Spondyloarthropathies

  Basic Physician Training MCQs
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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

 

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  • About
  • Written
    • Respiratory Medicine
    • Medical Oncology >
      • Colorectal Cancer
      • Lung Cancer
      • Urogenital Cancers
      • Emergencies
      • Melanoma
      • Breast
    • Haematology >
      • Anaemia
      • Coagulation
      • Malignancy
    • Cardiology >
      • General Cardiology
      • Coronary Artery Disease
      • Heart Failure
      • Valvular Heart Disease
      • Arrhythmia
    • Endocrinology >
      • General Endocrinology
      • Reproduction
      • Pituitary
      • Diabetes
    • Clinical Immunology
    • Clinical Toxicology
    • Genetics
    • Geriatrics
    • General Medicine
    • Statistics
    • Gastroenterology >
      • Pancreas
      • Inflammatory Bowel Disease
      • Oesophageal Diseases
      • Stomach and Small Intestine
      • Liver
    • Infectious Diseases >
      • Viruses
      • Bacteria
      • Parasites
      • Fungus
    • Neurology >
      • Anatomy
      • Nystagmus
      • Myopathies
      • Stroke
      • Neurodegenerative Disorders
      • Neuropathy
    • Nephrology >
      • Glomerulonephritis
      • General Nephrology
      • Chronic Kidney Disease
    • Psychiatry
    • Palliative Care
    • Pharmacology
    • Rheumatology >
      • Rheumatoid Arthritis
      • Connective Tissue Diseases
      • Spondyloarthropathies
      • Crystal Arthropathy
  • Clinical
    • Short Cases >
      • Haematology
      • Endocrine
      • Neurology
      • Rheumatology
      • Renal
      • Gastroenterology
      • Cardiology
      • Respiratory
    • Long Cases >
      • Addiction & Psychiatry
      • Cardiology
      • Endocrinology
      • Geriatrics
      • Gastroenterology
      • Renal
      • Haematology
      • Infectious Diseases
      • Oncology
      • Rheumatology
      • Respiratory
      • Neurology
      • Set pieces
  • Medical Students
  • Respiratory
    • Asthma >
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