Question 1

The classic triad associated with Reiter's syndrome includes arthritis, urethritis, and __________.

Accepted Answer

A)  dermatitis 
B)  conjunctivitis 
C)  hepatitis 
D)  balanitis

Question 2

A 58-year-old male patient presents with history of intermittent severe pain and redness of the right first metatarsophalangeal joint and elevated blood levels of serum urate. Which sign may be expected on radiographic examination?

Accepted Answer

A)  Pencil in a cup deformity 
B)  Rat bite erosions 
C)  Gull wing 
D)  Overhanging edge

Question 3

The most common radiographic abnormality encountered in the cervical spine due to rheumatoid arthritis is __________.

Accepted Answer

A)  hypolordotic curve 
B)  atlantoaxial subluxation or instability 
C)  neuroforaminal encroachment 
D)  tenosynovitis

Question 4

Radiographic features of polymyositis may include all of the following except __________.

Accepted Answer

A)  soft tissue calcification 
B)  swan-neck deformity of the digits 
C)  soft tissue swelling 
D)  periarticular osteoporosis

Question 5

Which of the following explains the correct chronological order of the four stages of gout?

Accepted Answer

A)  Acute arthritic, chronic tophaceous, asymptomatic, intercritical 
B)  Asymptomatic, intercritical, acute arthritic, chronic tophaceous 
C)  Acute arthritic, chronic tophaceous, intercritical, asymptomatic 
D)  Asymptomatic, acute arthritic, intercritical, chronic tophaceous

Question 6

What is the most common disc level to exhibit herniation?

Accepted Answer

A)  L5 
B)  L3 
C)  C7 
D)  T6

Question 7

Altered bowel and bladder function, impotence, progressive muscle atrophy, and saddle paresthesia are seen with __________.

Accepted Answer

A)  Sjögren syndrome 
B)  cauda equina syndrome 
C)  Felty's syndrome 
D)  Reiter's syndrome

Question 8

Which of the following joints is most likely a site of nontraumatic osteoarthritis?

Accepted Answer

A)  Hip 
B)  Metatarsophalangeal 
C)  Shoulder 
D)  Ankle

Question 9

Which condition is marked by radiographic findings of severe joint degeneration along with chondrocalcinosis of hyaline and fibrocartilage?

Accepted Answer

A)  Rheumatoid arthritis 
B)  Pyrophosphate arthropathy 
C)  Neurotrophic arthropathy 
D)  Systemic lupus erythematosus

Question 10

Which joints are classically involved first in ankylosing spondylitis?

Accepted Answer

A)  Sacroiliac 
B)  Acromioclavicular 
C)  Atlantoaxial 
D)  Costovertebral

Question 11

Which of the following statements concerning juvenile rheumatoid arthritis is incorrect?

Accepted Answer

A)  Features include periostitis and growth abnormalities. 
B)  It has a greater predilection for small joint involvement. 
C)  It is the most common childhood arthritis. 
D)  It is an inflammatory disease of unknown cause.

Question 12

The arthritide associated with disorders of the gut and most commonly related to inflammatory bowel disease (IBD) is __________.

Accepted Answer

A)  Reiter's syndrome 
B)  ankylosing spondylitis 
C)  psoriatic arthritis 
D)  enteropathic arthritis

Question 13

A patient presenting with a malar "butterfly" rash, arthralgia, and ulcers in the nose and mouth is most likely suffering from __________.

Accepted Answer

A)  rheumatoid arthritis 
B)  systemic lupus erythematosus 
C)  psoriatic arthritis 
D)  Reiter's syndrome

Question 14

The joint most commonly affected by gout is the __________.

Accepted Answer

A)  first MTP 
B)  second MTP 
C)  first MCP 
D)  second MCP

Question 15

The most common seronegative spondyloarthropathy is __________.

Accepted Answer

A)  psoriatic arthritis 
B)  ankylosing spondylitis 
C)  enteropathic arthritis 
D)  Reiter's syndrome

Question 16

Which of the following disorders is associated with monosodium urate crystal deposition in various tissues?

Accepted Answer

A)  CPPD 
B)  Pseudogout 
C)  Psoriatic arthritis 
D)  Gout

Question 17

The most common inflammatory arthritide is __________.

Accepted Answer

A)  rheumatoid arthritis 
B)  juvenile idiopathic arthritis 
C)  systemic lupus erythematosus 
D)  ankylosing spondylitis

Question 18

The first imaging finding of rheumatoid arthritis is usually __________.

Accepted Answer

A)  fibrous ankylosis 
B)  swan-neck deformity 
C)  fusiform periarticular soft tissue swelling 
D)  bilateral acetabular protrusion

Question 19

Ossification of only the supraspinous ligament is responsible for which sign observed in ankylosing spondylitis?

Accepted Answer

A)  Trolley tract 
B)  Train track 
C)  Railroad track 
D)  Dagger

Question 20

Radiographic findings of hemochromatosis most closely resemble those of __________.

Accepted Answer

A)  hydroxyapatite deposition disease 
B)  calcium pyrophosphate disease 
C)  osteoarthritis 
D)  rheumatoid arthritis

Exam 9: Arthritides