Rheumatology Board Exam Started: Jul 13, 2026 16:16 Page 30 of 53 Attempt #2906 Overall: 0 / 263 questions answered Question 146 / 263 Not answered In an emergency department assessment: a 50-year-old man is evaluated for first MTP acute inflammation in the context of psoriasis. Which is the most appropriate next investigation? A. Temporal artery assessment B. Anti-CCP antibody testing C. Muscle enzyme panel D. ESR and CRP E. Synovial fluid crystal analysis Show Answer & Explanation Correct Answer: D Explanation: ESR and CRP 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 147 / 263 Not answered At a multidisciplinary case conference: a 78-year-old man presents with first MTP acute inflammation. Relevant risk context includes family autoimmune history. What is the most likely diagnosis? A. Systemic lupus erythematosus flare B. Dermatomyositis C. Giant cell arteritis D. Axial spondyloarthritis E. Rheumatoid arthritis Show Answer & Explanation Correct Answer: A Explanation: The pattern of first MTP acute inflammation with risk factors such as family autoimmune history is most consistent with Systemic lupus erythematosus flare. This answer best matches the expected diagnostic framework for 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 148 / 263 Not answered During morning rounds: a 56-year-old woman is evaluated for inflammatory back pain improving with exercise in the context of family autoimmune history. Which is the most appropriate next investigation? A. Temporal artery assessment B. Anti-CCP antibody testing C. ESR and CRP D. Muscle enzyme panel E. Synovial fluid crystal analysis Show Answer & Explanation Correct Answer: B Explanation: Anti-CCP antibody testing 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 149 / 263 Not answered At a preventive-care consultation: a 54-year-old woman presents with first MTP acute inflammation. Relevant risk context includes family autoimmune history. What is the most likely diagnosis? A. Giant cell arteritis B. Systemic lupus erythematosus flare C. Acute gout flare D. Dermatomyositis E. Rheumatoid arthritis Show Answer & Explanation Correct Answer: A Explanation: The pattern of first MTP acute inflammation with risk factors such as family autoimmune history is most consistent with Giant cell arteritis. This answer best matches the expected diagnostic framework for 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 150 / 263 Not answered In an emergency department assessment: a 77-year-old man has proximal muscle weakness with rash with risk profile of hyperuricemia. After initial stabilization and assessment, what is the most appropriate management step? A. Biologic therapy escalation when indicated B. Acute gout anti-inflammatory treatment C. Hydroxychloroquine-based lupus management D. Urgent glucocorticoid for suspected giant cell arteritis E. Methotrexate-based DMARD initiation Show Answer & Explanation Correct Answer: C Explanation: Hydroxychloroquine-based lupus management is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 Cancel « ← Previous Page 30 of 53 Next → »