Rheumatology Multiple Choice Questions PDF

## Multiple Choice Questions 1. The toxicity of the methotrexate can be prevented by? - Folinic acid 2. What is the most common musculoskeletal site of systemic lupus erythematosus involvement? - Hand 3. Podagra is gouty pain located in the: - Great toe 4. In a patient with a positive...

## Multiple Choice Questions 1. The toxicity of the methotrexate can be prevented by? - Folinic acid 2. What is the most common musculoskeletal site of systemic lupus erythematosus involvement? - Hand 3. Podagra is gouty pain located in the: - Great toe 4. In a patient with a positive ANA, which of the following antibodies can be used to confirm the diagnosis of drug-induced lupus? - Anti-U1 snRNP 5. What medical disorder is characterized by intermittent bilateral attacks of pain in the hands and fingers, pallor, paresthesias, and worsening of symptoms in cold weather? - Raynaud syndrome 6. In an otherwise healthy adult patient with no history of trauma which of the following is the most important tool to evaluate an acutely swollen knee? - Diagnostic arthrocentesis 7. Myopathy often causes proximal muscle weakness. Select the activity that would be first to be impaired with this condition. - Putting on a shirt 8. An 18 year old female presents with complaint of wrist and knee pain and oral ulcers for 2 months, now with shortness of breath; on cardiac exam she has a rub and labs reveal a low haemoglobin, haematocrit and platelet count; he diagnosis? - Systemic lupus erythematosus 9. Corticosteroids are NOT associated with which of the following? - Hypoglycemia 10. What diagnostic test should be ordered in a case of suspected dermatomyositis? - CPK 11. What is the best initial treatment in temporal arteritis to prevent blindness? - Steroids 12. What is the best method to diagnose osteoporosis? - DEXA scan 13. Which of the following is not a secondary cause of osteoarthritis? - Hyperthyroidism 14. What medication inhibits dihydrofolate reductase? - Methotrexate 15. Headaches are associated with Raynaud phenomenon in which of the following conditions? - Systemic lupus erythematosus 16. Which problem below is NOT associated with long term NSAID usage? - Ototoxicity 17. In a patient with positive ANA, which of the following would be used to confirm drug induced lupus? - Anti-centromeres 18. Which is least likely to prevent osteoporosis? - Corticosteroids 19. Which is the least appropriate way to take oral nonsteroidal anti-inflammatory drugs (NSAIDs)? - With alcohol 20. Which of the following auto-antibodies may have a role in monitoring disease activity? - Anti-dsDNA antibodies in SLE 21. A 69-year-old woman taking hydralazine for hypertension presents with joint pain and chest pain. On cardiac examination, the patient has a pericardial rub. What is the diagnosis? - SLE ## True or False Questions 22. **True** - Prednisolone and intravenous cyclophosphamide are the best treatment regime for a 25-year-old lady with known SLE who presents with nephrotic syndrome and a renal biopsy confirming diffuse proliferative glomerulonephritis 23. **True** - Anti-histone is characteristic of a 33-year-old female presenting with muscle pain and swelling of joints, who also complains of joint pain and has hypertension treated with hydralazine and propranolol. 24. **True** - All of the following are early signs and symptoms of rheumatoid arthritis: morning stiffness, joint swelling, and fatigue 25. **True** - Rheumatoid arthritis is different from some other forms of arthritis because it affects the right and left side of the body symmetrically. 26. **True** - Women are more likely to experience severe Rheumatoid arthritis. 27. **True** - People with rheumatoid arthritis experience the most stiffness at night. 28. **True** - Rheumatology involves the study of arthritis and other musculoskeletal disorders. 29. **False** - Surgery is not the only way to treat rheumatoid arthritis. 30. **False** - Rheumatoid arthritis can not be cured, but it can be managed.