Year 3 exam

Question 1

Management of gout

a) acute
b) prophylactic

Answer 1

a) NSAIDS or colchicine

b) allopurinol (2 weeks after acute attack)(continue if already on allopurinol)

Question 2

Reactive arthritis

Answer 2

Onset of arthritis within 4 weeks of urethritis/gastroenteritis

Question 3

Reiters syndrome?

Answer 3

Conjunctivitis + arthritis + urethritis

Question 4

Signs which suggest psoriatic arthropathy? (3)

Answer 4

Nail changes + psoriatic plaques + arthritis

Question 5

Young man with lower back pain which gets better with exercise, and reduced lateral flexion OE

Answer 5

Ankylosing spondylitis

Question 6

Initial management of RA

Answer 6

MTX + another DMARD + short course of prednisolone

Question 7

Tests results in polymyalgia rheumatica

a) ESR
b) CK

Answer 7

a) raised

b) normal

Question 8

Anti-centromere antibody- disease?

Answer 8

Scleroderma

Question 9

Monitoring of lupus (2)

Answer 9

C3/C4- low

anti-dsDNA titres

Question 10

Marfan syndrome is due to mutations in what gene?

Answer 10

Fibrillin

Question 11

Management of Raynauds disease

Answer 11

Nifedipine

Question 12

Heberdens nodes suggests….

Answer 12

Osteoarthritis

Question 13

Old man with bone pain and raised alkphos- diagnosis?

Answer 13

Pagets disease

Question 14

DEXA scan cut-offs for:

a) osteopenia
b) osteoporosis

Answer 14

a) -1 to -2.5

b) less than -2.5

Question 15

Tool used to assess fragility fracture RISK

Answer 15

FRAX

Question 16

Rheumatoid arthritis antibodies?

Answer 16

Anti-CCP and rheumatoid factor

Question 17

Positively birefringent crystals of sodium pyrophosphate

Answer 17

Pseudogout

Question 18

Bone protection in patients on long-term prednisolone

Answer 18

Bisposphante and ensure calcium/Vit D replete

Question 19

Scl-70 antibodies- disease?

Answer 19

Diffuse cutaneous systemic sclerosis

Question 20

Joint aspire- negatively bi-refringent crystals

Answer 20

Gout