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Natural remission
Answer: C* Thymectomy
7. Horner's Syndrome.
***) Findings in Horner's syndrome include:
A. Miosis
B. Anhidrosis of half of face
C. Enophthalmos
D. Ptosis
E. All of the above
***) Which one of the following tumors may be associated with Horner's syndrome:
A. Pancoast tumor
B. Main bronchus carcinoma
C. Carcinoma of the lower third of the esophagus
D. Carcinoid tumor
E. Hepatoma
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Rheumatology OXF.
I. Immunology & Investigations.
1. Immunology.
***) One of the following is true regarding 40 years old man with history of shortness of breath
after exposure to penicillin 15 years ago: Q2012
A. Amoxicillin can be given safely to this patient since it has been more 10 years after reaction
B. It is contraindicated to give this patient further dose of penicillin
C. You can give penicillin safely if combined with NSAIDs
D. Small doses of penicillin should be safe
E. Cephalosporin antibiotics are safe in this patient
***) In a patient with anaphylactic shock, all are correct treatments, except: Q2012
A. Epinephrine
B. Hydralazine
C. Adrenaline
D. IV fluids
E. Steroids
Answer: B* Hydralazine
***) IgE mediated hypersensitivity reaction like bronchial asthma is: Q2012
A. Type I hypersensitivity reaction
B. Type II hypersensitivity reaction
C. Type III hypersensitivity reaction
D. Type IV hypersensitivity reaction
E. Type V hypersensitivity reaction
Answer: D* Pulmonary TB
***) A 50 years old woman complains of redness, swelling and stiffness of the distal
interphalangeal joints of the hands without other joint complaints, the most likely diagnosis is:
A. Rheumatoid arthritis
B. Erosive osteoarthritis
C. Systemic lupus erythematosus
D. Ankylosing spondylitis
E. Systemic sclerosis
2. Septic Arthritis.
***) The most common cause of acute pyogenic arthritis in adults is:
A. Streptococcal infection
B. Haemophilus influenza
C. Escherichia coli
D. Neisseria gonorrhea
E. Proteus mirabilis
Answer: A* Staphylococcus
***) The most frequent etiological agent in septic arthritis in children 2 months to 4 years of age
is:
A. Pneumococci
B. Streptococci
C. Candida albicans
D. Staphylococcus epidermidis
E. Staphylococcus aureus
Answer: B* Hepatitis A
3. Rheumatoid Arthritis.
***) All of the following about rheumatoid arthritis are true, except:
A. More common in females
B. Splenomegaly is a feature
C. Colchicine is used in the treatment
D. Pericardial effusion may occur
E. Amyloidosis is a recognized complication
***) All of the following are true about rheumatoid arthritis, except:
A. Episcleritis may occur
B. Amyloidosis is a recognized complication
C. Causes carpal tunnel syndrome
D. Pericarditis may occur
E. Retinitis pigmentosa is a feature
***) All of the following joints may be involved in rheumatoid arthritis, except:
A. Proximal interphalangeal joints
B. Knee joints
C. Distal interphalangeal joints
D. Wrist joints
E. Ankle joints
***) All of the following are extra-articular manifestations of rheumatoid arthritis, except:
A. Pericarditis
B. Mononeuritis multiplex
C. Fibrosing alveolitis
D. Pneumoconiosis
E. Scleritis
Answer: D* Pneumoconiosis
***) All of the following are extra-articular manifestations of rheumatoid arthritis, except:
A. Pleural effusion
B. Episcleritis
C. Keratoderma blenorrhagica
D. Anemia
E. Keratoconjunctivitis sicca
***) Rheumatoid arthritis may cause all of the following in the hand, except:
A. Joint ankylosis
B. Rupture of extensor tendons
C. Intrinsic contractures
D. Rupture of flexor tendons
E. Heberden's nodes
Answer: C* Polycythemia
Answer: B* Shoulder
***) A 50 years old male awoke in the midnight with severe pain in his left big toe. He was
taking some diuretics for hypertension. His toe was swollen, hot and severely tender, and patient
was unable to stand on it. The most probable diagnosis is:
A. Reiter's syndrome
B. Acute pyogenic arthritis
C. Rheumatoid arthritis
D. Osteoarthritis
E. Acute gouty arthritis
***) Acute gouty arthritis can be precipitated by all of the following, except:
A. Initiation of all purina therapy
B. Alcohol
C. Severe dieting
D. Steroid therapy
E. Surgery
***) In gouty arthritis which of the following is the most specific diagnostic finding:
A. Family history of gout
B. Presence of sodium urate crystals in synovial fluid
C. Prompt response to colchicine therapy
D. Presence of hyperuricemia
E. Involvement of the big toe
***) Each of the following is acceptable for treatment of acute gouty arthritis, except:
A. Indomethacin
B. Oral colchicine
C. Azapropazone
D. Allopurinol
E. ACTH IM
Answer: D* Allopurinol
***) Which drug inhibits uric acid synthesis by inhibiting xanthine oxidase:
A. Probenecid
B. Phenylbutazone
C. Colchicine
D. Allopurinol
E. Indomethacin
Answer: D* Allopurinol
2. Pseudogout.
***) In crystal synovitis all are true except:
A. Pseudo gout is caused by Na urate
B. Pseudo gout is caused by Ca urate
C. Arthroscopy is useful
D. Septic arthritis is a differential diagnosis
E. First metatarsophalangeal joint is the commonest site
IV. Spondyloarthropathies.
1. Ankylosing Spondylitis.
***) Ankylosing spondylitis is associated with: Q2012
A. HLA B27
B. HLA B8
C. HLA DR4
D. HLA A3
E. HLA A56
***) The radiological findings of obliteration of the sacroiliac joints with ossification in the
spinal ligaments (bamboo spine) are characteristics of:
A. TB arthritis
B. Gouty arthritis
C. Rheumatoid arthritis
D. Ankylosing spondylitis
E. Osteoarthritis
Answer: C* Gouty
2. Polymyositis.
***) All of the following about polymyositis is true, except:
A. Proximal weakness
B. Normal muscle biopsy
C. Dysphagia can occur
D. Raised ESR
E. Raised serum creatine phosphokinase
Answer: B* Normal muscle biopsy
3. Plasma Autoantibodies.
***) Positive tests for rheumatoid factor commonly occur in which the following:
A. Ankylosing spondylitis
B. Reiter's syndrome
C. Down's syndrome
D. Sjogren's syndrome
E. Chronic gout
***) In systemic lupus erythematosus (SLE) all of the following are true, except:
A. Involve the proximal interphalangeal joints
B. Pneumonitis may occur
C. Raised anti DNA support the diagnosis
D. Chloroquine is used in management
E. Elevated complement indicates activity
***) All of the following are features of systemic lupus erythematosus, except:
A. Alopecia
B. Pleurisy
C. Depression
D. Raised level of C reactive protein
E. Neutropenia
***) All of the following are features of systemic lupus erythematosus, except:
A. Fever
B. Abdominal pain
C. Myopathy
D. Glomerulonephritis
E. Keratoderma blenorrhagica
Answer: B* Hyperthyroidism
***) Raynaud’s phenomenon may be associated with all of the following, except:
A. Cervical rib
B. Obesity
C. Scleroderma
D. Systemic lupus erythematosus
E. Rheumatoid arthritis
Answer: B* Obesity
VI. Vasculitides.
1. Polyarteritis Nodosa.
***) All of the following are features of polyarteritis nodosa, except:
A. Commoner in males
B. Hypertension may occur
C. Mononeuritis multiplex
D. Death usually from anemia
E. Myocardial infarction can occur
2. Behçet's Disease.
***) All of the following about Behchet's disease are true, except:
A. It causes orogenital ulceration
B. It spares the CNS
C. Arthritis is a feature
D. Colchicine is used in the management
E. Superior vena cava obstruction may occur
***) All of the following about Behchet's disease are true, except:
A. Iritis may occur
B. Thrombophlebitis may occur
C. It is a viral infection
D. Steroids can be used in the treatment
E. Neurological complications may occur
Answer: E* Osteomyelitis
Answer: B* Conjunctivitis
***) Erythema nodosum may be associated with all of the following, except:
A. Sarcoidosis
B. Tuberculosis
C. Streptococcal pharyngitis
D. Crohn's disease
E. Rheumatoid arthritis
Answer: D* Indomethacin
Answer: B* Dermatomyositis
***) Iris skin lesion is a major diagnostic feature of one of the following skin disorders:
A. Atopic dermatitis
B. Scarlet fever
C. Measles
D. Erythema multiform
E. Erythema marginatum