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 features 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

Question 43

Osteoporosis in DEXA how to manage based on GFR

Answer 43

GFR >35 - Alendronic Acid GFR <35 - Denosumab

Question 44

Anti gout medication causing increase in Didanosine concentration

Answer 44

Allopurinol

Question 45

Physical examination test suggestive of Ankylosing Spondylitis

Answer 45

Positive Schober's Test

Question 46

Earliest Clinical Sign of Ankylosing Spondylitis

Answer 46

Retention of lumbar lordosis during spinal flexion

Question 47

Previous joint injury that was treated now complaints of severe pain but no Findings

Answer 47

Reflex Sympathetic Dystrophy

Question 48

Marked Vascular Proliferation in synovial membrane seen in

Answer 48

Rheumatoid Arhtritis

Question 49

Anti tubercular drug causing gout

Answer 49

Pyrazinamide

Question 50

Patient on Adalimumab complaints of cough, weightloss and night sweats

Answer 50

Reactivation of Tuberculosis

Question 51

TNF alpha associated with

Answer 51

Rheumatoid Arthritis

Question 52

Mesenteric Vasculitis seen in

Answer 52

Polyarteritis Nodosa

Question 53

Most common site affected in Pagets disease of bone

Answer 53

Lumbar spine

Question 54

Pagets disease management

Answer 54

IV Zoledronate

Question 55

APLA Antibody responsible for miscarriage

Answer 55

Anti beta 2 glycoprotein 1

Question 56

Joint aspiration shows rhomboid crystals

Answer 56

Pyrophosphate Arthritis

Question 57

Lateral Hip and Thigh pain worse on direct pressure

Answer 57

Trochanteric Bursitis

Question 58

Antibody associated with Mixed Connective Tissue Disease

Answer 58

Anti- Ribonucleoprotein antibody

Question 59

Hypertelorism + Tetany + Absent Thymus

Answer 59

Di George Syndrome

Question 60

Thalidomide side effect

Answer 60

Peripheral Neuropathy

Question 61

Food Allergy testing investigation of choice

Answer 61

Skin Prick Testing

Question 62

Investigation for Paroxysmal Nocturnal Hemoglobinuria

Answer 62

CD 59 and CD 55 assay

Question 63

APLA Common antibody

Answer 63

Anti Beta 2 glycoprotein antibody

Question 64

Antibody associated with Paraneoplastic cerebellar syndrome

Answer 64

Anti-Yo

Question 65

Pain and swelling over tibial tubercle + seen in young athletes

Answer 65

Osgood Schlatters Disease

Question 66

Long term medication of choice for Rheumatoid Arthritis

Answer 66

Methotrexate

Question 67

Most important risk factor for Osteonecrosis of jaw in bisphosphonate treatment

Answer 67

Dental Caries

Question 68

Initial management of Knee Osteoarthritis

Answer 68

Swimming

Question 69

Most impaired movement in adhesive capsulitis

Answer 69

External rotation

Question 70

Antibody for Dermatomyositis

Answer 70

Anti-Mi-2 antibody