Question 1

Which of the following arthritides is associated with nonerosive, reversible joint deformities of the hands and feet?

Accepted Answer

A)  Osteoarthritis 
B)  Jaccoud's arthritis 
C)  Rheumatoid arthritis 
D)  Ankylosing spondylitis 
A)  Osteoarthritis 
B)  Jaccoud's arthritis 
C)  Rheumatoid arthritis 
D)  Ankylosing spondylitis

Question 2

All of the following are common presentations of calcium dehydrate (CPPD) crystal disease except __________.

Accepted Answer

A)  chondrocalcinosis 
B)  pyrophosphate arthropathy 
C)  pseudogout 
D)  telangiectasia 
A)  chondrocalcinosis 
B)  pyrophosphate arthropathy 
C)  pseudogout 
D)  telangiectasia

Question 3

How is hemochromatosis treated?

Accepted Answer

A)  NSAIDs 
B)  Corticosteroids 
C)  Phlebotomy 
D)  Joint aspiration 
A)  NSAIDs 
B)  Corticosteroids 
C)  Phlebotomy 
D)  Joint aspiration

Question 4

Radiographic features of ankylosing spondylitis include all of the following except __________.

Accepted Answer

A)  central joint erosions 
B)  Romanus lesions 
C)  shiny corner sign 
D)  syndesmophytes 
A)  central joint erosions 
B)  Romanus lesions 
C)  shiny corner sign 
D)  syndesmophytes

Question 5

Vacuum phenomena and Schmorl's nodes are radiographic features of __________.

Accepted Answer

A)  spondylosis 
B)  degenerative joint disease 
C)  diffuse idiopathic skeletal hyperostosis 
D)  spinal stenosis 
A)  spondylosis 
B)  degenerative joint disease 
C)  diffuse idiopathic skeletal hyperostosis 
D)  spinal stenosis

Question 6

Spinal fusion associated with ankylosing spondylitis is often associated with dystrophic calcification in which structure?

Accepted Answer

A)  Ligamentum nuchae 
B)  Ligamentum flavum 
C)  Intervertebral disc 
D)  Interspinous ligament 
A)  Ligamentum nuchae 
B)  Ligamentum flavum 
C)  Intervertebral disc 
D)  Interspinous ligament

Question 7

Which of the following deformities is best described as hyperextension of the proximal interphalangeal joints with hyperflexion of the distal interphalangeal joints?

Accepted Answer

A)  Swan-neck 
B)  En boutonniere 
C)  Zigzag 
D)  Mallet finger 
A)  Swan-neck 
B)  En boutonniere 
C)  Zigzag 
D)  Mallet finger

Question 8

Which of the following conditions typically spares the metacarpophalangeal and proximal interphalangeal joints?

Accepted Answer

A)  Systemic lupus erythematosus 
B)  Polymyositis 
C)  Reiter's syndrome 
D)  Rheumatoid arthritis 
A)  Systemic lupus erythematosus 
B)  Polymyositis 
C)  Reiter's syndrome 
D)  Rheumatoid arthritis

Question 9

What type of rash, associated with polymyositis, presents as a bluish-purplish discoloration on the upper eyelids?

Accepted Answer

A)  Heliotrope 
B)  Erythematous 
C)  Gottron 
D)  Murray valley 
A)  Heliotrope 
B)  Erythematous 
C)  Gottron 
D)  Murray valley

Question 10

The posture most commonly associated with neurogenic claudication can best be described as a combination of ___________.

Accepted Answer

A)  trunk flexion, hip and knee extension 
B)  trunk, hip, and knee extension 
C)  trunk, hip, and knee flexion 
D)  trunk and knee flexion, hip extension 
A)  trunk flexion, hip and knee extension 
B)  trunk, hip, and knee extension 
C)  trunk, hip, and knee flexion 
D)  trunk and knee flexion, hip extension

Question 11

Which of the following statements is false regarding rheumatoid arthritis?

Accepted Answer

A)  Men are affected more than women. 
B)  Joint involvement is typically bilateral and symmetrical. 
C)  Primary sites include synovial tissues of the hands and feet. 
D)  The peak incidence occurs between 40 and 70 years of age. 
A)  Men are affected more than women. 
B)  Joint involvement is typically bilateral and symmetrical. 
C)  Primary sites include synovial tissues of the hands and feet. 
D)  The peak incidence occurs between 40 and 70 years of age.

Question 12

A patient presents with physical examination findings of nail pitting, skin lesions, and soft tissue swelling of an entire digit. Which arthritide is most likely?

Accepted Answer

A)  Enteropathic 
B)  Psoriatic 
C)  Reactive 
D)  Rheumatoid 
A)  Enteropathic 
B)  Psoriatic 
C)  Reactive 
D)  Rheumatoid

Question 13

A patient presents with nonerosive, reversible joint deformity of the digits of the hands. Which of the following diseases likely preceded this condition?

Accepted Answer

A)  Rheumatic fever 
B)  Rheumatoid arthritis 
C)  Chronic diabetes mellitus 
D)  Alcoholism 
A)  Rheumatic fever 
B)  Rheumatoid arthritis 
C)  Chronic diabetes mellitus 
D)  Alcoholism

Question 14

Which of the following best differentiates a seropositive from a seronegative arthropathy?

Accepted Answer

A)  Inflammation 
B)  Bilateral joint involvement 
C)  An increased ESR 
D)  Rheumatoid factor 
A)  Inflammation 
B)  Bilateral joint involvement 
C)  An increased ESR 
D)  Rheumatoid factor

Question 15

The most useful imaging modality for initial evaluation of arthropathy, partly because it is relatively inexpensive and rapidly obtained, is __________.

Accepted Answer

A)  magnetic resonance imaging 
B)  plain film radiography 
C)  computed tomography 
D)  scintigraphy 
A)  magnetic resonance imaging 
B)  plain film radiography 
C)  computed tomography 
D)  scintigraphy

Question 16

Which of the following types of acquired spinal stenosis would be best evaluated with contrast-enhanced MRI?

Accepted Answer

A)  Ossification of the posterior longitudinal ligament 
B)  Postsurgical 
C)  Spondylolisthesis 
D)  Metabolic 
A)  Ossification of the posterior longitudinal ligament 
B)  Postsurgical 
C)  Spondylolisthesis 
D)  Metabolic

Question 17

The progressive thickening of the skin from increased collagen deposits is characteristic of ___________.

Accepted Answer

A)  scleroderma 
B)  polymyositis 
C)  Jaccoud's arthropathy 
D)  systemic lupus erythematosus 
A)  scleroderma 
B)  polymyositis 
C)  Jaccoud's arthropathy 
D)  systemic lupus erythematosus

Question 18

Basic calcium phosphate crystals deposited in the periarticular soft tissues, especially the tendons, describes __________.

Accepted Answer

A)  CPPD 
B)  HADD 
C)  pseudogout 
D)  gout 
A)  CPPD 
B)  HADD 
C)  pseudogout 
D)  gout

Question 19

Which of the following arthritides is radiographically marked by ossification of the anterior longitudinal ligament with relative maintenance of intervertebral disc height, absence of posterior joint fusion, and lack of sacroiliac joint involvement?

Accepted Answer

A)  Diffuse idiopathic skeletal hyperostosis 
B)  Ankylosing spondylitis 
C)  Psoriatic spondylosis 
D)  Neuropathic arthropathy 
A)  Diffuse idiopathic skeletal hyperostosis 
B)  Ankylosing spondylitis 
C)  Psoriatic spondylosis 
D)  Neuropathic arthropathy

Question 20

Which of the following joints is classically the first to demonstrate erosive changes seen with ankylosing spondylitis?

Accepted Answer

A)  Intervertebral disc 
B)  Iliofemoral 
C)  Sacroiliac 
D)  Metacarpophalangeal 
A)  Intervertebral disc 
B)  Iliofemoral 
C)  Sacroiliac 
D)  Metacarpophalangeal

Exam 9: Arthritides

Which of the following arthritides is associated with nonerosive, reversible joint deformities of the hands and feet?

All of the following are common presentations of calcium dehydrate (CPPD) crystal disease except __________.

How is hemochromatosis treated?

Radiographic features of ankylosing spondylitis include all of the following except __________.

Vacuum phenomena and Schmorl's nodes are radiographic features of __________.

Spinal fusion associated with ankylosing spondylitis is often associated with dystrophic calcification in which structure?

Which of the following deformities is best described as hyperextension of the proximal interphalangeal joints with hyperflexion of the distal interphalangeal joints?

Which of the following conditions typically spares the metacarpophalangeal and proximal interphalangeal joints?

What type of rash, associated with polymyositis, presents as a bluish-purplish discoloration on the upper eyelids?

The posture most commonly associated with neurogenic claudication can best be described as a combination of ___________.

Which of the following statements is false regarding rheumatoid arthritis?

A patient presents with physical examination findings of nail pitting, skin lesions, and soft tissue swelling of an entire digit. Which arthritide is most likely?

A patient presents with nonerosive, reversible joint deformity of the digits of the hands. Which of the following diseases likely preceded this condition?

Which of the following best differentiates a seropositive from a seronegative arthropathy?

The most useful imaging modality for initial evaluation of arthropathy, partly because it is relatively inexpensive and rapidly obtained, is __________.

Which of the following types of acquired spinal stenosis would be best evaluated with contrast-enhanced MRI?

The progressive thickening of the skin from increased collagen deposits is characteristic of ___________.

Basic calcium phosphate crystals deposited in the periarticular soft tissues, especially the tendons, describes __________.

Which of the following arthritides is radiographically marked by ossification of the anterior longitudinal ligament with relative maintenance of intervertebral disc height, absence of posterior joint fusion, and lack of sacroiliac joint involvement?

Which of the following joints is classically the first to demonstrate erosive changes seen with ankylosing spondylitis?

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