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375-64 Musculoskeletal system and related connective tissues

Total questions: 15

Worksheet time: 15mins

Name
Class
Date
1.

1.      Which symptoms is the most helpful for the diagnosis of intraarticular disease?

a)

Bruising and the involved area

b)

Pain on one direction of motion

c)

Limited active and passive range of motion

d)

Swelling over the joint area

e)

Warming around the involved area

2.

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?

a)

Osteoarthritis

b)

Rheumatoid arthritis

c)

Traumatic hemarthrosis

d)

Acute gouty arthritis

e)

Septic arthritis

3.

3.      Which of the following serological marker is the most specific to rheumatoid arthritis?

a)

Anti-dsDNA

b)

Rheumatoid factor

c)

Anti-CCP

d)

ANA

e)

Anti-mitrochondrial antibody

4.

4.      Which of the following is the most related antibody in dermatomyositis

a)

Anti-Mi2

b)

Anti-CCP

c)

Anti-SRP

d)

Anti-HMGCA

e)

Anti-dsDNA

5.

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?

a)

Allopurinol

b)

Aspirin

c)

Colchicine

d)

Febuxostat

e)

Benzbromarone

6.

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?

a)

Tinel’s test

b)

Finkelstein’s test

c)

Phallen’s test

d)

Maudsley’s test

e)

Straight leg raising test

7.

7.      Which finding is the most likely characteristic of knee gouty arthritis in a 35 years old man?

a)

Subchondral sclerosis

b)

Knee crepitus

c)

Marginal bone formation

d)

Inflamed warm joint

e)

Joint cartilage narrowing

8.

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”?

a)

Persistent night fever

b)

Midline radiated pain

c)

Pain related to active movement

d)

Limited passive movement

e)

History of hyperextension activity of back

9.

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?

a)

Staphylococcus aureus

b)

  Streptococcus agalactiae

c)

Mycobacterium tuberculosis

d)

Neisseria gonorrhea

e)

Eikenella corrocdens

10.

10.      Which joint area is the most likely lesion of osteomyelitis in the 4-year-old boy?

a)

Articular cartilage

b)

Epiphysis

c)

Metaphysis

d)

Diaphysis

e)

Periosteum

11.

11.      Which is the target of rituximab treatment in 56-year old female with rheumatoid arthritis?

a)

B cell

b)

T cell

c)

TNF-alpha

d)

IL-6

e)

IL-1

12.

12.      Which is the predominant pathogenesis of rheumatoid arthritis following Gell and Coomb’s classification?

a)

Class I hypersensitivity

b)

Class II hypersensitivity

c)

Class III hypersensitivity

d)

Class IV hypersensitivity

e)

None of above

13.

13.      Which one of bone mass density score (BMD) is considered osteopenia?

a)

BMD T score of + 1.3

b)

BMD T score of - 0.5

c)

BMD T score of - 1.3

d)

BMD T score of - 2.6

e)

BMD T score of - 3.4

14.

14.      24-year-old patients with sulfonamide allergy visit a doctor for acute tendinitis. Which drugs cannot be used in this patient?

a)

Mefenamic acid

b)

Ibuprofen

c)

Diclofenac

d)

Etoricoxib

e)

Celecoxib

15.

15.      Which of the following is not associated with gout exacerbation?

a)

Light beer

b)

Tuna with sadine salad

c)

Chinese styled internal organ soup

d)

Soft drink

e)

High concentration of coffee