Which is the best clinical feature to differentiate ankylosing spondylitis from mechanical back pain?
A. Loss of lumbar lordosis
B. Morning stiffness
C. Pain radiating to thigh
D. Age of onset
E. Reduced lumbar movement
A 60 year old male presents with a background of left knee osteoarthritis presents with new onset left knee and posterior lower leg pain. The pain is worse on dorsiflexion. What is the most likely pathology?
A) Meniscal Tear
B) A ruptured Baker's cyst
C) DVT
D) S1 radiculopathy
E) Achilles tendon rupture
A 30 year old woman presents with bilateral proximal muscle weakness. She is noted to have blanching of the fingers, especially in cold weather.
Anti-Jo: positive ANA positive CK 2000s ESR 60 EMG: myopathic changes
The presence of which of the following conveys the worst prognosis?
A) Dysphagia
B) Skin rash
C) CK >2000 (>10xULN)
D) ILD
E) Raynaud’s Phenomenon
30F presents with polyarthralgia and fatigue. Which of the following conditions is a negative ANA most useful for ruling out?
A. Fibromyalgia
B. Adult onset Still's disease
C. Systemic lupus erythematosus
D. Scleroderma
E. Rheumatoid arthritis
A 66yo female presents with hand pain. This is an x-ray. What is the diagnosis?
A) Osteoarthritis
B) Rheumatoid arthritis
C) Chronic tophaceous gout
D) Psoriatic arthritis
E) Scleroderma
With respect to osteoarthritis of the knee, which of the following is most effective in long-term management of pain?
A. Arthroscopic lavage
B. Glucosamine
C. Muscle strengthening exercises
D. Paracetamol
E. NSAIDs
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