Clinical oriented discussion on Rheumatology

Discussion on Rheumatology

1. Q. Spot diagnosis is?
a.Gouty arthritis
b.Osteoarthritis
c.Psoriatic arthritis
d.Rheumatoid arthritis

3. Q.Youngladypresentswithcomplaintsofdiscolorationofskinof
uppereyelidsanddifficultyinclimbingstairs.Shehasfeveroffand
onwithskintighteningandcontracturesinbothhands.CKMMis
elevated,andmusclebiopsyshowsperimysialatrophy.Diagnosis
is?
a.Polymyositis
b.Mixed connective tissue disorder
c.Scleroderma
d.Overlap Syndrome

5. Q.Youngladypresentswithcomplaintsofdiscolorationof
fingertipsoncoldexposure.Shehasfeveroffandonandhas
pinkmalarrashwithtendernessoncervicalspine
examination.Handsarepuffyandhascontractures.ANAand
U1RNPispositive.Diagnosisis?
a.SLE
b.MCTD
c.Scleroderma
d.Overlap Syndrome

6. Q. Which of the following clinical criteria has maximum
weightage for diagnosis of SLE?
a.Lupus nephritis
b.Photosensitivity
c.Malar rash
d.Autoimmune hemolytic anemia

8. Q. Which of the following is the leading presentation of
Takayasu Arteritis?
a.Arm claudication
b.Renal artery stenosis
c.Livedo reticularis
d.Digital ulcers

9. Signs and symptoms
Approximately 10% of patients with Takayasu arteritis are
asymptomatic. Clinical manifestations are heterogeneous and
include the following:
•Systemic (eg, malaise, arthralgias, fever) – May precede clinical
vascular involvement
•Cardiac and vascular (eg, bruit, especially carotid; blood
pressure difference of extremities, claudication, hypertension)
•Neurologic (eg, headache, visual disturbance)
•Dermatologic (eg, erythema nodosum)

11. Q. Which of the following is not a feature of SLE?
a.Serositis
b.Malar Flush
c.Myelitis
d.Leukopenia

13. Q. Most common presentation of SLE is
a.Mucocutaneous
b.Neuropsychiatric
c.Constitutional
d.Musculoskeletal

16. Q. Leading cardiac presentation of SLE?
a.Libman Sacks endocarditis
b.Accelerated atherosclerosis
c.Pericarditis
d.Arrythmia

18. Q. Which is not a feature of Takayasu arteritis?
a.Pan arteritis
b.Stenotic lesions
c.Aneurysms
d.Carotid artery dissection

20. Q. A child presents with blotchy rash on legs, back and
buttocks. All are true about the conditions; except:
a.Crops of palpable purpura
b.Small vessel vasculitis
c.Nephritis
d.Low platelets

21. Q. Hemorrhagic synovial fluid on joint aspiration is seen in
a.Gout
b.TB
c.RA
d.Reactive arthritis

23. Q. All are correct about Gouty arthritis except?
a.More common in females than males
b.Alcohol decreases renal excretion of uric acid
c.Lead exposure increases uric acid levels
d.Common site of Tophi is pinna

24. Q. Which of the following is correct about RA factor?
a.IgM directed against Fc region of IgG
b.IgG directed against Fc region of Ig M
c.Most accurate test for diagnosis of rheumatic arthritis
d.90% sensitivity for diagnosis of Rheumatic arthritis

29. Q. Dilute Russel venom time test is used for demonstrating
presence of?
a.Lupus anticoagulant
b.U1 RNP antibody
c.Ribosomal P antibody
d.Beta 2 microglobulin antibody