Rheumatology Board Exam Started: Jul 13, 2026 03:24 Page 44 of 53 Attempt #1797 Overall: 0 / 263 questions answered Question 216 / 263 Not answered At a multidisciplinary case conference: a 72-year-old woman presents with new headache with jaw claudication. Relevant risk context includes psoriasis. What is the most likely diagnosis? A. Dermatomyositis B. Giant cell arteritis C. Rheumatoid arthritis D. Axial spondyloarthritis E. Acute gout flare Show Answer & Explanation Correct Answer: E Explanation: The pattern of new headache with jaw claudication with risk factors such as psoriasis is most consistent with Acute gout 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 217 / 263 Not answered In an outpatient specialty clinic: a 44-year-old woman has malar rash with arthralgia with risk profile of psoriasis. After initial stabilization and assessment, what is the most appropriate management step? A. Acute gout anti-inflammatory treatment B. Multidisciplinary rehabilitation C. Urgent glucocorticoid for suspected giant cell arteritis D. Methotrexate-based DMARD initiation E. Hydroxychloroquine-based lupus management Show Answer & Explanation Correct Answer: C Explanation: Urgent glucocorticoid for suspected giant cell arteritis is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 218 / 263 Not answered In an outpatient specialty clinic: a 26-year-old woman is evaluated for symmetric small-joint morning stiffness in the context of family autoimmune history. Which is the most appropriate next investigation? A. Temporal artery assessment B. ESR and CRP C. Muscle enzyme panel D. Synovial fluid crystal analysis E. Anti-CCP antibody testing Show Answer & Explanation Correct Answer: D Explanation: Synovial fluid crystal analysis 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 219 / 263 Not answered At a preventive-care consultation: a 37-year-old man presents with inflammatory back pain improving with exercise. Relevant risk context includes older age. What is the most likely diagnosis? A. Rheumatoid arthritis B. Dermatomyositis C. Systemic lupus erythematosus flare D. Acute gout flare E. Giant cell arteritis 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 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 Question 220 / 263 Not answered During a primary-care follow-up visit: a 37-year-old woman is evaluated for first MTP acute inflammation in the context of hyperuricemia. Which is the most appropriate next investigation? A. Anti-CCP antibody testing B. Temporal artery assessment C. ESR and CRP D. Muscle enzyme panel E. Autoimmune antibody profile Show Answer & Explanation Correct Answer: A 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 Cancel « ← Previous Page 44 of 53 Next → »