2. Pseudogout.

***) In crystal synovitis all are true except:

1. Pseudo gout is caused by Na urate

2. Pseudo gout is caused by Ca urate

3. Arthroscopy is useful

4. Septic arthritis is a differential diagnosis

5. First metatarsophalangeal joint is the commonest site

Answer: A* Pseudo gout is caused by Na urate

4. Spondyloarthropathies.

1. Ankylosing Spondylitis.

***) Ankylosing spondylitis is associated with: Q2012

1. HLA B27

2. HLA B8

3. HLA DR4

4. HLA A3

5. HLA A56

Answer: A* HLA B27

***) The radiological findings of obliteration of the sacroiliac joints with ossification in the spinal ligaments (bamboo spine) are characteristics of:

1. TB arthritis

2. Gouty arthritis

3. Rheumatoid arthritis

4. Ankylosing spondylitis

5. Osteoarthritis

Answer: D* Ankylosing spondylitis

***) HLA B27 is associated with all of the following, except:

1. Ulcerative colitis

2. Crohn's disease

3. Gouty

4. Ankylosing spondylitis

5. Reiter's syndrome

Answer: C* Gouty

2. Psoriatic Arthritis (PsA).

***) Rheumatoid factor is not present in:

1. Rheumatoid Arthritis

2. SLE

3. Systemic Sclerosis

4. Psoriatic arthritis

5. Old age

Answer: D* Psoriatic arthritis

5. Autoimmune Connective Tissue Diseases.

1. Systemic Sclerosis.

***) Diffuse scleroderma patients at increased risk for all the following, except: Q2012

1. Acute renal crisis

2. Pulmonary hypertension

3. Repeated abortions

4. Secondary Sjogren's

5. Lung fibrosis

Answer: C* Repeated abortions

***) Systemic sclerosis may result in all of the following, except:

1. Dysphagia

2. Pulmonary fibrosis

3. Renal failure

4. Pre-senile dementia

5. Malabsorption

Answer: D* Pre-senile dementia

2. Polymyositis.

***) All of the following about polymyositis is true, except:

1. Proximal weakness

2. Normal muscle biopsy

3. Dysphagia can occur

4. Raised ESR

5. Raised serum creatine phosphokinase

Answer: B* Normal muscle biopsy

3. Plasma Autoantibodies.

***) Positive tests for rheumatoid factor commonly occur in which the following:

1. Ankylosing spondylitis

2. Reiter's syndrome

3. Down's syndrome

4. Sjogren's syndrome

5. Chronic gout

Answer: D* Sjogren's syndrome

4. Systemic Lupus Erythematosus (sle).

***) All of the following about systemic lupus erythematosus are true, except:

1. It is usually present in middle-aged men

2. Butterfly rash can occur

3. Raynaud's phenomenon is present

4. Pancytopenia usually occur

5. Arthritis is common clinical feature

Answer: A* It is usually present in middle-aged men

***) In systemic lupus erythematosus (SLE) all of the following are true, except:

1. Involve the proximal interphalangeal joints

2. Pneumonitis may occur

3. Raised anti DNA support the diagnosis

4. Chloroquine is used in management

5. Elevated complement indicates activity

Answer: E* Elevated complement indicates activity

***) All of the following are features of systemic lupus erythematosus, except:

1. Alopecia

2. Pleurisy

3. Depression

4. Raised level of C reactive protein

5. Neutropenia

Answer: D* Raised level of C reactive protein

***) All of the following are features of systemic lupus erythematosus, except:

1. Fever

2. Abdominal pain

3. Myopathy

4. Glomerulonephritis

5. Keratoderma blenorrhagica

Answer: E* Keratoderma blenorrhagica

***) Raynaud's phenomenon is seen in all the following, except: Q2012

1. Reiter’s disease

2. SLE

3. Scleroderma

4. Rheumatoid arthritis

5. CREST

Answer: A* Reiter’s disease

***) Raynaud's phenomenon is described in all the following, except: