Qa 1384757136

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Dr. RAJENDRANS INSTITUTE OF MEDICAL EDUCATION
DISEASES OF JOINTS
OSTEOARTHRITIS
1) Osteoarthritis does not affect
a. Knee joint
b. Hip joint
c. Interphalangeal joint
d. Metacarpophalangeal joint
e. Shoulder joint
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2) Late complication of fracture of acetabulum
a. Osteoarthritis
b. Sciatic nerve palsy
c. Recurrent Dislocation
d. None of the above
3) Treatments of osteoarthritis include all except:
a. Graded muscle exercises
b. Replacement of articular surfaces
c. Correction of deformities
d. Increase the weight bearing by the affected joint
e. Rest to the joint in acute phase
4) Earliest radiological sign of osteoarthritis is
a. Narrowing of joint space
b. Osteophyte formation
c. Cystic lesion in cancellous bone
d. Sclerosis in subchondral bone
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5) Hypertrophic osteoarthropathy is observed in
a. Carcinoma of lung
b. Mesothelioma of pleura
c. AVM of lung
d. Cirrhosis of liver
6) Not a cause of hydrarthrosis
a. Tuberculosis
b. Charcots joint
c. Sarcoidosis
d. Osteoarthritis
7) The most common site of primary osteoarthrosis is
a. Hip joint
b. Knee joint
c. Ankle joint
d. Shoulder joint
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8) Severe disability in primary osteoarthritis of hip is best managed by
a. Arthrodesis
b. Arthroplasty
c. Mc Murrays osteotomy
d. Intra-articular hydrocortisone and physiotherapy
9) Characteristic feature of osteoarthritis in xray
a. Spurring
b. Subchondral sclerosis
c. Diminution of cartilage space
d. All of these
10) Commonest cause of loose body in a joint
a. Osteoarthritis
b. Osteochondral fracture
c. Synovial chondromatosis
d. Osteochondritis dissecans
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11) Osteoarthritis does not affect -
a.
Knee joint
b.
Hip joint
c.
Interphalangeal joint
d.
Metacarpophalangeal joint
e.
Shoulder joint
12) Earliest visible change in osteoarthritis is-
a.
Loss of water
b.
Fibrillation
c.
Decreased collagen content
d.
Decreased hyaluronic acid level
13) Arthroplasty is indicated in - (Multiple correct answers)
a.
Rheumatoid arthritis
b.
Osteoarthritis dessicans
c.
Osteoarthritis
d.
Osteoclastoma
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14) Osteoarthritis commonly involves - (Multiple correct answers)
a.
Proximal IP joint
b.
Distal lP joint
c.
First carpometacarpal joint
d.
Wrist joint
e.
Distal radio-ulnar joint
15) False about osteoarthritis
a.
Commonly found in adult before 50 years
b.
Heberdens nodules are found
c.
Single joint involvement
d.
Lower limb deformity is seen
e.
Ankylosis is seen
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16) An 18-year-old boy presented in OP with left mono articular knee pain. Possible diagnosis
is/are -
a.
Gout
b.
Osteoarthritis
c.
d.
Reiters disease
e.
Gonococcal arthritis
17) Not a radiological feature of osteoarthritis
a.
Widening of the joint space
b.
Osteophyte formation
c.
Subchondral sclerosis
d.
Cyst formation
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18) The position of lower limb in osteoarthritis of hip is -
a.
Flexion, adduction, internal rotation
b.
Extension, adduction, external rotation
c.
Flexion, adduction, external rotation
d.
Flexion, adduction, internal rotation
19) Synovial fluid of low viscosity seen in - (Multiple correct answers)
a.
Gout
b.
Septic arthritis
c.
TB
d.
Osteoarthritis
e.
20) Proximal interphalangeal, distal interphalangeal & Ist carpometacarpal joint involvement
and sparing of wrist is a feature of:
a. Rheumatoid arthritis
b.
Pseudogout
c. Psoriatic arthropathy
d. Osteoarthritis
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21) Least common site to be involved in osteoarthritis amongst the following is:
a. Hip joint
b. Knee joint
c. Carpometacarpal joint of thumb
d. Metacarpophalangeal joint
22) Herbedens arthropathy affects
a. Lumbar spine
b. Symmetrically large joints
c. Sacroiliac joints
d. Distal interphalangeal joints
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RHEUMATOID ARTHRITIS
1) The cause of rheumatoid arthritis is
a. Familial
b. Immunological
c. Infective
d. Traumatic
2) Distal Interphalangeal joint is characteristically involved in
a. Psoriatic arthritis
b. Rheumatoid arthritis
c. SLE
d. Gout
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3) Treatment of rheumatoid arthritis include all except
a. Rest to the joint
b. Correction of deformities
c. Synovectomy
d. Exercises
e. Immunosuppressive drugs
4) The most common arthritis that affects the wrist is
a. Osteoarthritis
b. Tuberculous arthritis
c. Rheumatoid arthritis
d. Gout
5) Para-articular erosions are most commonly seen in
a. Osteoarthritis
c. Gout
d. Acute suppurative arthritis
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6) Inflammatory arthritis
a.
b.
Osteoarthritis
c.
Osteochondritis
d.
All of the above
7) Arthroplasty is indicated in - (Multiple correct answers)
a.
b.
Osteoarthritis dessicans
c.
Osteoarthritis
d.
Osteoclastoma
8) Synovial fluid of low viscosity seen in - (Multiple correct answers)

a.
Gout
b.
Septic arthritis
c.
TB
d.
Osteoarthritis
e.
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9) A 35 year old male patient develops involvement of proximal and distal interphalangeal
st
joints and 1 canpo-metacarpal joints with sparing of wrist and metacarophalangeal joint.
The Diagnosis is:
a. Osteoarthritis
b. Psoriatic arthropathy
d. Pseudogout
10) Not a well known feature of rheumatoid arthritis
a. Bilateral hip arthritis
b. Erosion of distal interphalangeal joints
c. Pleural effusion
d. Hypocomplementemia
11) Swan neck deformity is a feature of
a. Syphilitic arthritis
b. Gouty arthritis
d. Osteoarthritis
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12) The most common cause of neuropathic joint is
a. Leprosy
b. Diabetes
d. Syphilis
13) The following is involved in rheumatoid arthritis
a. Synovial fluid
b. Synovial membrane
c. Cartilage
d. Subchondral bone
14) Not characterized by bony lesions
a. Gout
b. Psoriasis
c. SLE
d. Rheumatoid arthritis
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15) All of the following are well known features of rheumatoid arthritis except
a. Bilateral hip arthritis
b. Erosion of distal interphalangeal joints
c. Pleural effusion
d. Hypocomplementemia
16) Pain in small joints in an elderly lady is most likely due to
a. Rheumatic arthritis
c. Psoriatic arthritis
d. Reiters disease
17) Stills disease is
a. Post traumatic bone formation in the lateral ligament of the knee
b. Spastic diplegia
c. Rheumatoid arthritis in child hood
d. Rheumatoid arthritis in the elderly
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18) Sudden attack of acute pain in great toe is due to
b. Gout
c. Rheumatic fever
d. Psoriatic arthritis
19) RA factor is used mainly for
a. Screening patients for rheumatoid arthritis
b. Predicting multisystem disease
c. Predicting severity of disease
d. Monitoring treatment
20) A 35-year-old man presents with sudden severe pain, swelling and redness in left big toe
in early morning. Most likely diagnosis is
b. Gouty arthritis
c. Pseudogout
d. Septic arthritis
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21) Deforming polyarthritis is not associated with
b. Psoriatic arthritis
c. Behcets syndrome
d. Ankylosing spondylitis
22) Involved in rheumatoid arthritis
a. Synovial fluid
b. Subchondral bone
c. Synovial membrane
d. Cartilage
23) A young male presents with joint pains and backache. X-ray of spine shows evidence of
sacroilitis. The most likely diagnosis is
b. Ankylosing spondylitis
c. Polyarticular juvenile arthritis
d. Psoriatic arthropathy
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24) Subluxation of atlanto-occipital joint is not seen in
a. Gout
b. Parapharyngeal abscess
25) The cause of rheumatoid arthritis is - (Multiple correct answers)
a.
Familial
b.
Immunological
c.
Infective
d.
Traumatic
26) Pathology in rheumatoid arthritis starts in
a. Articular cartilage
b. Synovium
c. Capsule
d. Muscles
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27) Rheumatoid arthritis commonly affects the -
a.
Cervical spine
b.
Lumbar spine
c.
Thoracolumbar spine
d.
Sacral spine
28) Rheumatoid arthritis most commonly causes -
a.
Pericarditis
b.
Endocarditis
c.
Myocarditis
d.
Pancarditis
29) Trigger finger is caused by -
a.
OA
b.
c.
Tenosynovitis
d.
Injury to tendons
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30) True regarding rheumatoid arthritis - (Multiple correct answers)
a.
Small and large joints are affected mostly
b.
Younger females are affected more commonly
c.
Diagnosed only if rheumatoid factor is positive
d.
Life expectancy is unchanged
e.
Hepatosplenomegaly is common
31) The rheumatoid factor immunoglobulin is against
a.
Fab portion of immunoglobulin
b.
Fc portion of immunoglobulin
c.
Double strand DNA
d.
Mitochondria
32) Most affected part in rheumatoid arthritis is -
a.
Synovium
b.
Subchondral bone
c.
Cartilage
d.
Tendon
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33) The deformities seen in rheumatoid hand are all except-
a.
Swan neck deformity
b.
Boutonniere's deformity
c.
Radial deviation
d.
Adduction, external rotation, flexion
34) Pathognomonic feature of rheumatoid arthritis a.
Rheumatoid factor
b.
Rheumatoid nodule
c.
Morning stiffness
d.
Ulnar drift of fingers
35) Investigation of choice during follow up of patients with rheumatoid arthritis -
a.
X-Ray of joints
b.
ESR, RA factor
c.
Blood counts
d.
None of the above
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36) Distal inter phalangeal joint is most commonly involved in -
a.
b.
Psoriatic arthritis
c.
Gouty arthritis
d.
Ankylosing spondylitis
37) All of the following are seen in inflammatory polyarthritis, except
a. New bone formation
b. Erythema
c. Increased ESR
d. Morning stiffness more than one hour
38) The entire following are true about Rheumatoid arthritis except:
a. Positive for Anti-IgG antibody
b. Juxta-articular osteoporosis
c. Morning stiffness
d. C Reactive protein indicates better prognosis
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39) Which of the following is true regarding Rheumatoid arthritis?
a.
Typically involves small and large joints
b.
symmetrically but spares the cervical spine
c.
Causes pleural effusion with low sugar
d.
Pulmonary nodules are absent
e.
Enthesopathy prominent
40) All of the following are true about Rheumatoid Arthritis, Except (Select three options):
a.
PIP and DIP Joints involved equally
b.
Pathology limited to articular cartilage
c.
Women are affected 3 times more commonly than men
d.
Rheumatpid nodules are seen in 20% of patents
e.
20 percent of patients have extra articular manifestations
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41) A middle aged female presents with polyarthritis, elevated Rheumatoid factor and ANA
levels. Which of the following features will help in differentia' Rheumatoid arthritis from
SLE
a. Soft tissue swelling in PIP Joint
b. Juxta-articular osteoporosis on X ray
c. Articular erosions on X Ray
d. Elevated ESR
42) True regarding felty's syndrome is all, EXCEPT:
a. Splenomegaly
c. Neutropenia
d. Nephropathy
43) Which part of the spine is most commonly affected in Rheumatoid arthritis:
a. Cervical
b. Lumbar
c. Thoracic
d. Sacral
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44) Which radiological feature would help differentiate rheumatoid arthritis with SLE?
a. Erosion
b. Juxta-articular osteoporosis
c. Subluxation ofMCP joint
d. Swelling of PIP joint
45) Rh factor is a:
a. Antibody
b. Mucopolysaccharide
c. Lipoprotein
d. Glyco rotien
46) Rheumatoid factor is:
a. IgG
b. IgM
c.
IgD
d. 19E
e. IgM
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47) Rheumatoid factor in Rheumatoid arthritis is:
a. IgG
b. IgM
c. 19A
d. IgD
e. 19E
48) Rheumatoid factor in rheumatoid arthritis is important because:
a.
RA factor is associated with bad prognosis
b.
Absent RA factor rules out the diagnosis of Rheumatoid arthritis
c.
It is very common in childhood Rheumatoid arthritis
d.
It correlates with disease activity
49) False positive rheumatoid factor can be associated with all except:
a. Inflammatory bowel disease
b. HbsAg
c. VDRL
d. Coombs test
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50) Which of the following is the most specific test for Rheumatoid Arthritis
a. Anti- ccp antibody
b. Anti IgM antibody
c. Anti IgA antibody
d. Anti IgG antibody
51) Type of anemia seen in Rheumatoid arthritis is:
a. Microcytic hypochromic anaemia
b. Macrocytic hypochromic anaemia
c. Normocytic hypochromic anaemia
d. Normocytic normochromic anaemia
52) Causative agent for rheumatoid arthritis is:
a. Mycoplasma
b. Mycobacaterium avium
c. Yersinia
d. Herpes virus
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53) Which of the following HLA subtype is most characteristically associated with
Rheumatoid arthritis?
a. HLADRI
b. HLADR2
c. HLADR3
d. HLADR4
e. HLADR5
54) All of the following are true about Rheumatoid Arthritis, Except:
a. HLA-DR determine genetic susceptibility
b. HLA-B27 determine genetic susceptibility
c. Anemia
d. Subcutaneous nodules
e. Joint deformity
55) The following are rheumatoid disease modifying drugs except:
a.
Chloroquine
b.
Gold
c.
Penicillamine
d.
BAL
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56) Gold salts can be used in:
a. Ankylosing spondylitis
c. Osteoarthritis
d. Behcet's syndrome
57) Indication of systemic steroids in rheumatoid arthritis is:
a.
Mononeuritis multiplex
b.
Carpul tunnel syndrome
c.
Presence of deformities
d.
Articular cartilage involvement
58) Hemophilia with Rheumatoid arthritis, analgesic of choice is:
a. Ibuprofen
b. Asprin
c. Acetaminophen
d. Phenylbutazone
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59) Which of the following is not true about JRA?
a.
Fever
b.
Rheumatoid nodules
c.
Uveitis
d.
Raynaud's phenomenon
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STILLS DISEASE
1) Terminal interphalangeal joints of hands are commonly involved in
a. Psoriatic arthropathy
c. Stills disease
2) Stills disease is
a. Post traumatic bone formation in the lateral ligament of the knee
b. Spastic diplegia
c. Rheumatoid arthritis in child hood
d. Rheumatoid arthritis in the elderly
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REITERS DISEASE
1) False about Reiters disease
a. Conjunctivitis
b. Ulcer on palm and soles
c. Interstitial lung disease
d. After sexual contact
2) Not associated with HLA B 27
b. Reiters syndrome
c. Sjgrens syndrome
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3) An 18-year-old boy presented in OP with left mono articular knee pain. Possible diagnosis
is/are -
a.
Gout
b.
Osteoarthritis
c.
d.
Reiters disease
e.
Gonococcal arthritis
4) Pain in small joints in an elderly lady is most likely due to
a. Rheumatic arthritis
c. Psoriatic arthritis
d. Reiters disease
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ANKYLOSING SPONDYLITIS
1) Enthesopathy is characteristic of -
a.
b.
c.
Tuberculous arthritis
d.
Osteoarthritis
2) Pain improving with exercise -
a.
Osteoarthritis
b.
Ankylosing Spondylitis
c.
Neurogenic joint
d.
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3) Bamboo spine is seen in
a. Tuberculosis
c. Ochronosis
d. Ankylosing spondylosis
4) HLA B27 is associated with
c. Rheumatic arthritis
d. Gouty arthritis
5) Deforming polyarthritis is not associated with
c. Behcets syndrome
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6) A young male presents with joint pains and backache. X-ray of spine shows evidence of
sacroilitis. The most likely diagnosis is
c. Polyarticular juvenile arthritis
d. Psoriatic arthropathy
a.
b.
Psoriatic arthritis
c.
Gouty arthritis
d.
8) Gold salts can be used in:
c. Osteoarthritis
d. Behcet's syndrome
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9) Terminal interphalangeal joints of hands are commonly involved in
a. Psoriatic arthropathy
c. Stills disease
10) Not associated with HLA B 27
b. Reiters syndrome
c. Sjgrens syndrome
11) Positivity of HLA B 27 in ankylosing spondylitis
a. 20%
b. 45%
c. 75%
d. 96%
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12) The earliest manifestation of alkaptonuria is
a. Ankylosis of lumbodorsal spine
b. Ochronotic arthritis
c. Prostatic calculi
d. Pigmentation of tympanic membrane
e. All of the above
13) Least commonly involved joint in ankylosing spondylitis
a. Elbow
b. Sacroiliac
c. Ankle
d. Spinal
14) Early X ray change of ankylosing spondylitis
a. Disc space narrowing
b. Anterior osteophyte formation
c. Sacroiliac joint erosion
d. Facet joint ankylosis
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15) Not associated with ankylosing spondylitis
a. Pain is more in the early morning period
b. Pain is relieved in lying down position
c. Morning stiffness more than 3 months
d. May be associated with uveitis
16) Treatment of choice for ankylosing spondylitis is
a. NSAIDs
b. Radiotherapy
c. Steroid
d. All of the above
17) Joint commonly affected in ankylosing spondylitis
a. Ankle
b. Knee
c. Shoulder
d. All of the above
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18) True regarding ankylosing spondylitis
a. Common in females
b. Sacroilitis is common
c. AntiDNA and antinuclear antibodies are present
d. Symmetrical peripheral arthritis
19) Skin lesion least likely in
a. Sarcoidosis
c. Gonococcal arthritis
20) True about ankylosing spondylitis
a. Sacroiliac joints unusually involved
b. Peripheral joints are rarely involved
c. More common in females
d. Iritis is not seen
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21) In ankylosing spondylitis, radiological changes are first seen in -
a.
Sacroiliac joints
b.
Intervertebral ligaments
c.
Vertebral bodies
d.
Intervertebral discs
22) Positivity of HLA B 27 in ankylosing spondylitis
a. 20%
b. 45%
c. 75%
d. 96%
23) Least commonly involved joint in ankylosing spondylitis
a. Elbow
b. Sacroiliac
c. Ankle
d. Spinal
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24) The earliest manifestation of alkaptonuria is
a. Ankylosis of lumbodorsal spine
b. Ochronotic arthritis
c. Prostatic calculi
d. Pigmentation of tympanic membrane
e. All of the above
25) Early X ray change of ankylosing spondylitis

a. Disc space narrowing
b. Anterior osteophyte formation
c. Sacroiliac joint erosion
d. Facet joint ankylosis
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SERONEGATIVE SPONDYLOARTHROPATHIES
1) Backache and asymmetrical lower limb weakness in a young man
a.
Seronegative spondyloarthropathy
b.
RA
c.
OA
d.
Gout
2) All are seronegative (spondyloepiphyseal) arthritis with ocular manifestations, EXCEPT:
a.
Ankylospondilitis
b.
Ritter's disease
c.
d.
Psoriatic arthritis
3) HLA-B27 is typically associated with:
a.
Rheumatoid Arthritis
b.
c.
Sjogren's syndrome
d.
Scleroderma
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4) Features of seronegative spondyloarthropathy include all of the following, Except
a.
Strong association with HLA B27
b.
Negative Rheumatoid Factor
c.
Symmetrical Polyarthritis
d.
Enthesitis
e.
Extraarticular feature including uveitis
5) All are seronegative (spondyloepiphyseal) arthritis with ocular manifestations, except-
a. Ankylospondilitis
b. Ritter's disease
6) Ankylosing spondylitis in associated with:
a. HLA-B27
b. HLA-B-8
c. HLA-DW4IDR4
d. HLA-DR3
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7) All the following diseases are associated with HILA B-27 & Uveitis, except
a.
Bechcet's syndrome
b.
Psoriasis
c.
Ankylosing Spondylitis
d.
Reiter's syndrome
8) HLA B 27 is associated with all except (choose two options):
a.
b.
Pernicious anemia
c.
Behcet's syndrome
d.
Reiter's syndrome
9) Treatment of choice in seronegative spondy-Iarthritis is:
a. Phenylbutazone
b. Aspirin
c. Indomethacin
d. Corticosteroid
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Page 46 of 69
10) A 35 - year old male develops involvements of PIP, DIP and metacarpophalangeal joints
with sparing of wrist and carpometacarpal joints. The probable diagnosis is:
a.
Psoriatic arthopathy
b.
Osteo arthritis
c.
d.
Pseudo gout
11) A patient presents with foreign body sensation in eye and swollen knee joint after a
leisure trip. The most probable diagnosis is:
a.
Sarcoidosis
b.
Reiter's disease
c.
Behcet's disease
d.
SLE
12) What is not seen in Reiters syndrome?
a.
Subcutaneous nodules
b.
Keratoderma blennorrhagicum
c.
Circinate balanitis
d.
Oral ulcers
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13) Which of the organisms most commonly causes reactive arthritis?
a. Ureaplasma urealyticum
b. Group A beta hemolytic streptococci
c. Borrelia burggorferi
d. Chlamydia
e. Osteoarthritis
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Page 48 of 69
GOUT
1) Periosteal reaction is not common in
a. Syphilis
b. Gout
c. Osteomyelitis
d. Tuberculous dactylitis
2) Not a clinical feature of gout
a. Allopurinol is drug of choice in a chronic patient with renal complication
b. Positive birefringent crystal in the synovial fluid
c. Hyperuricemia
d. Mostly affects small joints
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Page 49 of 69
3) Gouty arthritis usually involves first
a. Ankle
b. Great toe
c. Thumb
d. Shoulder joint
4) Not used in an attack of gout
a. Aspirin
b. Indomethacin
c. Colchicine
d. Phenylbutazone
5) In a gouty arthritis, the characteristic xray findings include
a. Osteoporosis
b. Erosion of joint
c. Soft tissue calcification
d. Narrowing of joint space
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6) Progressive stiffening of a joint is seen in -
a.
Periarthritis of shoulder
b.
Osteochondritis
c.
Gout
d.
Ankylosis
7) How can you differentiate gout with pseudogout?
a.
Large joint involvement
b.
Birefringent crystals
c.
Serum uric acid normal
d.
Associated with hyperparathyroidism
8) Tophi of gout are found in - (Multiple correct answers)
a.
Articular cartilage
b.
Synovium
c.
Skin
d.
Muscle
e.
Joint capsule
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Page 51 of 69
9) Subluxation of atlanto-occipital joint is not seen in
a. Gout
b. Parapharyngeal abscess
a.
b.
Psoriatic arthritis
c.
Gouty arthritis
d.
11) Gout is a disorder of:
a. Purine Metabolism
b. Pyrimidine Metabolism
c. Ketone Metabolism
d. Protein metabolism
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12) Clinical features of Gout include:
a. Severe joint pain
b. Involvement of small joints
c. Deposition of monosodium urate crystals in syynovium
d. Chondrocalcinosis
e. All of the above
13) All of the following statements about primary Gouty Arthritis are true, except:
a. 90% of cases are caused by over production of uric acid
b. Uric acid levels may be normal at the time of an acute attack
c. Men are more commonly affected than women (Male> Females)
d. Definitive diagnosis requires aspiration of synovial fluid
14) All of the following are true about Gout, except:
a.
Occurs due to accumulation of urate crystals in joint
b.
Can be pptd by pyrazinamide
c.
Birefringement crystals are present in joint
d.
Occurs more in females
e.
Due to decreased excretion of uric acid
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15) All of the following conditions are observed in Gout except:
a. Uric acid nephrolithiasis
b. Deficiency of enzyme Xanthine oxidase
c. Increase in serum urate concentration
d. Renal disease involving interstitial tissues
16) What is not true about gout?
a. Abrupt increase in serum urate levels is more common a cause for acute gout than an
abrupt fall in urate levels.
b. Patient may be asymptomatic with high serum uric acid for years
c. Development of arthritis correlates with level of serum uric acid
d. Uric acid crystals are best seen by polarising light microscope
17) False regarding gouty arthritis is:
a. Synovial fluid analysis is diagnostic
b. Alloputinol is the treatment of choice in acute gout
c. Arthritis occurs after long attack of hyperuricemia
d. Levels of uric acid in blood and severity of gout has good correlation
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18) Specific test for gout is:
a. Raised serum uric acid level
b. Raised uric acid in synovial fluid of joint
c. Raised urea level
d. Raised urease enzyme level
19) All are used in treatment of acute gout, EXCEPT:
a. Aspirin
b. Naproxen
c. Allopurinol
d. Colchinine
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PSEUDOGOUT
1) Pseudogout has crystals of
a. Sodium Pyrophosphate
b. Monosodium urate
c. Calcium pyrophosphate
d. Sodium urate
2) The most commonly involved joint in pseudogout
a. Knee
b. Great toe
c. Hip
d. Elbow
3) Crystals in synovial fluid are seen in -
a.
Pseudogout
b.
Diabetes mellitus
c.
Syphilis
d.
Osteoarthritis
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Page 56 of 69

b.
Pseudogout
d. Osteoarthritis
5) A 35 year old male patient develops involvement of proximal and distal interphalangeal
st
joints and 1 canpo-metacarpal joints with sparing of wrist and metacarophalangeal joint.
The Diagnosis is:
a. Osteoarthritis
b. Psoriatic arthropathy
d. Pseudogout
6) A 35-year-old man presents with sudden severe pain, swelling and redness in left big toe
in early morning. Most likely diagnosis is
b. Gouty arthritis
c. Pseudogout
d. Septic arthritis
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b.
Pseudogout
d. Osteoarthritis
8) Calcification of menisci is seen in
a. Hyperparathyroidism
b. Pseudogout
c. Renal osteodystrophy
d. Acromegaly
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Page 58 of 69
CHARCOTS JOINTS
1) Diabetic Charcots joint affect most commonly
a. Knee
b. Ankle
c. Hip
d. Foot joint
2) Charcots joints have all of the following characteristics except
a. Copious effusion in the joint
b. Painful limitation of joint movements
c. Hypermobility of joint
d. Osteophyte formation
3) Charcots joint in tabes dorsalis occurs most commonly at
a. Elbow
b. Tarsometatarsal
c. Wrist
d. Knee
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4) A 60 year old man with diabetes mellitus presents with painless, swollen right angkle
joint. Radiographs of the ankle show destroyed joint with large number of loose bodies.
The most probable diagnosis is:
a. Charcots joint
b. Cluttons joint
c. Osteoarthritis
d. Rheumatoid arthritis
5) Charcots joint includes all of the following except:
a. Syrimgomyelia
b. Leprosy
c. Diabetes
d. Arthrogryposis multiple congenital
6) Not a recognized causes of Charcots (neuropathic) joint

a. Peripheral neuritis
b. Syringomyelia
c. Tabes dorsalis
d. Hysterical joint
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7) Neuropathic joint of foot and ankle is most commonly due to
a. CTEV
b. Hansens disease
c. Polio
d. Mycetoma
8) Joint least affected by neuropathy
a. Shoulder
b. Hip
c. Wrist
d. Elbow
9) Neuropathic joints of ankle and foot are most commonly caused by
a. Polio
b. Club foot
c. Mycetoma
d. Hansens disease
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10) Neuropathic joint may arise in
a. Syringomyelia
b. Tabes dorsalis
c. Leprosy
d. All of the above
11) Neuropathic joint of foot and ankle is most commonly due to
a. CTEV
b. Hansens disease
c. Polio
d. Mycetoma
12) Joint least affected by neuropathy
a. Shoulder
b. Hip
c. Wrist
d. Elbow
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13) Neuropathic joints of ankle and foot are most commonly caused by
a. Polio
b. Club foot
c. Mycetoma
d. Hansens disease
14) Neuropathic joint may arise in
a. Syringomyelia
b. Tabes dorsalis
c. Leprosy
d. All of the above
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Page 63 of 69
MISCELLANEOUS
1) Increased density of skull vault is seen in
a. Hyperparathyroidism
b. Multiple myeloma
c. Fluorosis
d. Renal osteodystrophy
2) The joint commonly involved in syphilitic arthritis is
a. Hip
b. Shoulder
c. Wrist
d. Knee
3) Congenital dislocation of hip is usually due to
a. Short femur neck
b. Small femur head
c. Displacement of capital epiphysis
d. Large acetabulum
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4) Fracture neck of femur in old persons is best treated by
a. Replacement arthroplasty
b. Thomass splint support
c. No treatment
d. Internal fixation with SP nail
5) Haemarthroses with prolonged bleeding time is seen in
a. Haemophilia
b. Christmas disease
c. Von Willebrands disease
d. All of the above
6) Bleeding into joint cavities is not common in
a. Haemophilia
b. ITP
c. Christmas disease
d. All of the above
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Page 65 of 69
7) Tertiary syphilitic arthritis most frequently involves
a. Spine
b. Hip
c. Ankle
d. Knee
8) Swan-neck deformity is
a. Flexion of metacarpophalangeal joint and extension at interphalangeal
b. Extension at Proximal interphalangeal joint and flexion at distal interphalangeal

joint
c. Flexion at proximal interphalangeal joint and extension a distal interphalangeal

joint
d. Extension at Metacarpophalangeal joint and flexion at interphalangeal joint
9) Considered in the differential diagnosis of foreign body in plain X- ray of knee joint
a. Fabella
b. Calcified bursa
c. Patella
d. Chondromatosis
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Page 66 of 69
10) Hyperextension of PIP joints and hyperflexion of DIP joint is known as
a. Trigger finger
b. Boutonnieres deformity
c. Swan neck deformity
d. Mallet finger
11) Erosive arthritis is not noted in
a. Amyloidosis
b. Hyperparathyroidism
c. Psoriasis
d. Sickle cell disorder
12) Not true about osteogenesis imperfecta
a. Impaired healing of fracture
b. Deafness
c. Laxity of joints
d. Fragile fracture
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Page 67 of 69
13) Prevent hyperextension of hip
a. Iliofemoral ligament
b. Ischiofemoral ligament
c. Pubofemoral ligament
d. Puboischial ligament
14) The most common cause of large epiphysis is
a. Haemophilia
b. Pagets disease
c. Osteomalacia
d. Cushings disease
15) Arthroscopy is contraindicated in
a. Chronic joint disease
b. Loose bodies
c. Haemophilia
d. Meniscal tear
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Page 68 of 69
16) Bleeding into joint cavities is not common in
a. Christmas disease
b. Haemophilia
c. ITP
d. None of the above
17) Cluttons joints are
a. Syphilitic joints
b. End stage Tuberculous joints
c. Associated with trauma
d. Usually painful
18) Tom-Smith arthritis spreads to the hip joint because-
a.
Metaphysis is inside the joint
b.
Epiphysis is absent
c.
Periosteum lacks a cambium layer
d.
All of the above
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Page 69 of 69
19) In psoriatic arthropathy the characteristic joint involved is -
a.
Proximal interphalangeal joint
b.
Distal interphalangeal joint
c.
Metacarpophalangeal joint
d.
Wrist joint
20) Most common site of septic arthritis is -
a.
Hip
b.
Vertebra
c.
Knee
d.
Elbow
21) Heberden's arthropathy affects -
a.
Lumbar spine
b.
Symmetrically large joints
c.
Sacroiliac joints
d.
Distal interphalangeal joints
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Page 1 of 69

Dr. RAJENDRANS INSTITUTE OF MEDICAL EDUCATION

1) Osteoarthritis does not affect

2) Late complication of fracture of acetabulum

b. Sciatic nerve palsy

d. None of the above

3) Treatments of osteoarthritis include all except:

a. Graded muscle exercises

b. Replacement of articular surfaces

d. Increase the weight bearing by the affected joint

e. Rest to the joint in acute phase

4) Earliest radiological sign of osteoarthritis is

a. Narrowing of joint space

c. Cystic lesion in cancellous bone

d. Sclerosis in subchondral bone

5) Hypertrophic osteoarthropathy is observed in

6) Not a cause of hydrarthrosis

7) The most common site of primary osteoarthrosis is

8) Severe disability in primary osteoarthritis of hip is best managed by

d. Intra-articular hydrocortisone and physiotherapy

9) Characteristic feature of osteoarthritis in xray

c. Diminution of cartilage space

10) Commonest cause of loose body in a joint

11) Osteoarthritis does not affect -

12) Earliest visible change in osteoarthritis is-

Decreased collagen content

Decreased hyaluronic acid level

13) Arthroplasty is indicated in - (Multiple correct answers)

14) Osteoarthritis commonly involves - (Multiple correct answers)

First carpometacarpal joint

Distal radio-ulnar joint

15) False about osteoarthritis

Commonly found in adult before 50 years

Heberdens nodules are found

Single joint involvement

Lower limb deformity is seen

17) Not a radiological feature of osteoarthritis

Widening of the joint space

18) The position of lower limb in osteoarthritis of hip is -

Flexion, adduction, internal rotation

Extension, adduction, external rotation

Flexion, adduction, external rotation

Flexion, adduction, internal rotation

19) Synovial fluid of low viscosity seen in - (Multiple correct answers)

c. Carpometacarpal joint of thumb

22) Herbedens arthropathy affects

b. Symmetrically large joints

d. Distal interphalangeal joints

1) The cause of rheumatoid arthritis is

2) Distal Interphalangeal joint is characteristically involved in

3) Treatment of rheumatoid arthritis include all except

a. Rest to the joint

4) The most common arthritis that affects the wrist is

5) Para-articular erosions are most commonly seen in

d. Acute suppurative arthritis

All of the above

7) Arthroplasty is indicated in - (Multiple correct answers)

8) Synovial fluid of low viscosity seen in - (Multiple correct answers)

10) Not a well known feature of rheumatoid arthritis

a. Bilateral hip arthritis

b. Erosion of distal interphalangeal joints

11) Swan neck deformity is a feature of

12) The most common cause of neuropathic joint is