2023-24 ED+PD Rheumatology Summer Exam PDF

2023-24 ED+PD Rheumatology Summer Exam 2.Identify the rheumatic disease in which anterior uveitis (including iritis and cyclitis) most frequently occurs: A. Systemic lupus erythematosus (SLE) B. Ankylosing spondylitis C. Sjögren's syndrome D. Polymyalgia rheumatica E. Rheumatoid arthritis 3. Which...

2023-24 ED+PD Rheumatology Summer Exam 2.Identify the rheumatic disease in which anterior uveitis (including iritis and cyclitis) most frequently occurs: A. Systemic lupus erythematosus (SLE) B. Ankylosing spondylitis C. Sjögren's syndrome D. Polymyalgia rheumatica E. Rheumatoid arthritis 3. Which category is not included in the ACR/EULAR 2010 classification criteria for rheumatoid arthritis? A. Symmetrical joint inflammation B. Morning stiffness lasting > 1 hour C. Immunological tests (RF, IgM, anti-CCP) D. Acute phase reactants (ESR, CRP) E. Duration of symptoms for at least 6 weeks 4. Dactylitis (swelling, redness, and pain of an entire finger, resembling a sausage) is included in the classification criteria for: A. Rheumatoid arthritis B. Still's disease C. Gout D. Psoriatic arthritis E. Osteoarthritis 5. Which of the following statements best describes osteoporosis: A. Linked to excessive calcium and/or vitamin D intake B. Affects only postmenopausal women C. Characterized by reduced bone mineral density D. Characterized by reduced bone quality and increased fracture risk E. Correct answers: C and D 6. Select the set of abnormal laboratory findings most typical for systemic lupus erythematosus: Lymphopenia Eosinophilia Leukocytosis Thrombocytopenia Hyperuricemia Reduced complement components A. 1,4,6 B. 1,2,3 C. 1 D. 3,4,5 E. All of the above 7.Which statements about dermatomyositis are false: 1 EMG shows signs of neurogenic muscle damage 2 Manifests with muscle weakness in shoulder, pelvic girdles, neck, and back 3 Typical skin changes include heliotrope rash and microstomia 4 Specific antibodies include anti-topoisomerase I 5 May present with holster sign 1,2,3 1 1,3,4 All 1, 4,5 8. The first-line drug for interrupting an acute gout attack is: A. Acetylsalicylic acid B. Febuxostat C. Colchicine D. Allopurinol E. Intravenous glucocorticoid 9. Pulmonary involvement can be expected in a patient with: A. Granulomatosis with polyangiitis B. Microscopic polyangiitis C. Giant cell arteritis D. Correct answers: A and B E. Correct answers: A, B, and C?? 10. Positive HLA-Cw6 antigen is found in the following diseases: A. Seronegative spondyloarthropathy B. Ankylosing spondylitis C. Psoriatic arthritis and psoriasis (other 2 I don’t remember) 11.Involvement of the auditory system can be expected in a patient with: Granulomatosis with polyangiitis Systemic sclerosis Systemic lupus erythematosus Dermatomyositis Polymyositis 12. Which additional test result is included in the modified New York diagnostic criteria for ankylosing spondylitis: X-ray of hands and feet X-ray of the spine MRI of sacroiliac joints X-ray of sacroiliac joints All of the above 13. Identify the symptom that is not characteristic of psoriatic arthritis: Sausage fingers (dactylitis) Psoriasis Swelling of distal interphalangeal joints Enthesopathies Heliotropic erythema 14. Radiographic findings of joint space narrowing, subchondral sclerosis, and osteophytes in the proximal and distal interphalangeal joints are suggestive of: Rheumatoid arthritis Early arthritis Psoriatic arthritis Osteoarthritis Gout 15. A histopathological examination of minor salivary glands showing 2 foci of lymphocytic infiltration (>50 lymphocytes per 4 mm²) indicates a diagnosis of: Systemic lupus erythematosus Polymyositis Sjögren's syndrome SAPHO syndrome Scheuermann's disease 16. Identify the most specific autoantibodies for limited systemic sclerosis: Anti-Scl 70 Anti-Sm Anti-Jo-1 Anti-CENP None of the above 21. The criteria for diagnosing polymyalgia rheumatica do not include: A. pain in the shoulder and/or hip girdle B. accelerated ESR > 40 mm/h C. age > 50 years D. quick response to medium doses of prednisone (