World Arthritis Day: MCQ Challenge

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World Arthritis Day: MCQ Challenge

M3 India Newsdesk Oct 12, 2023

Take this MCQ challenge to test your knowledge of rheumatoid arthritis and osteoarthritis. This quiz will help you analyse the features and management providing quick assessment tips that will help in your practice.

Arthritis : MCQ Challenge

In patients with early rheumatoid arthritis, which of the following is true?

Shoulders and hips are commonly involved at disease onset
Morning stiffness is generally short
The squeeze-test is a very sensitive technique to detect an early synovitis of MTP joints
Rheumatoid factor and anti-citrullinated protein antibodies are useful for the prognosis of RA

Which of the following statements is correct for RA-associated lung disease?

Pleural effusion specific for RA is usually a transudat
Methotrexate commonly causes a long-term chronic form of interstitial lung disease
Chest X-ray is a sensitive and specific method used to routinely screen for interstitial lung disease
Interstitial pneumonia is the most common type of interstitial lung disease seen in RA

Which of the following statements is false?

Boutonnière deformity describes a finger with flexion of the PIP joint and hyperextension of the DIP joint
Bouchard’s nodes of the PIP joints are a common finding
Swan-neck deformity describes hyperextension of the PIP joint and flexion of the DIP joint
RA patients demonstrate ulnar deviation at the MCP and wrist joints, in addition to volar subluxation

A 56-year-old woman presents with a three-month history of pain in MCP, and PIP joints bilaterally together with fatigue and morning stiffness. She is seropositive for rheumatoid factor and ACPA. Which is the best approach to her initial management based on the current evidence?

Hydroxychloroquine should be prescribed in patients with contraindication to Methotrexate
Methotrexate should be commenced immediately with or without short-term corticosteroids, in low dose or high dose quickly tapered
High dose corticosteroids should be given by the oral route for one month at which point the patient can be reviewed to determine whether a DMARD is required
Paracetamol and a non-steroidal anti-inflammatory drug should be offered with review three months later to evaluate progress

Which statement is true concerning the natural history of Osteoarthritis?

Fast destruction of osteoarthritic joints can occur; this form of rapid destructive arthropathy is especially seen in the knee
The indication for total joint replacement is the end point of the natural history of knee and hip OA and therefore very suitable as an outcome measure in clinical trials
Patients do not always experience aggravation of symptoms over time
Radiographic progression is accompanied by aggravation of symptoms

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