Which is the best clinical feature to differentiate ankylosing spondylitis from mechanical back pain?
Answer
A. Loss of lumbar lordosis
B. Morning stiffness
C. Pain radiating to thigh
D. Age of onset
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
A) Meniscal Tear
B) A ruptured Baker's cyst
C) DVT
D) S1 radiculopathy
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
A) Dysphagia
B) Skin rash
C) CK >2000 (>10xULN)
D) ILD
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
A. Fibromyalgia
B. Adult onset Still's disease
C. Systemic lupus erythematosus
D. Scleroderma
E. Rheumatoid arthritis
Question 5
Question
A 66yo female presents with hand pain. This is an x-ray. What is the diagnosis?