Free PreviewSample Rheumatology questions
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Sample MCQ 1A patient with suspected septic arthritis also has a history of gout. Which statement is correct?
A. Finding urate crystals does not exclude concomitant infection
B. Urate crystals completely rule out infection
C. Culture is unnecessary if crystals are seen
D. Antibiotics are never required
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Correct Answer: Option ACrystal arthritis and septic arthritis can coexist; synovial culture remains important when infection is clinically possible.
A patient with SLE has proteinuria, hematuria and red-cell casts. What complication is most likely?
A. Lupus nephritis
B. Osteoarthritis
C. Fibromyalgia
D. Septic bursitis
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Correct Answer: Option AProteinuria with active urinary sediment and RBC casts in SLE strongly suggests immune-mediated glomerulonephritis due to lupus nephritis.
A patient with rheumatoid arthritis has persistent active disease despite an adequate methotrexate trial. Before starting a biologic DMARD, which screening is especially important?
A. Latent tuberculosis and hepatitis risk assessment
B. Routine colonoscopy in all ages
C. Exercise stress test in every patient
D. No infection screening is needed
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Correct Answer: Option ABiologic and targeted therapies can reactivate latent infections, so TB and relevant hepatitis screening are important before treatment.
A patient with Sjögren syndrome has dry eyes and dry mouth. Which long-term complication has increased risk?
A. B-cell lymphoma
B. Colon polyps only
C. Acute appendicitis
D. Aortic dissection
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Correct Answer: Option ASjögren syndrome is associated with an increased risk of B-cell non-Hodgkin lymphoma, especially with persistent gland enlargement or systemic features.
A patient with antiphospholipid syndrome has recurrent venous thrombosis. What is the key long-term treatment principle?
A. Long-term anticoagulation when indicated
B. Routine platelet transfusion
C. No treatment after the first event
D. Long-term antibiotics
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Correct Answer: Option AThrombotic antiphospholipid syndrome generally requires sustained anticoagulation, with regimen tailored to thrombosis type and patient risk.