Triads/Key Features

Question 1

Above 50
Bilateral shoulder pain
ESR/CRP elevation
Morning stiffness

Answer 1

PMR

Question 2

Oliguria
Hypertension
Haematuria

Answer 2

Nephritic syndrome

Question 3

Chronic diarrhoea
Abdominal Pain
Weight loss

Answer 3

Inflammatory bowel disease

Question 4

tednerness overscalp/headpain, fatigue, fever

Answer 4

giant cell arteritis/temporal arteritis

Question 5

excessive sweating, palpitations, exopthalmos

Answer 5

graves disease

Question 6

joint pain, “butterfly” facial rash, fatigue

Answer 6

SLE

Question 7

Nail pitting
Red patches on knee
Wrist tender

Answer 7

Psoriasis arthritis

Question 8

Sore throat
Murmur
Joint pain

Answer 8

Rheumatic fever

Question 9

Skin deposit
Purple hand
Reflux
Thicken skin
red capillary rash

Answer 9

Crest

Question 10

Fever + arthralgia + salmon rash

Answer 10

Adult onset Stills disease

Question 11

woman with history of many miscarriages
+/- recurrent DVTs/VTEs
+/- TIAs

Answer 11

Antiphospholipid Syndrome

Question 12

Patient over the age of 50 presents with

• bilateral shoulder and hip pain
• worse in the mornings
• general malaise and fatigue

Answer 12

Polymyalgia Rheumatica

Question 13

child
lower limb non-blanching raised lesions
high blood pressure
abdo and joint pain

Answer 13

HSP

Question 14

child
>3 days high fever
strawberry tongue
rash and desquamation

Answer 14

Kawasaki

Question 15

hypotension
weakness
anorexia
hyperpigmentation

Answer 15

Addison’s

Question 16

Abdominal pain + jaundice + joint pain

Answer 16

Autoimmune hepatitis

Question 17

Joint pain, salmon-colored rash, high spiking fevers, adults

Answer 17

Stills

Question 18

Saddle nose, glomerulonephritis, joint swelling

Answer 18

Granulomatosis with polyangiitis

Question 19

Recurrent mouth +/- genital ulcers, pathergy test, uveitis, skin nodules

Answer 19

Bechet’s disease

Question 20

new headache / temporal headache
vision changes/ dioplopia
elevated ESR

Answer 20

giant cell arteritis

Question 21

Child
Febrile illness
peeling rash

Answer 21

Kawasaki Disease

Question 22

Preceding infection 1-4 weeks prior
Progressive symmetrical Weakness/sensory loss
Distal to proximal progression of weakness

Answer 22

Guillain-Barre Syndrome

Question 23

Febrile illness/Strep throat/scarlet fever
Migrating polyarthritis
Murmur

Answer 23

Rheumatic fever

Question 24

Symmetrical muscle weakness
Heliotrope rash/Gotton sing
Elevated CK

Answer 24

Dermatomyositis

Question 25

Gross haematuria + antecedent URTI +/- proteinuria

Answer 25

IgA nephropathy

Question 26

Spiking fevers + evanescent rash + arthritis

Answer 26

Juvenile arthritis

Question 27

Palpable purpura + arthralgia/arthritis + abdominal pain + renal disease

Answer 27

Henoch schonlein purpura

Question 28

Weakness which is fatigable + ptosis +

Answer 28

Myasthenia gravis

Question 29

Mental sluggish
Fine hair
Constipation

Answer 29

Hashimoto

Question 30

Bilateral aching/stiffness in shoulder’s and hip girdle.
Worse in morning
Difficult to turn in bed

Answer 30

Polymyalgia Rheumatica

Question 31

Back, buttock or neck pain.
Worse after rest.
Age 15-45

Answer 31

Analysing Spondylitis

Question 32

Fatigue
Hyperpigmentation
Weight loss
Abdominal pain

Answer 32

Addison’s disease