Rheumatology

Question 1

Oral Ulcer + Genital Ulcer + Anterior Uveitis

Answer 1

Bechets Disease

Question 2

Early Morning stiffness in hip and shoulder + Polyclonal increase in gammaglobulins

Answer 2

Polymyalgia Rheumatica

Question 3

Preiser’s Disease

Answer 3

Bilateral Avascular necrosis of Scaphoid Bone

Question 4

Fever + Swollen DIP + Transient Rash + Hepatosplenomegaly

Answer 4

Still’s Disease

Question 5

Headache + Vertigo + claudication pain + weak pulse

Answer 5

Takayasu’s Arteritis

Question 6

Symmetrical Proximal Muscle weakness + Increased Creatine Kinase

Answer 6

Polymyositis

Question 7

Pulse in arm disappear when arm is raised above head

Answer 7

Thoracic Outlet Syndrome

Question 8

Anti-CCP Antibody positive seen in

Answer 8

Rheumatoid Arthritis

Question 9

Anti Ro Antibody positive seen in

Answer 9

Sjogren Syndrome

Question 10

Anti Scl-70 antibody positivity seen in

Answer 10

Diffuse Systemic Sclerosis

Question 11

Complement Deficiency associated with SLE

Answer 11

C4

Question 12

Anti ds-DNA positive seen in

Answer 12

SLE

Question 13

Anti-centeromere antibody positive seen in

Answer 13

Limited Systemic Sclerosis

Question 14

Anti histone antibody seen in

Answer 14

Drug Induced Lupus

Question 15

Raised CRP and ESR + Polymorphonuclear leucocytosis

Answer 15

Polyarteritis Nodosa

Question 16

Rheumatoid arthritis but nail features also present

Answer 16

Psoriatic Arthritis

Question 17

DEXA Score for Osteopenia and Osteoporosis

Answer 17

-1 to -2.5 is Osteopenia
More than -2.5 is osteoporosis

Question 18

Sickle Cell Disease with Hip pain shows loss of femoral head

Answer 18

Avascular Necrosis

Question 19

Long term corticosteroids use now complaints of hip pain

Answer 19

Avascular Necrosis

Question 20

muscle pain + violet or purple rash in cheeks with normal CRP and ESR

Answer 20

Dermatomyositis

Question 21

Earliest evidence of Rheumatoid Arthritis of Knee

Answer 21

Knee Effusion

Question 22

Ankylosing Spondylitis DOC

Answer 22

Etanercept

Question 23

Polymyositis + Lung Fibrosis + Rhabdomyolysis

Answer 23

Anti jo 1 Syndrome

Question 24

Joint complication of hemochromatosis

Answer 24

Pseudo-gout

Question 25

Pain and paresthesia by applying pressure on medial malleolus

Answer 25

Tarsal Tunnel Syndrome - Tibial Nerve

Question 26

Isolated elevated ALP Seen in

Answer 26

Paget’s Disease

Question 27

Gout management in Congestive heart disease and CKD

Answer 27

Colchicine

Question 28

HLA B-27 positive Ankylosing Spondylitis biological agent used

Answer 28

Adalimumab

Question 29

Peau de orange appreance + bilateral carpel tunnel syndrome + eosinophilia

Answer 29

Eosinophilic Fasciitis

Question 30

Polymyositis best diagnostic investigation

Answer 30

Muscle Biopsy

Question 31

Herberden Nodes seen in

Answer 31

Osteoarthritis

Question 32

Immunoglobulin commonly detected by routine testing in Rheumatoid Arthritis

Answer 32

IgM

Question 33

Antibody most associated with complete heart block of newborn and neonatal lupus

Answer 33

Anti-Ro

Question 34

Bloody Diarrhoea + Erythema nodosum + painful knee

Answer 34

Enteropathic Arthritis

Question 35

Safest Anti Rheumatic drug for pregnancy

Answer 35

Hydroxychloroquine

Question 36

Type of Ischemic Neuropathy in Giant Cell Arteritis

Answer 36

Anterior Ischemic Optic Neuropathy

Question 37

Calcification of articular cartilage or meniscus

Answer 37

Pyrophosphate Arthropathy

Question 38

Treatment of Gout

Answer 38

Acute attack - Colchicine
Prevent - Allopurinol

Question 39

Interleukin Involved in Rheumatoid Arthritis

Answer 39

IL-6

Question 40

Active movement of shoulder is limited but passive movement is present

Answer 40

Supraspinatus tendonitis

Question 41

Both Active and Passive movements are affected

Answer 41

Adhesive Capsulitis

Question 42

Felty Syndrome triad

Answer 42

Splenomegaly + Rheumatoid Arthritis + Neutropenia