Rheumato Past Papers

A 65 year old woman comes to the outpatient clinic complaining about pain in ther shoulders and hips. Her blood work shows high levels of CRP. In the case of suspected Rheumatic Polymyalgia which of the following is the most appropriate?
a. Start systemic steroids
b. request Schirmer Test
c. Request a muscle biopsy
d. Start anti-TNF-Alfa treatment after HBV and HCV treatment
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Terms in this set (14)
A 65 year old woman comes to the outpatient clinic complaining about pain in ther shoulders and hips. Her blood work shows high levels of CRP. In the case of suspected Rheumatic Polymyalgia which of the following is the most appropriate?
a. Start systemic steroids
b. request Schirmer Test
c. Request a muscle biopsy
d. Start anti-TNF-Alfa treatment after HBV and HCV treatment
a. Start systemic steroids
What test helps in the diagnosis of Behcet Disease?
a. Reduced C3 and C4
b. ANA
c. HLA-B27
d. HLA-B51
d. HLA-B51
Which of the following characteristics are all associated with psoriatic arthritis?
a. Spondylitis, uveitis, osteoarthritis
b. Dactylitis, synovitis, posterior uveitis
c. Dactylitis, enthesitis, episcleritis
d. Dactylitis, enthesitis, anterior uveitis
a. Spondylitis, uveitis, osteoarthritis
Which of the following is a mojor concern in the use of anti-TNFa in biological treatment?
a. Low 25-OH vitamin D levels
b. Latent TB infection
c. hepatitis C virus infection
d. HBaAB positivity
b. Latent TB infection
A 30 year old man with red eye, mildly painful and watery, ophtalmological diagnosis of episcleritis. Which of the following rheumatic diseases is most frequently associated with this ocular manifestation?
a. Rheumatoid arthritis
b. Bechet's Disease
c. Sjogren's Syndrome
d. SLE
a. Rheumatoid arthritis
Which of the following is a sign of Bechet Disease?
a. Gastric reflux
b. Splenomegaly
c. Hepatomegaly
d. Pathergy
d. Pathergy
A 35 year old man presents complaining about low back pain and you suspect ankylosing spondylitis; which of the following sentences is correct?
a. The cervical region is the most frequent region of the spine involved in spondyloarthritis
b. MRI can best identify inflammatory lesions int he STIR sequences
c. Low back pain must be present for at least a week
d. Presence of HLA-B27 is a sufficient diagnostic criterion
b. MRI can best identify inflammatory lesions int he STIR sequences
?
What is the appropriate exam to request in a young woman who experienced four previous miscarriages and is ANA positive at high titers?
a. maternal and paternal karyotype analysis
b. thyroid hormone analysis
c. test for anti-phospholipid auto-antibodies
d. research for anti-ENA auto-antibodies
d. research for anti-ENA auto-antibodies
A 60 year old woman comes to the outpatient clinic because her wrist is swollen and tender. At the C-ray you notice calcifications near the joints, which of the following do you suspect?
a. Rheumatoid Arthritis
b. Chondrocalcinosis
c. Osteoarthritis
d. Gouty arthritis
b. Chondrocalcinosis
Which auto-antibody is suggestive of diffuse systemic sclerosis?
a. Anticentromere antibodies
b. ANA
c. Anti-Jo1
d. Anti-Scl70
d. Anti-Scl70

Anti-centomere antibodies associated to limited Scl
Which of the following drugs must be used with caution with systemic sclerosis because of the risk of kidney failure? a. Mycophenolate mofetil b. Prostanoids c. Corticosteroids d. Azathioprinec. CorticosteroidsA 50 year old woman comes to your attention because of diffuse arthralgias and myalgias, muscle weakness, sleep disturbances and fatigue. Her blood analysis shows ANA negativity and normal CRP and CK levels. Which of the following diagnoses do you suspect? a. Polymiositis d. Undifferentiated CTD c. SLE d. Fibromyalgiad. FibromyalgiaA 55-year old woman goes to her primary care physician because her fingers are painful and swollen. The examination shows Heberden's Nodes at DIP, which of the following diagnosis is most probable? a. Pseudogout b. Psoriatic Arthritis c. Osteoarthritis d. Rheumatoid Arthritisc. OsteoarthritisA 30 year old man presents because of episodic joint pain for about 1 year, the radiographs of hands and feet are normal. He suffers from oral ulcers and sometimes also genital ulcers. Which test would you suggest? a. ANA b. HLA-B27 c. ANCA d. HLA-B51d. HLA-B51 (Behcet's Disease)