Rheumatology Board Exam Started: Jul 13, 2026 14:15 Page 23 of 53 Attempt #2810 Overall: 0 / 263 questions answered Question 111 / 263 Not answered In an emergency department assessment: a 61-year-old woman presents with inflammatory back pain improving with exercise. Relevant risk context includes smoking. What is the most likely diagnosis? A. Rheumatoid arthritis B. Acute gout flare C. Axial spondyloarthritis D. Giant cell arteritis E. Systemic lupus erythematosus flare Show Answer & Explanation Correct Answer: A Explanation: The pattern of inflammatory back pain improving with exercise with risk factors such as smoking is most consistent with Rheumatoid arthritis. This answer best matches the expected diagnostic framework for Rheumatology. Reference: ACR Rheumatology Guidelines Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 112 / 263 Not answered During a primary-care follow-up visit: a 48-year-old man presents with proximal muscle weakness with rash. Relevant risk context includes recent steroid taper. What is the most likely diagnosis? A. Systemic lupus erythematosus flare B. Dermatomyositis C. Rheumatoid arthritis D. Giant cell arteritis E. Acute gout flare Show Answer & Explanation Correct Answer: C Explanation: The pattern of proximal muscle weakness with rash with risk factors such as recent steroid taper is most consistent with Rheumatoid arthritis. This answer best matches the expected diagnostic framework for Rheumatology. Reference: ASAS Guidelines for Spondyloarthritis Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 113 / 263 Not answered During morning rounds: a 68-year-old man presents with inflammatory back pain improving with exercise. Relevant risk context includes psoriasis. What is the most likely diagnosis? A. Systemic lupus erythematosus flare B. Dermatomyositis C. Giant cell arteritis D. Axial spondyloarthritis E. Acute gout flare Show Answer & Explanation Correct Answer: D Explanation: The pattern of inflammatory back pain improving with exercise with risk factors such as psoriasis is most consistent with Axial spondyloarthritis. This answer best matches the expected diagnostic framework for Rheumatology. Reference: EULAR Recommendations; Rheumatology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 114 / 263 Not answered During morning rounds: a 70-year-old woman is evaluated for proximal muscle weakness with rash in the context of smoking. Which is the most appropriate next investigation? A. Synovial fluid crystal analysis B. Muscle enzyme panel C. Anti-CCP antibody testing D. ESR and CRP E. Temporal artery assessment Show Answer & Explanation Correct Answer: E Explanation: Temporal artery assessment is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Rheumatology. Reference: BSR Rheumatology Guidance Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 115 / 263 Not answered At a multidisciplinary case conference: a 25-year-old woman presents with new headache with jaw claudication. Relevant risk context includes hyperuricemia. What is the most likely diagnosis? A. Acute gout flare B. Giant cell arteritis C. Rheumatoid arthritis D. Axial spondyloarthritis E. Dermatomyositis Show Answer & Explanation Correct Answer: E Explanation: The pattern of new headache with jaw claudication with risk factors such as hyperuricemia is most consistent with Dermatomyositis. This answer best matches the expected diagnostic framework for Rheumatology. Reference: EULAR Recommendations; Rheumatology topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 23 of 53 Next → »