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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?

Osteoarthritis Signup and view all the answers

What is the general etiology of Charcot joint?

Nerve damage with sensory deficit Signup and view all the answers

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

Degenerative joint disease or fractures 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?

Excessive joint loading Signup and view all the answers

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

Daily high spiking fever Signup and view all the answers

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

MCP, PIP joints in hands, wrists Signup and view all the answers

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

Splenomegaly Signup and view all the answers

What is the initial pharmacologic treatment recommended for rheumatoid arthritis?

Oral NSAIDs, Acetaminophen Signup and view all the answers

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

Weight loss Signup and view all the answers

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

> 3 joint involvement, > 6 weeks + RF or anti-citrullinated peptide Ab t ESR/CRP Signup and view all the answers

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

> 1 hour morning stiffness, improving with activity Signup and view all the answers

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

Rheumatoid nodules on skin Signup and view all the answers

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

Total joint replacement Signup and view all the answers