Q7. Which of the following antibodies characterizes rheumatoid factor?
A
B
C
D
E
Thursday, December 2, 2021
Clinical Case MCQs: Joint pain
Q5. Which of the following blood tests is most sensitive for the diagnosis of the condition shown in the image?
a. Anti double stranded DNA
b. Anti Anticentromere antibody
c. Lupus anticoagulant
d. Anti cyclic citrullinated peptide
e. Rheumatoid factor
f. Anti-Smith
Clinical Case MCQs: Joint pain & fever
Q4. You decide to send blood work in the patient in Q1. Which of the following labs may not be useful in her evaluation?
a. Serology for viral hepatitis
b. ESR
c. CRP
d. Complete blood count
e. Rheumatoid factor
f. Antinuclear antibody assay
Wednesday, December 1, 2021
Clinical Case: Joint pain & fever
Q2. Her sister who has accompanied her also reveals presence of similar symptoms including inability to use her fingers. You quickly notice the sister’s finger deformity which you recognize it to be?
a. Trigger finger
b. Swan neck deformity
c. Boutonniere deformity
d. Mallet finger
e. Jersey finger
Clinical Case: Joint pain & Fever
Q1. A 33 yo Caucasian female presents with chief complaints of pain, fever, and swelling in multiple joints that make it difficult to type, lift or carry any items for the past 7 months. She has been experiencing morning stiffness and even tying shoe laces or buttoning her clothes is difficult. She has not been feeling well for several years and had used OTC medications for pain relief. She denies a rash, and has no allergies. The exam of her hands is shown below. Your immediate impression is that she has?
a. Osteoarthritis
b. Lupus
c. Psoriasis
d. Ankylosing spondylitis
e. Rheumatoid arthritis
f. Lyme disease
g. Sickle cell disease
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