Rheumatology

Question 1

T.B arthritis commonly manifest as
a. Acute monoarticular
b. Chronic monoarticular
c. Acute migratory
d. Chronic polyarticular

Answer 1

b. Chronic monoarticular

Question 2

Joint radiograph which shows erosive changes bone growth in the distal joints, “pencil in cup” erosion and lysis of the terminal phalanges is seen in?
a. Enteropathic arthritis
b. Reactive arthritis
c. Rheumatoid arthritis
d. Psoriatic arthritis

Answer 2

d. Psoriatic arthritis

Question 3

Which of the following is associated with neonatal lupus with congenital heart block
a. Anti-Ro
b. Anti Ds DNA
c. ANA
d. Anti-histone
e. Antiphospholipid antibodies

Answer 3

a. Anti-Ro

Question 4

The crystal of pseudogout is characterized as rectangular/rhomboid and
a. Positively birefringent
b. Non-birefringent
c. Negatively birefringent
d. multi-refringent

Answer 4

a. Positively birefringent

Question 5

Which anti-TB drug is highly associated with acute attack of gout
a. INH
b. Pyrazinamide
c. Ethambutol
d. Streptomycin

Answer 5

b. Pyrazinamide

Question 6

Migratory arthritis, dermatitis and tenosynovitis is characteristic of:
a. T.B arthritis
b. Staphylococcal arthritis
c. Disseminated gonococcal infection
d. Viral arthritis

Answer 6

c. Disseminated gonococcal infection

Question 7

35 year-old, married, female, consult because of sudden left sided weakness that last for about 6 hours, and passage of history of two spontaneous abortion. Which of the following would be useful in arriving at a diagnosis?
a. Anti-DS DNA
b. Antiphospholipid antibodies
c. Anti-Ro
d. ANA
e. Anti-histone

Answer 7

b. Antiphospholipid antibodies

Question 7

Articular disorder pain is characterized by:
a. Pain in active and passive range of motion
b. Pain on active range of motion
c. Absence of crepitation and deformity
d. Localized tenderness

Answer 7

a. Pain in active and passive range of motion

Question 8

Which of the following organism in unlikely to cause reactive arthritis
a. Chlamydia
b. Yersinia
c. Staphylococcus
d. Campylobacter

Answer 8

c. Staphylococcus

Question 8

17 years-old, 51, 170 lbs, vendor consulted because if (L) knee pain of 1year, more painful at night. P.E of the left knee showed: (+) bulge sign, (+) bony hypertrophy, (+) coarse crepitation. What is your diagnosis?
a. Intercritical gout
b. Osteoarthritis
c. Pseudogout
d. Prepatellar bursitis

Answer 8

b. Osteoarthritis

Question 8

Most deaths due to systemic sclerosis is due to
a. Gastrointestinal complication
b. Digital ulceration
c. Pulmonary fibrosis
d. Malignancy

Answer 8

c. Pulmonary fibrosis

Question 9

Which of the following will present with shoulder pain?
a. Calcific tendinitis
b. Anserine bursitis
c. De Quervain tenosynovitis
d. Medial epicondylitis

Answer 9

a. Calcific tendinitis

Question 10

Which urinalysis result will connote renal involvement in SLE?
a. Proteinuria (+) 1
b. Coarse granular cast 20-25/hpf
c. WBC 2.3/hpf
d. Specific gravity 1.015

Answer 10

c. WBC 2.3/hpf

Question 11

C.C, 40 year-old female consulted because of progressive body weakness especially from getting up from a chair for 3 months. She also has difficulty going up the stairs and combing her hair. Reflexes are normal as well as sensation to touch, pinprick and temperature. What test would you request?
a. Rheumatoid factor
b. CPK-MM
c. CRP
d. ANA

Answer 11

b. CPK-MM

Question 12

Which of the following disease is highly associated with HLA B27
a. Osteoarthritis
b. Psoriatic arthritis
c. Ankylosing spondylitis
d. Rheumatoid arthritis

Answer 12

c. Ankylosing spondylitis

Question 13

Which anti-gout drug inhibits B-tubulin polymerization into microtubules, preventing activation, degranulation and migration of neutrophils?
a. Febuxostat
b. Glucocorticoid
c. Colobicine
d. Paracetamol

Answer 13

Colobicine

colchicine

Question 14

T.J, 25 years-old, 5’6, 200 lbs, call center agent consulted because of R ankle arthritis of 2 days. Pain score is 10/10. He had a history of drinking alcohol 3 days prior to consult. You would advise him to?
a. Take pain reliever (NSAID)
b. Take uric acid lowering agent
c. Start antibiotic (Cloxacillin)
d. Apply warm compress

Answer 14

a. Take pain reliever (NSAID)

Question 15

Gouty arthritis is less likely to occur in
a. Dehydrated state
b. Intake of low dose aspirin
c. Pre menopausal women
d. Obese male

Answer 15

c. Pre menopausal women

Question 16

Rheumatoid arthritis is characterized as
a. No genetic predisposition
b. Monoarticular involvement
c. Localized disease
d. Highly inflammatory

Answer 16

d. Highly inflammatory

Question 17

Recurrent infection with this organism increases the risk for SLE
a. Dengue virus
b. Epstein Barr virus
c. Staphylococcus
d. Mycobacterium tuberculosis

Answer 17

b. Epstein Barr virus

Question 18

C.J, 35 year-old female consulted because of arthritis of the wrist, PIP, MCP and shoulder joint for 2 months. Morning stiffness lasts for 4 hours. What laboratory test would you request to strengthen your diagnosis?
a. Xray of affected joints
b. CRP
c. CBC, ESR
d. Anti cyclic citrullinated peptide

Answer 18

d. Anti cyclic citrullinated peptide

Question 19

T.S, 35 year-old male, consulted because of R knee arthritis of 2 days. No history of trauma. P.E showed swelling (+) bulge sign, tender, (+) limitation of motion. What is the best diagnostic test would you request?
a. Magnetic Resonance Imaging
b. Xray of knee
c. CT scan
d. Synovial fluid analysis

Answer 19

d. Synovial fluid analysis

Question 20

The most common etiologic agent in the causation of septic arthritis?
a. Staphylococcus aureus
b. Neisseria gonorrhea
c. Pseudomonas sp.
d. Escherichia coli

Answer 20

a. Staphylococcus aureus

Question 20

The disease is considered non-inflammatory in nature
a. Ankylosing spondylitis
b. Osteoarthritis
c. Reactive arthritis
d. Rheumatoid arthritis

Answer 20

b. Osteoarthritis

Question 20

True statement regarding knee osteoarthritis
a. Associated with excessive alcohol intake
b. Osteoporosis increases the risk for OA
c. Aging is a powerful risk factor
d. More common in male

Answer 20

c. Aging is a powerful risk factor