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Worksheets375-64 Musculoskeletal system and related connective tissues
Total questions: 15
Worksheet time: 15mins
1. Which symptoms is the most helpful for the diagnosis of intraarticular disease?
Bruising and the involved area
Pain on one direction of motion
Limited active and passive range of motion
Swelling over the joint area
Warming around the involved area
2. 46-year old female patients had a 2-week experience of right knee pain and swelling. His synovial fluid is straw color clear. Which disease is the most likely?
Osteoarthritis
Rheumatoid arthritis
Traumatic hemarthrosis
Acute gouty arthritis
Septic arthritis
3. Which of the following serological marker is the most specific to rheumatoid arthritis?
Anti-dsDNA
Rheumatoid factor
Anti-CCP
ANA
Anti-mitrochondrial antibody
4. Which of the following is the most related antibody in dermatomyositis
Anti-Mi2
Anti-CCP
Anti-SRP
Anti-HMGCA
Anti-dsDNA
5. 65-year-old man presented with acute pain and swelling at 1st MTP of the right foot. Needle-liked crystal was seen from the aspirated synovial fluid. Which is the most suitable first line treatment for him?
Allopurinol
Aspirin
Colchicine
Febuxostat
Benzbromarone
6. 50-year-old female housewife experienced a 3-month episode of pain at the right radial styloid. Which physical examination is the most appropriate for the diagnosis in this patient?
Tinel’s test
Finkelstein’s test
Phallen’s test
Maudsley’s test
Straight leg raising test
7. Which finding is the most likely characteristic of knee gouty arthritis in a 35 years old man?
Subchondral sclerosis
Knee crepitus
Marginal bone formation
Inflamed warm joint
Joint cartilage narrowing
8. 34-year-old male worker visit the clinical service for 1-month persistent back pain. He feels a painful sensation at his lower back and buttock. Which is the “Red Flag Sign”?
Persistent night fever
Midline radiated pain
Pain related to active movement
Limited passive movement
History of hyperextension activity of back
9. 22-year-old male with the history of sexual intercourse 2-day-ago is presented with severe right knee pain and swelling. The arthrocentesis reveals the purulent discharge with predominated neutrophil. There is no evidence of infective endocarditis by echocardiogram. At the day of presentation, left wrist arthritis (pain, red, and swelling) occurs. What is the most likely organism involved?
Staphylococcus aureus
Streptococcus agalactiae
Mycobacterium tuberculosis
Neisseria gonorrhea
Eikenella corrocdens
10. Which joint area is the most likely lesion of osteomyelitis in the 4-year-old boy?
Articular cartilage
Epiphysis
Metaphysis
Diaphysis
Periosteum
11. Which is the target of rituximab treatment in 56-year old female with rheumatoid arthritis?
B cell
T cell
TNF-alpha
IL-6
IL-1
12. Which is the predominant pathogenesis of rheumatoid arthritis following Gell and Coomb’s classification?
Class I hypersensitivity
Class II hypersensitivity
Class III hypersensitivity
Class IV hypersensitivity
None of above
13. Which one of bone mass density score (BMD) is considered osteopenia?
BMD T score of + 1.3
BMD T score of - 0.5
BMD T score of - 1.3
BMD T score of - 2.6
BMD T score of - 3.4
14. 24-year-old patients with sulfonamide allergy visit a doctor for acute tendinitis. Which drugs cannot be used in this patient?
Mefenamic acid
Ibuprofen
Diclofenac
Etoricoxib
Celecoxib
15. Which of the following is not associated with gout exacerbation?
Light beer
Tuna with sadine salad
Chinese styled internal organ soup
Soft drink
High concentration of coffee
