SPA CME

SPA is characterised by inflammation at

• Axial skeleton

• Peripheral joints

• Entheses

• Eye

• All of the above

Psoriatic arthritis is associated with HLA-B27

• Yes

• No

• Not sure

What are the disease severity factors in AS

• Male gender

• HLA B27 positive

• Persistent systemic inflammation

• All of the above

• All except gender

What is the age of onset in IBP?

• <50 years

• <40 years

• >40 years

• >50 years

Type of pain in IBP

• Worsens with physical activity

• Improves with physical activity

• No difference with physical activity

Extra articular manifestations NOT seen in Ankylosing Spondylitis

• Lower lobe fibrosis

• Aortitis

• Secondary amyloidosis

• Osteoporosis

• IHD

Initial treatment of AS-Axial

• Sulphasalazine

• Adalimumab

• Infliximab

• NSAIDS

MRI is needed to make a diagnosis of AS

• Yes

• No

• Not sure

• If symptomatic and xray is normal

What is Enthesitis?

• Inflammation at joint capsule

• Inflammation at synovium

• Inflammation at insertion of tendons and ligaments

• Inflammation of the muscles

Peripheral SpA spectrum includes all of the above EXCEPT

• IBD related arthritis

• Rheumatoid arthritis

• Undifferentiated SpA

• Reactive arthritis

• Ankylosing Spondylitis