Rheumatology Board Exam Started: Jul 13, 2026 20:36 Page 26 of 53 Attempt #2932 Overall: 0 / 263 questions answered Question 126 / 263 Not answered In an outpatient specialty clinic: a 43-year-old woman is evaluated for new headache with jaw claudication in the context of psoriasis. Which is the most appropriate next investigation? A. Synovial fluid crystal analysis B. Muscle enzyme panel C. Anti-CCP antibody testing D. Temporal artery assessment E. Autoimmune antibody profile Show Answer & Explanation Correct Answer: D Explanation: Temporal artery assessment is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in 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 127 / 263 Not answered At a preventive-care consultation: a 67-year-old man is evaluated for inflammatory back pain improving with exercise in the context of psoriasis. Which is the most appropriate next investigation? A. Anti-CCP antibody testing B. ESR and CRP C. Muscle enzyme panel D. Autoimmune antibody profile 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: 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 128 / 263 Not answered In an emergency department assessment: a 78-year-old woman presents with inflammatory back pain improving with exercise. Relevant risk context includes recent steroid taper. What is the most likely diagnosis? A. Giant cell arteritis B. Axial spondyloarthritis C. Acute gout flare D. Systemic lupus erythematosus flare E. Dermatomyositis Show Answer & Explanation Correct Answer: A Explanation: The pattern of inflammatory back pain improving with exercise with risk factors such as recent steroid taper is most consistent with Giant cell arteritis. 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 129 / 263 Not answered During morning rounds: a 66-year-old woman presents with symmetric small-joint morning stiffness. Relevant risk context includes family autoimmune history. What is the most likely diagnosis? A. Systemic lupus erythematosus flare B. Giant cell arteritis C. Dermatomyositis D. Axial spondyloarthritis E. Rheumatoid arthritis Show Answer & Explanation Correct Answer: C Explanation: The pattern of symmetric small-joint morning stiffness with risk factors such as family autoimmune history 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 Question 130 / 263 Not answered During morning rounds: a 40-year-old woman presents with first MTP acute inflammation. Relevant risk context includes family autoimmune history. What is the most likely diagnosis? A. Axial spondyloarthritis B. Dermatomyositis C. Giant cell arteritis D. Systemic lupus erythematosus flare E. Acute gout flare Show Answer & Explanation Correct Answer: B Explanation: The pattern of first MTP acute inflammation with risk factors such as family autoimmune history is most consistent with Dermatomyositis. 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 Cancel « ← Previous Page 26 of 53 Next → »