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Rheumatology Quiz By Dr Anam

Total questions: 12

Worksheet time: 3600secs

Name
Class
Date
1.

48 years old female presents with complain of pain and swelling of MCPs and wrist along with morning stiffness. You have ordered inflammatory markers and xray hands What is the most character feature you see in the xray which will help in diagnosis

a)

Periosteal reaction

b)

Osteopenia

c)

Marginal erosion

d)

Ankylosis

2.

In early stages of Ankylosingspondylitis there is triangular regions of sclerosis classically seen at the superior and inferior vertebral endplates anteriorly (corners) :

What this appearance commonly called as

a)

Dragger sign

b)

Romanus lesion

c)

Rugger jersey

d)

Bamboo spine

3.

70 years old male presents with bilateral small joint pain  with  restriction of movements in fingers,

•Xray of hands shows the following

What is  most likely diagnosis ?

a)

Rheumatoid arthritis

b)

Psoriatic arthritis

c)

Erosive osteoarthritis

d)

Gouty Arthritis

4.

45 years old male with complain of pain small joint of both  hands with deformity ,You have ordered xray hands

What is the likely diagnosis

a)

Rheumatoid arthritis

b)

Psoriatic arthritis

c)

Erosive osteoarthritis

d)

Gouty Arthritis

5.

49 years old male presents to you with knee joint pain

According to the x ray what is the likely diagnosis ?

a)

Rheumatoid arthritis

b)

Osteoarthritis

c)

CPPD Arthropathy

d)

Hemophilic arthropathy

6.

52 years old male came  with complain of left knee joint pain. What is your diagnosis :

a)

Rheumatoid arthritis

b)

Osteoarthritis

c)

CPPD Arthropathy

d)

Hemophilic arthropathy

7.

32 years old male came with complain of pain and swelling of big toe

a)

Gout

b)

Rheumatoid Arthritis

c)

Psoriatic  Arthritis

d)

1st MTP OA

8.

Which of the following is considered the classic radiographic finding of chronic gout?

a)

Joint space narrowing and osteophyte formation

b)

Diffuse periarticular osteopenia

c)

Punched-out lytic lesions with overhanging edges

d)

Subchondral cysts without sclerotic margins 

9.

41years old male came with backache. Xray of pelvis shows:

Symmetrical involvement of SI joints

What could be the diagnosis ?

a)

Ankylosing spondylitis

b)

Reactive Arthritis

c)

Psoriatic arthritis

d)

Osteitis condensa ilii

10.

A 62 year old patient presents with wrist joint pain. Xray is shown

•What is the diagnosis

a)

CPPD

b)

RA

c)

Primary OA

d)

Psoriatic Arthritis

11.

In rheumatoid arhtitis where do early erosive changes most commonly occur in the hand and wrist

a)

Distal interphalangeal (DIP) joints

b)

Metacarpophalangeal (MCP) joints and ulnar styloid

c)

Proximal interphalangeal (PIP) joints

d)

Carpometacarpal (CMC) joint of the thumb

12.

A 35 year old women complains of  multiple joint pain with redness of right eye . Below is the xray of hands.

What investigation or investigations will help in diagnosis

a)

ANA Profile

b)

RA Factor and Anti CCP

c)

HLA B27

d)

MRI Of Hands