7364648
Description
Quiz by Jeku Jacob, updated more than 1 year ago
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Created by Jeku Jacob
over 7 years ago
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Question 1
Question
Which is the best clinical feature to differentiate ankylosing spondylitis from mechanical back pain?
Answer
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A. Loss of lumbar lordosis
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B. Morning stiffness
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C. Pain radiating to thigh
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D. Age of onset
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E. Reduced lumbar movement
Question 2
Question
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?
Answer
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A) Meniscal Tear
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B) A ruptured Baker's cyst
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C) DVT
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D) S1 radiculopathy
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E) Achilles tendon rupture
Question 3
Question
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?
Answer
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A) Dysphagia
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B) Skin rash
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C) CK >2000 (>10xULN)
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D) ILD
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E) Raynaud’s Phenomenon
Question 4
Question
30F presents with polyarthralgia and fatigue. Which of the following conditions is a negative ANA most useful for ruling out?
Answer
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A. Fibromyalgia
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B. Adult onset Still's disease
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C. Systemic lupus erythematosus
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D. Scleroderma
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E. Rheumatoid arthritis
Question 5
Question
A 66yo female presents with hand pain. This is an x-ray. What is the diagnosis?
Answer
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A) Osteoarthritis
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B) Rheumatoid arthritis
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C) Chronic tophaceous gout
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D) Psoriatic arthritis
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E) Scleroderma
Question 6
Question
With respect to osteoarthritis of the knee, which of the following is most effective in long-term management of pain?
Answer
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A. Arthroscopic lavage
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B. Glucosamine
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C. Muscle strengthening exercises
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D. Paracetamol
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E. NSAIDs
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