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Are You Ready for a STIFF Competition? Here's a Trivia Testing Your Knowledge this World Arthritis Day

M3 India Newsdesk Oct 12, 2022

This year's World Arthritis Day is being held under the slogan 'It's in your hands, take action.' How is arthritis diagnosed? The challenge awaits; are you up to it?

Diagnosing arthritis: MCQ challenge

  1. Which of the following is not a component of Kocher’s criteria when diagnosing septic arthritis of the hip?
  1. A 56-year-old obese man, k/c/o long-standing diabetes, presents with a painless deterioration in bilateral hand function. She reports poor glycemic control. Initially, MCP and PIP joints were involved now involving DIP joints as well. He has thick tight skin and a positive prayer sign. What do you think is the likely diagnosis?

 

  1. Which of the following statements is TRUE for osteoarthritis?
  1. A 48-year-old female with c/o stiffness in both hands in the morning, including hands, wrists and ankles. She also had increasing difficulty standing for long periods at work due to foot and ankle pain. She has taken ibuprofen in the past to manage pain but is no longer helpful. She was diagnosed with RA and was started on Adalimumab without effective relief. Recently it was decided to start her on baricitinib. Initiation should be avoided with all of the following, EXCEPT:
  1. A 57-year-old female patient with a history of multiple joint pain associated with swelling in the past 15 years for which she took over-the-counter drugs. The patient now c/o pain and swelling over the bilateral knee, restricted knee range of movement, and inability to ambulate freely. Medications are unable to help with the pain or improve her activity. X-ray of both knees is shown. Which of the following treatment option should be suggested to this patient?

  1. A 30-year-old male presented with low back pain and bilateral thigh pain with stiffness more during the night relieves after waking up in the morning. On the radiograph of the dorsal spine 'Bamboo spine appearance' was seen. Which statement is correct for the above-mentioned disease?
  1. An elderly male with a history of recurrent attacks of pain and swelling in the great toe in past. X-ray foot is shown below. The diagnosis can be confirmed by:

  1. An elderly male came with pain, swelling, erythema and a local rise of temperature over the left ankle. The patient is a known case of diabetes mellitus for 15 years. A radiograph is shown below. What is the probable diagnosis? 

  1. A 70-year-old male with painful swelling over his right ankle was diagnosed with Charcot arthropathy. Which of the following is not a radiological finding in Charcot arthropathy?

 

  1. A 34-year female came with painful swelling of the digits of the hand and foot. She had a concomitant appearance of skin lesions over the extensor surface. She was diagnosed with psoriatic arthropathy. Which of the statement is INCORRECT?
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