accessory joint motions
B. All of the answers
C. Massage techniques
D. Soft tissue mobilization

A

B. All of the answers

45
Q

A female with Psoriatic Arthritis noticed that her index finger is shorter compare to others. She also observed that there is excess skin in the sides of the finger. What is the possible cause of this?

A. Dactylitis
B. Inverted T sign
C. Arthritis Mutilans
D. Auzpitz’s Sign

A

C. Arthritis Mutilans

SPECIFIC: Telescoping sign

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