Quiz: Formatives ✔️

A 14-year-old boy complains of intermittent unilateral knee pain occurring at night and unassociated with exercise. He has occasional morning stiffness that is relieved by exercise. Physical examination reveals decreased range of motion of the left knee, no erythema, and minimal swelling. There is also decreased range of motion of the lumbar spine in anterior flexion and loss of lumbar lordosis. Of the following, the MOST likely result of laboratory studies would be:

A A .elevated antistreptolysin O antibody titer B B .elevated leukocytes C C .positive antinuclear antibody D D .positive HLA-B27 antigen

Scleromalacia perforans, a rare complication, is characteristically seen in patients with:

A Ankylosing spondylitis B Psoriatic arthritis C Rheumatoid arthritis D Sarcoidosis

A 23-year-old man presents with about a one-week history of foreignbody sensation in both eyes, painless swelling of the right ankle joint, bilateral heel pain, and painless ulcers on his penis. He was treated for nongonococcal urethritis about one week ago. Serum rheumatoid factor was negative. Which of the following is the most likely diagnosis in this case?

A 1. Ankylosing spondylitis B 2. Reactive arthritis C 3. Acute gouty arthritis D 4. SLE

A 60-year-old female presents with two months’ history of a feeling of dry mouth and a gritty sensation in her eyes. The patient is on no medications. On exam, the buccal mucosa appears dry, and the salivary glands are enlarged bilaterally. Serum antinuclear antibodies are positive. What is the most likely diagnosis in this patient?

A 1. SLE B 2. Mixed connective tissue disorder C 3. Sjögren’s syndrome D 4. Behcet’s disease

A 22-year-old male presents with the insidious onset of low back pain improved with exercise and worsened by rest. There is no history of diarrhea, conjunctivitis, urethritis, or nail changes. On examination, the patient has reduced lumbar flexion and extension. Serum RA factor and antinuclear antibodies are negative. Imaging reveals evidence of widening and sclerosis of the sacroiliac joints. What is the most likely diagnosis in this patient?

A 1. Rheumatoid arthritis B 2. Ankylosing spondylitis C 3. Diffuse idiopathic skeletal D 4.Reactive.arthritis

35-year-old male presents with severe pain, swelling, and redness in the left big toe since early morning. There is no history of trauma. The patient is taking a diuretic for hypertension. Which one of the following is the most likely diagnosis in this patient?

A 1. Rheumatoid arthritis B 2. Gouty arthritis C 3. Pseudogout D 4. Septic arthritis

70-year-old male develops the sudden onset of severe left knee pain. The knee is red, swollen, and tender. He has a known case of hyperparathyroidism. An x-ray of the knee shows linear calcification. What is the most likely diagnosis in this patient?

A 1. Rheumatoid arthritis B 2. Gouty arthritis C 3. Pseudogout D 4. Septic arthritis

30-year-old female with rheumatoid arthritis of five years’ duration complains of pain in her right index and middle fingers over the past six weeks. The pain seems especially severe at night, often awakening her from sleep. The most likely cause of this patient's complaint is:

A 1. Atlanto-axial subluxation of the cervical spine B 2. Sensory peripheral neuropathy C 3. Carpal tunnel syndrome D 4. Rheumatoid vasculitis

Question 9: Which of the following is least likely to be associated with gout?

A 1. Thiazide diuretics B 2. Rheumatoid arthritis C 3. Low dose aspirin D 4. Osteoarthritis

Which of the following is the commonest cardiac lesion in rheumatoid arthritis?

A 1. Pancarditis B 2. Pericarditis C 3. Myocarditis D 4. 4. Endocarditis

a patient with gouty arthritis, which of the following is most useful in establishing the diagnosis?

A 1. Serum uric acid B 2. Uric acid in urine C 3. Urate crystal in synovial fluid D 4. Serum calcium level

Which one of the following statements is correct about ankylosing spondylitis?

A 1. Peripheral joint is rarely involved B 2. Sacroiliac joints are usually spared C 3. May be associated with anterior uveitis D 4. More common in females

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