Question 1
Distal interphalyngeal joint involvement with onycholysis/ nail pitting is a characteristic feature of psoriatic arthropathy. Which of the following Is NOT a feature of psoriatic arthropathy?
(A) Peripheral small joint arthropathy in similar distribution to rheumatoid arthritis
(B) Acute monoarthritis
(C) Large joint oligoarthritis
(D) Axial predominant arthritis
(E) Arthritis mutilans
B
Question 2
Where are syndesmophytes most likely to be found in the sero negative spondyloarthropathies?
(A) Cervical redion
(B) thoraco-cervical
(C) Thoracic
(D) Thoraco-lumbar
(E) Lumbar
D: N Engl J Med 1970; 282:606-610
Question 3
A 24 year old male with recently diagnosed ankylosing spondylitis requests scripts for infliximab. In addition to doing the required infectious disease screening for the patient, what criterion need to be satisfied prior to PBS approval?
(A) HLA-B27+ status
(B) Hypocomplementaemia
(C) Bone marrow oedema demonstrating early sacro-ilitis
(D) Anterior uveitis, aortitis, and apical fibrosis
(E) Grade 3 or 4 radiologically confirmed sacroilitis
E: The PBS requirements include confirmed grade 3 or 4 sacroilitis AND phenotypic AS AND failed to respond to 2 trials of NSAIDS and physical therapy over a 3 month period. Pbs.gov.au
Distal interphalyngeal joint involvement with onycholysis/ nail pitting is a characteristic feature of psoriatic arthropathy. Which of the following Is NOT a feature of psoriatic arthropathy?
(A) Peripheral small joint arthropathy in similar distribution to rheumatoid arthritis
(B) Acute monoarthritis
(C) Large joint oligoarthritis
(D) Axial predominant arthritis
(E) Arthritis mutilans
B
Question 2
Where are syndesmophytes most likely to be found in the sero negative spondyloarthropathies?
(A) Cervical redion
(B) thoraco-cervical
(C) Thoracic
(D) Thoraco-lumbar
(E) Lumbar
D: N Engl J Med 1970; 282:606-610
Question 3
A 24 year old male with recently diagnosed ankylosing spondylitis requests scripts for infliximab. In addition to doing the required infectious disease screening for the patient, what criterion need to be satisfied prior to PBS approval?
(A) HLA-B27+ status
(B) Hypocomplementaemia
(C) Bone marrow oedema demonstrating early sacro-ilitis
(D) Anterior uveitis, aortitis, and apical fibrosis
(E) Grade 3 or 4 radiologically confirmed sacroilitis
E: The PBS requirements include confirmed grade 3 or 4 sacroilitis AND phenotypic AS AND failed to respond to 2 trials of NSAIDS and physical therapy over a 3 month period. Pbs.gov.au
