a) Atlanto -axial subluxation.
b) Bone cyst formation.
c) Juxta-ordicular osteopenia.
d) Calcification of the spinal ligament.
e) Poriarticular bone erosion.
2. Pulmonary findings in rheumatoid arthritis.
a) Fibrosing alveolitis.
b) Pleural effusion.
c) Caplan syndrome.
d) Bronchoalveolar carcinoma.
e) Chronic Obstructive Pulmonary Disease
3. Regarding Rheumatoid arthritis.
a) Back ache is a common presentation.
b) DIP joints are involved.
c) Erethyma of the affected joints predominates.
d) May present with pyramidal signs.
e) Pleural effusions with high glucose content.
4. Characteristic features of rheumatoid arthritis.
a) Plantar fasciitis.
b) Atlanto-axial subluxation.
c) Scleritis.
d) Subcutaneous nodules.
e) Involvement of DIP joint.
5. Characteristic features of rheumatoid arthritis.
a) Asymmetrical arthritis.
b) Morning stiffness.
c) Male predominance.
d) Onset after 60 years.
e) Involvement of thoracolumbar spine.
6. In a patient with polyarthritis, the diagnosis is more likely to be rheumatoid arthritis than OA in the presence of.
a) Elevated ESR.
b) Symmetrical involvement of PIPjoints.
c) Involvement of temporo mandibular joints.
d) Presence of rheumatoid factor.
e) Symptomatic response to steroids.
7. Following statements about infective arthritis are true.
a) The onset is typically insidious.
b) Pre existing arthritis is a recognized predisposing factor.
c) Small peripheral joints are involved more commonly than larger joints.
d) H-influenzae is the commonest organism in adult patients.
e) Joint aspiration should be avoided due to risk of septicaemia.
8. In psoritic arthritis
a) DIP are involved.
b) Sacroilitis.
c) Oligoarthritis.
d) Arthritis mutilans.
e) Bamboo spine.
9. Clues for the cause of arthritis
a) Scaly lesions over extensors of knee
b) History of dysentery
10. A 50 year old lady presented with two weeks of right knee joint pain and swelling. Which of the following favours a diagnosis of osteoarthritis?
a) ESR 100/1st hour
b) pain on walking
c) history of trauma to knee joint
d) loss of joint space
e) .Neutrophil count over 10000
11. Polyarthragia is a common presenting complain in
a) Rubella
b) Depression
c) tuberculosis
d) Hypothyroidism
e) Chickungunya
12. Joint erosions seen in
a) Osteoarthritis
b) Psoriatic arthritis
c) Gout
d) SLE
e) Rheumatoid arthritis
13. Recognized causes of osteoporosis are,
a) Cushing's syndrome
b) Acromegaly
c) Long term steroid use
d) Early menopause
e) Acute renal failure
14. Tram line calcification in a skull x-ray can be seen in,
a) Thalassaemia
b) Tuberous sclerosis
c) Rickets
d) Sturge weber syndrome
e) Congenital toxoplasmosis
15. 56 yr old man presented with tender swollen 1 metatarsophalangeal joint. He was on frusemide for ankle oedema. Investigation revealed Hb-10.1g/dl, WBC-19,000; ESR -95 , S.cr-3.42. what is the most likely diagnosis,
a) Gouty arthropathy
b) cellulitis
c) TB arthropathy
d) Rheumatoid arthritis
e) Septic arthritis
16. A 41 year old male presents with pain and swelling in left knee for 3 days. He was a hypertensive patient started on HCT and amilodipine recently. On examination, knee joint is tender, warm and swollen, What is the appropriate investigation to get specific. diagnosis?
a) ESR
b) FBC
c) Joint aspiration
d) Rheumatic factor
e) X-ray knee joint
17. T/F
a) Duchenne's muscular dystrophy present at birth as a floppy baby
b) Dystrophiamyotonica patients can develop baldness & cataract
c) Patient with Duchenne's muscular dystrophy live longer than beckers
d) Cardiomyopathy is a recognized complication of Duchenne's muscular dystrophy
e) Chromosomal studies are needed for the diagnosis of Duchenne's muscular dystrophy
18. T/F regarding Duchenne's muscular dystrophy,
a) X linked recessive disorder
b) Has low level of dystrophin
c) Has good prognosis
d) Associated with learning difficulties
e) Serum creatine phosphokinase is elevated
Answers
01. a) T b) F c) T d) - e) T
02. a) T b) T c) T d) F
03. a) F b) F c) T d) T e) -
04. a) F b) T c) T d) T
05. a) F b) T c) F d) F e) F
06. a) T b) T c) F d) T e) F
07. a) T b) T c) F d) F e) F
08. a) T b) F c) T d) T e) F
09. a) T b) T
10. b
11. N/A
12. a) T b) T c) T d) F e) T
13. a) T b) F c) T d) T e F
14. d
15. a
16. c
17. a) F b) T c) F d) T e) F
18. a) T b) T c) F d) T e) T
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