random q

Question 1

first test in patient with suspected SLE

Answer 1

urinalysis

Question 2

a patient with antiphospholipd syndrome has a PE what is the best treatment

Answer 2

life long warfarin

Question 3

schirmer test

Answer 3

placing a strip of filter paper under the lower eye lid

used in sjogrens syndrome

Question 4

schober test

Answer 4

measure of spinal flexion

used in ankylosing spondylitis

Question 5

schilling test

Answer 5

measure vit B12 absorption

Question 6

in reactive arthritis is the joint usually positive for microorganisms

Answer 6

no

Question 7

extra-articular manifestations common in the spondyloarthrides

Answer 7

achilles tendonitis
aortic valve incompetence
uveitis
dactylitis

Question 8

Beighton scoring system consists of

Answer 8

passively touch the forearm with the thumb with the wrist in the flexed position (1 point for each side), passive hyperextension of the fingers or the little finger beyond 90 degrees (one point each hand), hyperextension of the elbows or knees beyond 10 degrees (one point for each) and the ability to touch the floor with both palms with the legs straight (one point). A score of four or more suggests hypermobility

Question 9

initial investigation of choice for detecting renal involvement of vasculitis

Answer 9

urinalysis

Question 10

classical radiological findings associated with osteoarthritis

Answer 10

loss of joint space
osteophyte formation
subchondral sclerosis
subchondral cysts

Question 11

restricted rotation of the shoulder suggests?

Answer 11

adhesive capsulitis

Question 12

tenderness in the heel on walking suggests?

Answer 12

plantar fasciitis

Question 13

tenderness over the greater trochanter

Answer 13

trochancteric bursitis

Question 14

tenderness over medial epicondyle

Answer 14

golfer’s elbow

Question 15

tenderness over lateral epicondyle

Answer 15

tennis elbow

Question 16

which antibody is associated with SLE

Answer 16

anti-DNA

Question 17

which antibody is associated with systemic sclerosis

Answer 17

anti-centromere

Question 18

which antibody is associated with sjogrens syndrome

Answer 18

anti-La

Question 19

which antibody is associated with polymyositis

Answer 19

anti-Jo-1

Question 20

injury to the anatomical snuff box is most likely to damage

Answer 20

radial artery

Question 21

typical history of ankle fracture

Answer 21

inversion injury with rotational force applied to the foot

Question 22

management of ankle fracture

Answer 22

conservative- cast or moonboot

operative- open reduction internal fixation

Question 23

presentation of L5 radiculopathy

Answer 23

weakness of hip abduction

foot drop

Question 24

management of gca

Answer 24

prednisolone 40-60mg

Question 25

what are the connective tissue diseases

Answer 25

SLE sjogrens systemic sclerosis anti-phospholipid syndrome

Question 26

management of connective tissue diseases

Answer 26

treat symptomatically and monitor closely | in SLE- start hydroxychloroquine

Question 27

limited systemic sclerosis presentation

Answer 27

``` C- calcinosis R- raynauds E- oesophageal dysmotility S- sclerodactyly T-telangiectasia pulmonary fibrosis = diffuse systemic sclerosis ```

Question 28

antibody associated with limited systemic sclerosis

Answer 28

anti-centromere

Question 29

antibody associated with diffuse systemic sclerosis

Answer 29

anti-Scl-70

Question 30

presentation of anti-phospholipid syndrome

Answer 30

migraine recurrent pregnancy loss livedo resticularis venous thrombosis

Question 31

classic xray finding in pseudogout

Answer 31

chondrocalcinosis

Question 32

nice guidelines for DMARDs

Answer 32

1st: monotherapy with methotrexate, leflunomide or sulfasalazine 2nd: two in combination 3rd: methotrexate plus biological therapy (usually tnf inhibitor)

Question 33

safe DMARDs for pregancy

Answer 33

sulfasalazine | hydroxychloroquine

Question 34

examples of anti-TNF inhibitors

Answer 34

adalimumab infliximab etanercept golimumab

Question 35

rituximab

Answer 35

anti-CD20 biological therapy

Question 36

presentation of pagets disease

Answer 36

nerve entrapment deformity of bone fractures raised serum alkaline phosphatase

Question 37

management of pagets disease

Answer 37

oral bisphosphonates