Rheumatology/Immunology

Question 1

Initial pharmacologic treatment for OA

Answer 1

Paracetamol

Question 2

Pathologic hallmarks of RA

Answer 2

Focal bone erosions
Thinning of articular cartilage
Synovial inflammation

Question 3

Most common valvular abnormality in RA

Answer 3

Mitral regurgitation

Question 4

Sine qua non of OA

Answer 4

Hyaline cartilage loss

Question 5

Most common pulmonary manifestation of RA

Answer 5

Pleuritis

Question 6

Most frequent site of cardiac involvement in RA

Answer 6

Pericardium

Question 7

Characteristic radiologic features of gouty arthritis

Answer 7

Cystic changes with well-defined erosions and overhanging sclerotic margins

Question 8

First line treatment for acute gouty attack:

Answer 8

NSAIDs

Question 9

Most common cause of death in RA

Answer 9

Cardiovascular

Question 10

Lupus nephritis with worst prognosis

Answer 10

Crescentic LN

Question 11

Mainstay of treatment of non-life threatening lupus nephritis

Answer 11

Analgesics and anti-malarials

Question 12

Most common cardiac manifestation of SLE

Answer 12

Pericarditis

Question 13

Most common serious manifestation of SLE

Answer 13

Nephritis

Question 14

Most common causes of death within first decade of disease in SLE (2)

Answer 14

Nephritis and infection

Question 15

Most common location for urticaria

Answer 15

Extremities and the face

Question 16

Standard of management of nasal congestion in rhinitis

Answer 16

Oral alpha adrenergic agonist decongestants containing pseudoephrine are the standard for management of nasal congestion

Question 17

Most common cause of thrombocytopenia

Answer 17

Drug-related

Question 18

Most common preceding infection of aplastic anemia

Answer 18

Seronegative hepatitis

Question 19

Earliest joints affected in RA

Answer 19

Small joints of hands and feet

Question 20

Most common affected artery in Takayasu arteritis

Answer 20

Subclavian