Question 1

Which of the following is a major site of involvement with hydroxyapatite deposition disease?

Accepted Answer

A)   Supraspinatus tendon of the shoulder
B)   Quadriceps tendon of the knee
C)   Trochanteric bursae of the hip
D)   Extensor tendons of the wristE) None of the above
F) B) and C)

Question 2

Which of the following causes of spinal stenosis is more common in women?

Accepted Answer

A)   Degenerative spondylolisthesis
B)   Idiopathic
C)   Endocrine
D)   PosttraumaticE) A) and B)
F) B) and C)

Question 3

Jaccoud's arthropathy should be mentioned in the differential diagnosis for __________.

Accepted Answer

A)   rheumatoid arthritis
B)   ankylosing spondylitis
C)   chronic arthritis
D)   polymyositisE) B) and C)
F) C) and D)

Question 4

Which of the following findings of psoriatic arthropathy is not present in patients with rheumatoid arthritis?

Accepted Answer

A)   Proximal interphalangeal joint involvement
B)   Bony erosions
C)   Normal bone density
D)   Joint effusionE) A) and D)
F) All of the above C

Question 5

A 22-year-old male patient presents with foot pain. Radiographic examination reveals fluffy periosteal new bone formation at the origin of the plantar fascia and Achilles insertion. Which infectious organism is most likely linked to triggering this reaction?

Accepted Answer

A)   Chlamydia trachomatis
B)   Yersinia
C)   Salmonella
D)   Streptococcus pyogenesE) None of the above
F) C) and D)

Question 6

Radiographic examination of the shoulder in a 34-year-old female reveals complete resorption of the proximal humerus with a sharp transverse demarcation at the proximal metadiaphysis. Which of the following conditions is the most likely cause?

Accepted Answer

A)   Diabetes
B)   Spinal cord trauma
C)   Amyotrophic lateral sclerosis
D)   SyringohydromyeliaE) All of the above
F) None of the above D

Question 7

Which of the following statements accurately characterizes polymositis?

Accepted Answer

A)   It affects more men than women.
B)   It has bilateral, symmetrical muscle involvement.
C)   It is a suppurative inflammatory disorder.
D)   It involves the cardiac muscle after rheumatic fever.E) A) and B)
F) A) and C) B

Question 8

Intervertebral disc herniation is more common among __________.

Accepted Answer

A)   45-year-old to 65-year-old patients
B)   25-year-old to 45-year-old patients
C)   Women
D)   NonsmokersE) A) and C)
F) A) and D)

Question 9

Swan-neck, boutonniere, and hitchhiker are some characteristic deformities seen with which inflammatory joint disease?

Accepted Answer

A)   Juvenile idiopathic arthritis
B)   Rheumatoid arthritis
C)   Systemic lupus erythematosus
D)   Reactive arthritisE) None of the above
F) C) and D)

Question 10

Which of the following arthritides has a metabolic etiology?

Accepted Answer

A)   Gout
B)   Systemic lupus erythematosus
C)   Ankylosing spondylitis
D)   Reiter's syndromeE) A) and C)
F) None of the above

Question 11

Which of the following inflammatory arthritides would reveal antibodies directed against cell nuclei on blood laboratory evaluation?

Accepted Answer

A)   Rheumatoid arthritis
B)   Systemic lupus erythematosus
C)   Polymyositis
D)   Jaccoud's arthropathyE) B) and D)
F) None of the above

Question 12

What type of signal intensity is expected in the nucleus pulposus of a dessicated intervertebral disc on magnetic resonance imaging examination?

Accepted Answer

A)   High on STIR
B)   Low on T2
C)   High T1
D)   High T2E) B) and C)
F) C) and D)

Question 13

The most common cause for neuropathic arthropathy in the foot and ankle is __________.

Accepted Answer

A)   syringomyelia
B)   congestive heart failure
C)   diabetes
D)   liver failureE) C) and D)
F) All of the above

Question 14

The osseous erosions of rheumatoid arthritis, occurring at areas where panus has direct contact with bone, are found at the __________.

Accepted Answer

A)   distal tufts of the phalanges
B)   intraarticular bare areas
C)   metadiaphysis of long bones
D)   epiphysis of long bonesE) A) and B)
F) All of the above

Question 15

The classic joint distribution of rheumatoid arthritis in the hands involves the __________.

Accepted Answer

A)   MCP and DIP articulations
B)   PIP and DIP articulations
C)   MCP and PIP articulations
D)   MCP and carpal articulationsE) B) and D)
F) B) and C)

Question 16

In what percent of patients with inflammatory bowel disease would you expect to see sacroiliitis?

Accepted Answer

A)   3% to 18%
B)   19% to 25%
C)   26% to 40%
D)   41% to 60%E) A) and D)
F) B) and C)

Question 17

Which of the following arthropathies is seropositive?

Accepted Answer

A)   Ankylosing spondylitis
B)   Enteropathic arthritis
C)   Psoriatic arthritis
D)   SclerodermaE) B) and D)
F) A) and C)

Question 18

Which of the following radiographic findings best differentiates hydroxyapatite deposition disease (HADD)  from calcium pyrophosphate deposition disease (CPPD) ?

Accepted Answer

A)   Bare area erosions
B)   Juxtaarticular soft tissue swelling
C)   Juxtaarticular osteopenia
D)   Periarticular soft tissue calcificationE) None of the above
F) All of the above

Question 19

What is the term for a free fragment of a herniated disc?

Accepted Answer

A)   Bulge
B)   Protrusion
C)   Extrusion
D)   SequestrationE) B) and C)
F) B) and D)

Question 20

Purely productive (nonerosive)  enthesopathic hyperostosis involving the pelvis, calcaneus, and patella is associated with which of the following conditions?

Accepted Answer

A)   Psoriatic arthritis
B)   Diffuse idiopathic skeletal hyperostosis
C)   Neuropathic arthropathy
D)   Enteropathic arthropathyE) A) and D)
F) A) and C)

Exam 9: Arthritides

Which of the following is a major site of involvement with hydroxyapatite deposition disease?

Correct AnswerverifiedShow Answer

Which of the following causes of spinal stenosis is more common in women?

Correct AnswerverifiedShow Answer

Jaccoud's arthropathy should be mentioned in the differential diagnosis for __________.

Correct AnswerverifiedShow Answer

Which of the following findings of psoriatic arthropathy is not present in patients with rheumatoid arthritis?

Correct AnswerverifiedC

A 22-year-old male patient presents with foot pain. Radiographic examination reveals fluffy periosteal new bone formation at the origin of the plantar fascia and Achilles insertion. Which infectious organism is most likely linked to triggering this reaction?

Correct AnswerverifiedShow Answer

Radiographic examination of the shoulder in a 34-year-old female reveals complete resorption of the proximal humerus with a sharp transverse demarcation at the proximal metadiaphysis. Which of the following conditions is the most likely cause?

Correct AnswerverifiedD

Which of the following statements accurately characterizes polymositis?

Correct AnswerverifiedB

Intervertebral disc herniation is more common among __________.

Correct AnswerverifiedShow Answer

Swan-neck, boutonniere, and hitchhiker are some characteristic deformities seen with which inflammatory joint disease?

Correct AnswerverifiedShow Answer

Which of the following arthritides has a metabolic etiology?

Correct AnswerverifiedShow Answer

Which of the following inflammatory arthritides would reveal antibodies directed against cell nuclei on blood laboratory evaluation?

Correct AnswerverifiedShow Answer

What type of signal intensity is expected in the nucleus pulposus of a dessicated intervertebral disc on magnetic resonance imaging examination?

Correct AnswerverifiedShow Answer

The most common cause for neuropathic arthropathy in the foot and ankle is __________.

Correct AnswerverifiedShow Answer

The osseous erosions of rheumatoid arthritis, occurring at areas where panus has direct contact with bone, are found at the __________.

Correct AnswerverifiedShow Answer

The classic joint distribution of rheumatoid arthritis in the hands involves the __________.

Correct AnswerverifiedShow Answer

In what percent of patients with inflammatory bowel disease would you expect to see sacroiliitis?

Correct AnswerverifiedShow Answer

Which of the following arthropathies is seropositive?

Correct AnswerverifiedShow Answer

Which of the following radiographic findings best differentiates hydroxyapatite deposition disease (HADD) from calcium pyrophosphate deposition disease (CPPD) ?

Correct AnswerverifiedShow Answer

What is the term for a free fragment of a herniated disc?

Correct AnswerverifiedShow Answer

Purely productive (nonerosive) enthesopathic hyperostosis involving the pelvis, calcaneus, and patella is associated with which of the following conditions?

Correct AnswerverifiedShow Answer

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