Rheumatology and MSK Medicine Quiz
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Questions and Answers

Which of the following is a common cause of Charcot joint?

  • Osteoarthritis
  • Rheumatoid arthritis
  • Gout
  • Diabetic neuropathy (correct)

What is the characteristic presentation of Charcot joint?

  • Insidious onset of erythema and swelling of joint with lack of sensation (correct)
  • Chronic deformity of the joint
  • Sudden onset of joint pain and redness
  • Gradual onset of joint pain and stiffness

What is the first-line management for acute inflammation in Charcot joint?

  • Bracing to support the joint
  • Casting (off-loading) and immobilization (correct)
  • Physical therapy
  • Surgical intervention

Which of the following is NOT a common cause of Charcot joint?

<p>Osteoarthritis (C)</p> Signup and view all the answers

What is the general etiology of Charcot joint?

<p>Nerve damage with sensory deficit (A)</p> Signup and view all the answers

What is the characteristic finding on x-ray in Charcot joint?

<p>Degenerative joint disease or fractures (B)</p> Signup and view all the answers

Which of the following is a risk factor for the development of chronic inflammatory autoimmune arthritis involving the synovium?

<p>Excessive joint loading (B)</p> Signup and view all the answers

What is the clinical presentation typically seen in juvenile idiopathic arthritis (JIA) categorized as systemic?

<p>Daily high spiking fever (C)</p> Signup and view all the answers

What are the commonly affected joints early in the disease in rheumatoid arthritis?

<p>MCP, PIP joints in hands, wrists (C)</p> Signup and view all the answers

What is a characteristic feature of Felty's syndrome associated with rheumatoid arthritis?

<p>Splenomegaly (C)</p> Signup and view all the answers

What is the initial pharmacologic treatment recommended for rheumatoid arthritis?

<p>Oral NSAIDs, Acetaminophen (A)</p> Signup and view all the answers

Which nonpharmacologic treatment is recommended as part of the initial management for rheumatoid arthritis?

<p>Weight loss (C)</p> Signup and view all the answers

What is the gold standard for diagnosing juvenile idiopathic arthritis (JIA)?

<p>&gt; 3 joint involvement, &gt; 6 weeks + RF or anti-citrullinated peptide Ab t ESR/CRP (D)</p> Signup and view all the answers

What is the characteristic feature of cervical instability associated with rheumatoid arthritis?

<p>&gt; 1 hour morning stiffness, improving with activity (A)</p> Signup and view all the answers

Which of the following falls under extra-articular manifestations in rheumatoid arthritis?

<p>Rheumatoid nodules on skin (D)</p> Signup and view all the answers

Which of the following is not a nonpharmacologic initial treatment for rheumatoid arthritis?

<p>Total joint replacement (C)</p> Signup and view all the answers

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