AMC MCQ Musculoskeletal and Dermatology 2

Question 1

A 55-year-old man presents with sudden severe pain, redness and swelling of the first metatarsophalangeal joint. What is the most likely diagnosis?

Accepted Answer

Acute gout

Answer

Septic arthritis

Answer

Rheumatoid arthritis

Answer

Osteoarthritis

Question 2

Which investigation is most useful to confirm a diagnosis of gout in a swollen joint?

Accepted Answer

Joint aspiration with polarised microscopy

Answer

Serum uric acid level

Answer

Plain X-ray

Answer

ESR

Question 3

A 30-year-old woman has symmetrical pain and stiffness of the small joints of both hands, worse in the morning for over an hour. What is the most likely diagnosis?

Accepted Answer

Rheumatoid arthritis

Answer

Osteoarthritis

Answer

Gout

Answer

Psoriatic arthritis

Question 4

Which antibody is most specific for rheumatoid arthritis?

Accepted Answer

Anti-cyclic citrullinated peptide (anti-CCP)

Answer

Antinuclear antibody (ANA)

Answer

Rheumatoid factor

Answer

Anti-dsDNA

Question 5

A child presents with a salmon-pink, erythematous rash, high spiking fevers and arthritis. Which condition is most likely?

Accepted Answer

Systemic juvenile idiopathic arthritis

Answer

Henoch-Schonlein purpura

Answer

Kawasaki disease

Answer

Rheumatic fever

Question 6

Which skin finding is characteristic of dermatomyositis?

Accepted Answer

Heliotrope rash on the eyelids

Answer

Malar butterfly rash

Answer

Erythema migrans

Answer

Honey-coloured crusting

Question 7

A 70-year-old woman presents with bilateral shoulder and hip girdle pain and stiffness, with a markedly raised ESR. What is the most likely diagnosis?

Accepted Answer

Polymyalgia rheumatica

Answer

Fibromyalgia

Answer

Osteoarthritis

Answer

Polymyositis