Question 1

This condition often occurs in small joints, erodes cartilage, bone, ligaments, and tendons and has symptoms of joint tenderness and pain, nodules, sclerotic thinning.

Accepted Answer

Rheumatoid Arthritis

Question 2

A patient c/o muscle weakness that has progressed over the last few months, and has difficulty going to her upstairs bedroom.  While speaking of her sx she becomes dyspneic. What lab finding is likely

Accepted Answer

Elevated creatinine kinase

Question 3

A 35 y/o female comes into the clinic to have a Schirmer test performed due to an autoimmune-mediated illness. Her labs showed mild anemia, leukopenia, + RF & ANA. What dx is she at risk for?

Accepted Answer

Lymphoma

Question 4

This arthitis often presents with 1-4 days of myalgia in the wrist, knee, ankle or elbow at onset, followed by either tenosynovitis or purulent inflammation followed by fever and necrotic leisions:

Accepted Answer

Gonococcal Arthritis

Question 5

A pregnant patient with Antiphospholipid Syndrome should be prescribed what therapy to avoid Catastrophic Antiphospholipid Syndrome?

Accepted Answer

Heparin

Question 6

Your patient is diagnosed with a limited form of systemic sclerosis with skin thickening confined to the face, neck and extremities. What other exam findings are likely present?

Accepted Answer

Calcinosis, Reynaud's & Telangiectasias

Question 7

A 39 y/o patient presents with the second consecutive respiratory infection in one month. Labs were (+) for protienuria with red blood cell casts. What diagnostic test must be done to diagnose this?

Accepted Answer

Tissue Biopsy

Question 8

How is the condition that causes vasculitis of the aorta with carotidynia and bruis over the carotid and subclavian arteries diagnosed?

Accepted Answer

MRI or CT Angiography

Question 9

Jaw claudication, a risk of permanant blindness, and asymmetric pulses are all common traits of which of the following conditions?

Accepted Answer

Giant Cell Arteritis

Question 10

A necrotizing vasculitic neuropathy that impacts medium sized vessels, spares the lungs and is caused by Hepatitis B will present with what physical symptoms?

Accepted Answer

Pain in the extremities and livedo reticularis

Question 11

A patient with a prosthetic limb that feels excessive groin pain that increases with walking more than likely is infected with what pathogen that causes hematogenous seeding of the joint?

Accepted Answer

S. Aureus

Question 12

A 35-year-old patient came to you clinic because he said hes unable to put his coat on without pain or weakness in his shoulder & pelvic pain as he stands. What condition is most likely present?

Accepted Answer

Polymyalgia Rhuematica

Question 13

Which bacterial infections occur prior to reactive arthritis ?

Accepted Answer

Trachomatis & Shigella

Question 14

A patient previously treated for  sharply demarcated, scaly, erythematous plaques complains of swelling in the DIP joints of his right hand. What radiologic finding will be present for this patient?

Accepted Answer

Pencil-in-cup deformity and osteolysis

Question 15

A 50 year old man complains of lower back pain and stiffness that is worse in the morning and IMPROVES with activity. On PE, his ROM is limited.  Name the hallmark for this condtion.

Accepted Answer

Enthesopathy - This condition (Ankylosing Spondylitis) has a hallmark characterized by swelling at the achillies tendon, plantar fascitis, and "sausage swelling of the fingers and toes" also known as Enthesopathy . (22-31)

Question 16

A radiograph finding described as "punched out erosions with overhanging cortical bone" will use which medication to acutely relieve thier symptoms?

Accepted Answer

Colchicine

Question 17

A 35 y/o patient presents with chronic pain and fatigue. All diagnostic tests were normal. On physical exam, what areas of the body would cause pain and confirm her diagnosis?

Accepted Answer

Trapezius, elbows, and knees - 22-44

Question 18

A patient with previous trauma to the neck visits her primary care provider complaining of numbness and pain bilaterally in the UE. What imaging is most useful for diagnosis?

Accepted Answer

CXR, MRI, Angiography - 22-45

Question 19

You are treating a patient with prominent heberden nodes in the DIP joints, and bouchard nodes at the PIP joints. What is the main cause of this patient's condtion

Accepted Answer

Degeneration of cartilage

Question 20

This condition, characterized by ipsilateral restriction of the shoulder leads to pain, swelling, and changes to the skin's temperature and color, and ultimately - atrophy.

Accepted Answer

Shoulder - Hand Syndrome - 22-46

Rheumatoid Trivia

2) A patient c/o muscle weakness that has progressed over the last few months, and has difficulty going to her upstairs bedroom. While speaking of her sx she becomes dyspneic. What lab finding is likely

3) A 35 y/o female comes into the clinic to have a Schirmer test performed due to an autoimmune-mediated illness. Her labs showed mild anemia, leukopenia, + RF & ANA. What dx is she at risk for?

4) This arthitis often presents with 1-4 days of myalgia in the wrist, knee, ankle or elbow at onset, followed by either tenosynovitis or purulent inflammation followed by fever and necrotic leisions:

5) A pregnant patient with Antiphospholipid Syndrome should be prescribed what therapy to avoid Catastrophic Antiphospholipid Syndrome?

6) Your patient is diagnosed with a limited form of systemic sclerosis with skin thickening confined to the face, neck and extremities. What other exam findings are likely present?

7) A 39 y/o patient presents with the second consecutive respiratory infection in one month. Labs were (+) for protienuria with red blood cell casts. What diagnostic test must be done to diagnose this?

8) How is the condition that causes vasculitis of the aorta with carotidynia and bruis over the carotid and subclavian arteries diagnosed?

9) Jaw claudication, a risk of permanant blindness, and asymmetric pulses are all common traits of which of the following conditions?

10) A necrotizing vasculitic neuropathy that impacts medium sized vessels, spares the lungs and is caused by Hepatitis B will present with what physical symptoms?

11) A patient with a prosthetic limb that feels excessive groin pain that increases with walking more than likely is infected with what pathogen that causes hematogenous seeding of the joint?

12) A 35-year-old patient came to you clinic because he said hes unable to put his coat on without pain or weakness in his shoulder & pelvic pain as he stands. What condition is most likely present?

13) Which bacterial infections occur prior to reactive arthritis ?

14) A patient previously treated for sharply demarcated, scaly, erythematous plaques complains of swelling in the DIP joints of his right hand. What radiologic finding will be present for this patient?

15) A 50 year old man complains of lower back pain and stiffness that is worse in the morning and IMPROVES with activity. On PE, his ROM is limited. Name the hallmark for this condtion.

16) A radiograph finding described as "punched out erosions with overhanging cortical bone" will use which medication to acutely relieve thier symptoms?

17) A 35 y/o patient presents with chronic pain and fatigue. All diagnostic tests were normal. On physical exam, what areas of the body would cause pain and confirm her diagnosis?

18) A patient with previous trauma to the neck visits her primary care provider complaining of numbness and pain bilaterally in the UE. What imaging is most useful for diagnosis?

19) You are treating a patient with prominent heberden nodes in the DIP joints, and bouchard nodes at the PIP joints. What is the main cause of this patient's condtion

20) This condition, characterized by ipsilateral restriction of the shoulder leads to pain, swelling, and changes to the skin's temperature and color, and ultimately - atrophy.