63 - rheumatoid arthritis mcqs

Question 1
Typical rheumatoid arthritis is characterized by
Symmetric inflammatory polyarthritis
Sparing of axial skeleton except cervical spine
Sparing of distal interphalangeal joints
All of the above--------------

Question 2
Which of these is not a feature of rheumatoid arthritis?
Swollen joints
Painful joints
Morning stiffness
Headache---------------

Question 3
The exact etiology of rheumatoid arthritis is not known but all the following have been implicated as having a role in its causation ,except
Genetic factors
Autoimmunity
Microbial infection
Low calcium levels in the body-----------

Question 4
Rheumatoid arthritis is a mutisystem disorder. It can involve any of the following, except
Eyes
Lungs
Heart
Ear---------------

Question 5
What is true regarding the prevalence of rheumatoid arthritis?
More common in females but difference reduces in older age group-------------
More common in females but difference is less in younger age group
More common in males but difference reduces in older age group
More common in males but difference is less in younger age group

Question 6
Rheumatoid factors are autoantibodies found in many individuals. Their importance in rheumatoid arthritis is as a
Prognostic factor---------------
Screening factor
Diagnostic factor
None of the above

Question 7
Features that signify a bad prognosis in rheumatoid arthritis are
High titer of rheumatoid factor
Presence of subcutaneous nodules
Radiographic evidence of erosion at the time of initial evaluation
All of the above----------------

Question 8
The goals of therapy of rheumatoid arthritis are
Reduction of pain and inflammation
Maintenance of function and movement
Control of systemic involvement
All of the above-------------

Question 9
NSAID are used as the first line of treatment for rheumatoid arthritis because of their
Anti-inflammatory properties----------
Immunosuppresive properties
Cytotoxic properties
Tumor necrosis factor inhibitor properties

Question 10
The newly discovered COX-2 inhibitors are considered superior to standard NSAID because they have
Less gastro-intestinal side effects------------
Minimal renal toxicity
Slow the progress of the disease
None of the above

Question 11
Corticosteroids used for management of rheumatoid arthritis have all these properties, except
Reduce inflammation and swelling
Beneficial for systemic involvement in rheumatoid arthritis
Can be taken orally or as an injection
Delayed onset of action----------------

Question 12
DMARDs are a group of diverse agents that slow down the progress of rheumatoid arthritis. All is true with regard to DMARDs, except
Benefit is noticed after 2-6 months
These are generally prescribed along with NSAID or steroids
Work by slowing the immune system from attacking the joint
None of these are used for treating disorders other than rheumatoid arthritis----------------

Question 13
Leflunomide is a newly approved DMARD. It should not be prescribed to
Elderly men
Children
Pregnant women-----------
Elderly women

Question 14
Biologic response modifiers are drugs that target the immune factors, particularly Tumor Necrosis Factor (TNF) which play a major role in the destructive process. Which of these drugs belong to this class of drugs?
Etanercept------------
Celecoxib
Rofecoxib
Penicillamine

Question 15
Agents that are being studied for benefits in rheumatoid arthritis are
Soluble collagen
Thalidomide
Protease inhibitors
All the above-----------------

45 - orthopedics MCQs - 61 to 70

61 - club foot ( CTEV ) shud be treated at the age of ?

a- 10 - 12 years of age of child
b- from the day of birth
c- 2 - 3 years of age of child
d- after epiphyseal fusion

answer is b .

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62 - most common organism causing osteomyelitis in drug abusers?

a- staphylococcus aureus
b- klebsiella
c- e .coli
d- pseudomonas

answer is a .

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63 - in anterior cruciate ligament tear , which of these tests are positive?

a- lachmann test
b- mcmurry's test
c- anterior drawer test
d- posterior drawer test
e- apley's test

answer is a and c . lachmann test and anterior drawer test .

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64 - which one of the following tests will u adopt while examining the knee where u suspect an old tear of anterior cruciate ligament ?

a- posterior drawer test
b- mc murray test
c- lachmann test
d- pivot shift test

answer is c . Lachmann's test determines anterior cruciate integrity.

The knee is flexed at 20-30 degrees and the leg is stabilized by the examiner sitting on the foot. The hamstrings should be relaxed. The leg and thigh are grasped firmly and moved in opposite directions.

Antero-posterior displacement of the tibia on the femur with the knee at 20-30 degrees and the muscles relaxed is a positive result.

IF U WANNA SEE AND LEARN HOW TO PERFORM THE LACHMAN TEST CHECK OUT THE VIDEO HERE . { right click and select open in new window ( internet explorer users ) or open in new tab ( mozilla users ) }

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65 - barlow's sign is seen in ?

a- CDH
b- fracture neck of femur
c- perthes disease
d- polio

answer is a .

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66 - club foot in a 2 year old child is best treated by ?

a- soft tissue release
b- triple arthodesis
c- dennis brown splint
d- manipulation by mother and cast

answer is a .

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67 - treatment of chronic cases of club foot ?

a- triple arthrodesis
b- dorso medial release
c- amputation
d- none

answer is a

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68 - in a new born child abduction and internal rotation produces a click sound . it is known as ?

a- ortolanis sign
b- telescoping sign
c- mc murray's sign
d- lachman's sign

answer is a.

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69 - most common nerve involved in the fracture of surgical neck of humerus is

a- radial nerve
b- ulnar nerve
c- median nerve
d- axillary nerve

answer is d . axillary nerve

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70 - which joint is spared in rheumatoid arthritis ?

a- MP JOINT of the hand
b- DIP of the finger
c- PIP of the finger
d- atlanto axial joint

answer is b.