RHEUMATOLOGY CLASS ONE

1.Disaease modifying antirheumatoid drugs are……a)D-penicillamine b)Infliximib

c)Gold salt d)prednisolone e)Azapropazone
2.X ray findings of osteoarthritis…a) Reduction of joint spaces b)Ligamental calcification
c)Syndesmophyte formation d)Osteophyte formation e)loss of articular cartilage
3.Rheumatoid factor presents in…a)Pulmonary TB b)SLE c)Sjogrens synd d) Bacterial
endocarditis e) Reactive Arthritis
4.Systemic Sclerosis…a) Normal complement b)Anti dna antibody c)Anti sc-70
d)AntiRNA e)ANA positive.
5. Presentation with acute monoarthritis suggests the possibility of…a)Crystal arthritis
b)Trauma
c)Bacterial infection d)RA e)Enteropathic arthritis
6. Shoulder pain is a recognized feature of….a)Myocardial ischemia b)Supraspinatus
tendonitis c)Bronchial carcinoma d) Pnumococcal pneumonia e) Cervical spondylosis
7.Extra-articular features…a)RA-Episcleritis and keratoconjuntivitis sicca b)Enteropathic
synovitis-Erythema nodosum c)Ankylosing spond-Enthesitis d) SLE – Alopecia e) Psoriatic
arthritis –Retinitis pigmentosa.
8. ESR may not rise in ……a)Active SLE b)Seronegative Arthritis c)Arthritis with CHF
d) Arthritis with polycythemia e)Sjogrens syndrome
9.Symmetrical polyarthritis may be seen in…..a)Viral Arthritis b)Rheumatoid Arthritis
c)Psoriatic Arthritis d)SLE e)Chronic Sarcoidosis
10.Ocular manifestations of Rheumatoid Arthritis…..a)Keratoconjunctivitis sicca
b)Episcleritis c)Scleritis d)Corneal Ulceration e)Keratitis
11.Following biochemical features…. a)Osteoporosis-increased serum calcium, serum
phosphate and serum alkaline phosphatase b)Pagets disease-normal serum calcium and serum
phosphate but increase serum alkaline phosphatase c)Osteomalacia-Normal serum calcium
and serum alkaline phosphatase but decrease serum phosphate d) Metastatic bone disease-
decreased serum cacium,phosphate and alkaline phosphatase. e)Osteomalacia-decreased serum
calcium and serum phosphate but increased serum alkaline phosphatase
12.Drugs causing lung fibrosis…a)Amiodarone b)Methotrexate c)Bleomycin d)Gold
e)Nitrofurantoin
13.Regarding extractable nuclear antigens…a)Anti Jo antibodies most commonly seen in
dermatomyositis b)Anti La-congenital heart block c)Anti scl 70 –limited cutaneous systemic
sclerosis d)Anti centromere-diffuse cutaneous systemic sclerosis e)Usually ANA negative
14.Regarding anti phospholipids syndrome…..a)It is an acquired disorder b)Livido
reticularis c)Thrombocytopenia d)Prolonged APTT e)Pulmonary hypertension
15.Regarding ANA…a)Occurs in 95% of patients with SLE b) ANA of anti ds –DNA type are
specific to SLE c)fluctuate in titre in parallel with clinical activity of disease d)are rarely found
in healthy subjects e)typically found in patients with polyarteritis nodosa