EMQs in Clinical Medicine.pdf - Peshawar Medical College

116 Orthopaedics and rheumatology
46 Rheumatological conditions
A
B
C
D
E
F
polymyositis
Behçet’s disease
syphilis
relapsing polychondritis
polymyalgia rheumatica
primary Raynaud’s disease
G
H
I
J
K
L
ankylosing spondylitis
systemic sclerosis
Stevens–Johnson’s syndrome
rheumatoid arthritis
Sjögren’s syndrome
Reiter’s syndrome
For each clinical scenario below, give the most likely cause for the clinical findings.
Each option may be used only once.
1 A 45-year-old woman complains of cold numb fingers and difficulty in swallowing.
On examination she has tight skin, thickening of the fingers and telangiectasia.
2 A 51-year-old woman complains of weakness in her shoulders and thighs. She
has a significantly raised creatine kinase (CK) level.
3 A 25-year-old man has been referred to rheumatology clinic with multiple
painful stiff joints and uveitis. He also complains of ulcers on his penis and
mouth.
4 A 45-year-old woman presents with dryness in the eyes and mouth. Her Schirmer’s
test is positive.
5 A patient presents to rheumatology clinic with recurrent attacks of pain and
swelling in the nose and external ear.
Answers: see page 128.