RHEUMATOLOGY Flashcards
(37 cards)
Which symptom is NOT typical to lower leg nerve root compression? A) Positive Lasegue-sign B) Tenderness at the Valleix points C) Positive femoral sign D) Loss of the Achilles tendon reflex E) Patellar ballottement
E) Patellar ballottement
Patellar ballottement is typical to knee joint fluid, the four other symptoms could be the sign of nerve route compression.
What medicine is NOT used to treat rheumatoid arthritis? A) Methotrexate B) Leflunomide C) Methylprednisolone D) Diclofenac E) Colchicine
E) Colchicine
Which of the following is an interleukin-6 R-inhibitor biological drug? A) Etanercept B) Adalimumab C) Tocilizumab D) Infliximab E) Rituximab
C) Tocilizumab
Which clinical symptom is NOT characteristic of rheumatoid arthritis?
A) Early morning stiffness in the hands
B) Symmetrical small joint inflammation of the hands
C) Small joint erosions on X-ray
D) Anti-CCP positivity
E) Early low back pain with sacroiliitis
E) Early low back pain with sacroiliitis
Which symptom is NOT characteristic of Felty syndrome?
A) Inflammatory arthritis
B) High titer rheumatoid factor positivity
C) Splenomegaly
D) Pneumoconiosis
E) Granulocytopenia
D) Pneumoconiosis
Pneumoconiosis is part of Caplan’s syndrome, the other four symptoms are characteristic of Felty’s syndrome.
It does NOT belong to the characteristics of adult-onset Still’s disease:
A) Pigmented villonodular synovitis
B) High fever
C) Maculopapular rash on the upper arms
D) Arthralgia
E) Visceral symptoms
A) Pigmented villonodular synovitis
Pigmented villonodular synovitis is a benign synovial proliferation and an independent disease, the other four symptoms are characteristic of the adult-onset Still’s disease.
It does NOT belong to the diagnostic criteria for systemic lupus erythematosus: A) Anti-DNA positivity B) Nervous system manifestation C) Erosive arthritis D) Renal involvement E) Butterfly (malar) rash
C) Erosive arthritis
Characterized by non-erosive arthritis.
Which is the most common autoimmune disease among the following? A) Systemic lupus erythematosus B) Rheumatoid arthritis C) Systemic sclerosis D) Sjögren syndrome E) Dermatomyositis
B) Rheumatoid arthritis
Prevalence of RA (0.5-1%) far exceeds other autoimmune disorders’ prevalence.
Which advanced disease state could be characterized by subcutaneous rheumatoid nodules? A) Polymyalgia rheumatica B) Systemic lupus erythematosus C) Rheumatoid arthritis D) Ankylosing spondylitis E) Systemic sclerosis
C) Rheumatoid arthritis
Which of the listed diseases is more common in men? A) Ankylosing spondylitis B) Rheumatoid arthritis C) Systemic lupus erythematosus D) Polymyalgia rheumatica E) Sjögren syndrome
A) Ankylosing spondylitis
What is the base (first-line) therapy for rheumatoid arthritis? A) Sulfasalazine B) Cyclophosphamide C) Methotrexate D) Chloroquine E) Azathioprine
C) Methotrexate
What is the most important immunological marker of mixed connective tissue disease (MCTD)? A) Anti-CCP B) Antinuclear factor C) Anti-SSA D) Anti-U1RNP E) Anti-SSB
D) Anti-U1RNP
What joints are NOT affected in rheumatoid arthritis?
A) Metacarpophalangeal (MCP) joints
B) Proximal interphalangeal (PIP) joints
C) Distal interphalangeal (DIP) joints
D) Knee joints
E) Radiocarpal joints
C) Distal interphalangeal (DIP) joints
What side effect is NOT characteristic of the antirheumatic biological treatment? A) Bone marrow depression B) Elevated liver enzymes C) Growing joint complaints D) Allergic skin reaction E) Latent tuberculosis flare-up
C) Growing joint complaints
Symptoms of sarcoidosis, EXCEPT: A) Granulomatous systemic process B) Bilateral hilaris lymphadenopathy C) Erythema nodosum D) Arthritis E) Polychondritis
E) Polychondritis
What subgroup of juvenile idiopathic arthritis is characterized primarily by rheumatoid factor positivity? A) Polyarthritis B) Systemic form C) Oligoarthritis D) Enthesopathic arthritis E) Psoriatic arthritis
A) Polyarthritis
NOT a symptom of Scheuermann’s disease:
A) Dorsal hyperkyphosis
B) Forwardly wedge-shaped vertebrae formation
C) Uneven vertebrae closing plates
D) Moderate back pain of teenagers
E) Association of avascular necrosis of femoral head
E) Association of avascular necrosis of femoral head
Avascular necrosis of femoral head is characteristic to another juvenile osteochondritis, Perthes’ disease.
It does NOT belong to seronegative spondyloarthritis: A) Ankylosing spondylitis B) Reactive arthritis C) Enteropathic arthritis D) Polymyalgia rheumatica E) Psoriatic arthritis
D) Polymyalgia rheumatica
NOT characteristic of ankylosing spondylitis:
A) Elevated erythrocyte sedimentation rate
B) Low back pain worsens after activity, improves after rest
C) Low back pain worsens during early morning rest, improves with activity
D) Early bilateral sacroiliitis
E) Syndesmophytes on spinal X-ray
B) Low back pain worsens after activity, improves after rest
Inflammatory spinal pain typical to Bechterew’s disease increases in rest, relieves with motion, oppositely to degenerative back pain which increased after motion.
Characteristics of joint processes associated with inflammatory bowel diseases (IBD), EXCEPT
A) Especially lower extremities oligoarthritis
B) Spondarthritis of the spine
C) Effectiveness of infliximab therapy
D) Effectiveness of sulfasalazine therapy
E) Effectiveness of methotrexate therapy
E) Effectiveness of methotrexate therapy
Which pathogen causes Lyme disease? A) Campylobacter jejuni B) Klebsiella pneumoniae C) Borrelia burgdorferi D) Coxsackie virus E) Epstein-Barr virus
C) Borrelia burgdorferi
What symptom group is NOT characteristic of Lyme disease? A) Erythema migrans B) Arthralgia - Arthritis C) Neurological lesions D) Cardiac changes E) Severe gastrointestinal symptoms
E) Severe gastrointestinal symptoms
Which medicine is NOT effective for treating an acute gout attack?
A) Allopurinol
B) Corticosteroid
C) Colchicine
D) Non-steroidal anti-inflammatory drugs
E) TNF-α inhibiting biological agents
A) Allopurinol
What is the absolute classification criteria for gout diagnosis?
A) Detection of synovial monosodium monohydrate crystals
B) Uric acid nephrolithiasis
C) Occurrence of acute flares of gouty arthritis
D) The presence of tophuses
E) Hyperuricemia
A) Detection of synovial monosodium monohydrate crystals
