Rheumatology Board Exam Started: Jul 12, 2026 22:41 Page 6 of 53 Attempt #1190 Overall: 0 / 263 questions answered Question 26 / 263 Not answered Question 51: At a primary-care follow-up visit: A 35-year-old woman has symmetric MCP and PIP swelling for 10 weeks, morning stiffness 90 minutes, and positive anti-CCP. What is the most likely diagnosis? A. Rheumatoid arthritis B. Osteoarthritis C. Gout D. Septic arthritis E. Fibromyalgia only Show Answer & Explanation Correct Answer: A Explanation: [Rheumatology] Symmetric small-joint inflammatory arthritis with anti-CCP positivity is typical of rheumatoid arthritis. Reference: ACR/EULAR Rheumatoid Arthritis Classification Criteria. Reference: 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 27 / 263 Not answered Question 50: During an emergency department assessment: A 26-year-old man has inflammatory back pain improving with exercise, uveitis, and sacroiliitis. What is the likely diagnosis? A. Mechanical back strain B. Osteoporosis C. Polymyalgia rheumatica D. Dermatomyositis E. Axial spondyloarthritis Show Answer & Explanation Correct Answer: E Explanation: [Rheumatology] Young-onset inflammatory back pain with sacroiliitis and uveitis suggests axial spondyloarthritis. Reference: ASAS/EULAR Axial Spondyloarthritis Recommendations. Reference: 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 28 / 263 Not answered Question 49: During an emergency department assessment: A 72-year-old has new headache, jaw claudication, scalp tenderness, and ESR 90. What should be started immediately? A. Allopurinol B. Methotrexate only after biopsy C. NSAIDs only D. High-dose glucocorticoids E. No treatment until blindness occurs Show Answer & Explanation Correct Answer: D Explanation: [Rheumatology] Suspected giant cell arteritis requires immediate glucocorticoids to prevent vision loss, without waiting for biopsy. Reference: EULAR Large Vessel Vasculitis Recommendations. Reference: 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 29 / 263 Not answered Question 48: During an emergency department assessment: A young woman has photosensitive rash, oral ulcers, arthritis, cytopenia, and positive ANA. What disease is most likely? A. Osteoarthritis B. Ankylosing spondylitis C. Systemic lupus erythematosus D. Giant cell arteritis E. Reactive airway disease Show Answer & Explanation Correct Answer: C Explanation: [Rheumatology] Multisystem autoimmune features with ANA positivity are consistent with SLE. Reference: EULAR/ACR SLE Classification Criteria. Reference: 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 30 / 263 Not answered Question 47: During an emergency department assessment: A 60-year-old man has abrupt severe pain, redness, and swelling of first MTP. Joint aspirate shows negatively birefringent needle-shaped crystals. What is the diagnosis? A. Pseudogout B. Gout C. Septic arthritis excluded without culture D. Rheumatoid arthritis E. Osteomyelitis Show Answer & Explanation Correct Answer: B Explanation: [Rheumatology] Needle-shaped negatively birefringent monosodium urate crystals diagnose gout. Reference: ACR Gout Guideline. Reference: 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 6 of 53 Next → »