Term 3, CPC 6 Quiz

6 Questions | Total Attempts: 38

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Term 3, CPC 6 Quiz

Questions and Answers
  • 1. 
    Below is an image taken from the cartilage of a patient showing rhomboid shaped crystals. What is the most likely type of crystal?  
    • A. 

      Mono sodium Urate

    • B. 

      Calcium Pyrophosphate

    • C. 

      Calcium Oxalate

    • D. 

      Magnesium Phosphate

    • E. 

      Ammonium Phosphate

  • 2. 
    A 32 year old female complains of loss of joint motion and difficulty in walking. On examination the joint involvement is symmetrical involving hands and feet. The second and third digit in the hand show ‘swan neck’ deformity and there is ulnar deviation of hands. Which of the following laboratory findings would be positive in this patient?  
    • A. 

      Hyperurecimea

    • B. 

      Calcium pyrophosphate crystal in joint aspirate

    • C. 

      Serum positive for rheumatoid factor

    • D. 

      Anti strreptolysin

    • E. 

      HLA -B27

  • 3. 
     What is the most specific serological test for rheumatoid arthritis?
    • A. 

      Anti Cyclic Citrullinated peptides (CCP) antibodies

    • B. 

      Rheumatoid factor

    • C. 

      Anti nuclear antibodies

    • D. 

      Anti ds DNA antibodies

    • E. 

      Anti neutrophhillic cytoplasmic antibodies

  • 4. 
    Two radiographs (below) have been taken three years apart in a 17 year old male show progression of a disease. What is the most probably diagnosis?
    • A. 

      Ankylosing spondylitis

    • B. 

      Osteoarthritis

    • C. 

      Psoriatic arthritis

    • D. 

      Tuberculous arthritis

    • E. 

      Prolapse disc

  • 5. 
    A 50 year old patient complains of aching pain in right knee, lower back and neck for the last few years. His joints feel a bit stiff in the morning but this soon passes. There is no swelling, warmth or deformity. Some joint crepitus is audible on joint moving. Normal level of serum calcium, phosphorus, alkaline phosphatase, and uric acid are seen on laboratory findings. Which of the following is the most likely diagnosis?  
    • A. 

      Gout

    • B. 

      Rheumatoid arthritis

    • C. 

      Osteoarthritis

    • D. 

      Paget’s disease of bone

    • E. 

      Multiple myeloma

  • 6. 
    A 70 year old male presents with acute onset pain of first metatarsophalyngeal joint of left foot. He is obese and binge drinks on the weekend. Two weeks ago he was started on thiazides by his cardiologist. Which laboratory finding would be helpful in reaching the diagnosis?
    • A. 

      Serum urate level

    • B. 

      RA factor

    • C. 

      Joint aspiration cytology

    • D. 

      Anti nuclear antibodies

    • E. 

      Serum calcium

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