Rheumatology Board Exam Started: Jul 13, 2026 10:39 Page 36 of 53 Attempt #2611 Overall: 0 / 263 questions answered Question 176 / 263 Not answered In an outpatient specialty clinic: a 34-year-old woman presents with proximal muscle weakness with rash. Relevant risk context includes older age. What is the most likely diagnosis? A. Giant cell arteritis B. Axial spondyloarthritis C. Systemic lupus erythematosus flare D. Rheumatoid arthritis E. Dermatomyositis Show Answer & Explanation Correct Answer: D Explanation: The pattern of proximal muscle weakness with rash with risk factors such as older age 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 177 / 263 Not answered During morning rounds: a 72-year-old woman presents with inflammatory back pain improving with exercise. Relevant risk context includes older age. What is the most likely diagnosis? A. Acute gout flare B. Giant cell arteritis C. Axial spondyloarthritis D. Dermatomyositis E. Systemic lupus erythematosus flare Show Answer & Explanation Correct Answer: B Explanation: The pattern of inflammatory back pain improving with exercise with risk factors such as older age 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 178 / 263 Not answered During a primary-care follow-up visit: a 54-year-old woman is evaluated for first MTP acute inflammation in the context of older age. Which is the most appropriate next investigation? A. Anti-CCP antibody testing B. Temporal artery assessment C. Synovial fluid crystal analysis D. Muscle enzyme panel E. Autoimmune antibody profile Show Answer & Explanation Correct Answer: E Explanation: Autoimmune antibody profile 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 179 / 263 Not answered During a primary-care follow-up visit: a 26-year-old man is evaluated for first MTP acute inflammation in the context of smoking. Which is the most appropriate next investigation? A. Muscle enzyme panel B. Autoimmune antibody profile C. Temporal artery assessment D. ESR and CRP E. Anti-CCP antibody testing Show Answer & Explanation Correct Answer: E 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: 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 180 / 263 Not answered At a preventive-care consultation: a 28-year-old woman has symmetric small-joint morning stiffness with risk profile of recent steroid taper. After initial stabilization and assessment, what is the most appropriate management step? A. Hydroxychloroquine-based lupus management B. Multidisciplinary rehabilitation C. Biologic therapy escalation when indicated D. Methotrexate-based DMARD initiation E. Urgent glucocorticoid for suspected giant cell arteritis Show Answer & Explanation Correct Answer: A 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 36 of 53 Next → »