Rheumatology Board Exam Started: Jul 13, 2026 08:16 Page 14 of 53 Attempt #2380 Overall: 0 / 263 questions answered Question 66 / 263 Not answered A 55-year-old with acute onset joint pain swelling and erythema has needle-shaped monosodium urate crystals in synovial fluid. Most appropriate acute therapy: A. Colchicine NSAIDs or corticosteroids B. Allopurinol C. Febuxostat D. Observation E. Hydration alone Show Answer & Explanation Correct Answer: A Explanation: NSAIDs colchicine or corticosteroids provide rapid relief of acute gout inflammation. Reference: American College of Rheumatology 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 67 / 263 Not answered At a preventive-care consultation: a 33-year-old man presents with proximal muscle weakness with rash. Relevant risk context includes psoriasis. What is the most likely diagnosis? A. Dermatomyositis B. Acute gout flare C. Axial spondyloarthritis D. Giant cell arteritis E. Systemic lupus erythematosus flare Show Answer & Explanation Correct Answer: B Explanation: The pattern of proximal muscle weakness with rash with risk factors such as psoriasis is most consistent with Acute gout flare. 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 68 / 263 Not answered In an emergency department assessment: a 74-year-old woman has malar rash with arthralgia with risk profile of family autoimmune history. After initial stabilization and assessment, what is the most appropriate management step? A. Hydroxychloroquine-based lupus management B. Multidisciplinary rehabilitation C. Urgent glucocorticoid for suspected giant cell arteritis D. Methotrexate-based DMARD initiation E. Biologic therapy escalation when indicated Show Answer & Explanation Correct Answer: E Explanation: Biologic therapy escalation when indicated 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 69 / 263 Not answered During a primary-care follow-up visit: a 56-year-old woman has new headache with jaw claudication with risk profile of hyperuricemia. After initial stabilization and assessment, what is the most appropriate management step? A. Hydroxychloroquine-based lupus management B. Methotrexate-based DMARD initiation C. Acute gout anti-inflammatory treatment D. Urgent glucocorticoid for suspected giant cell arteritis E. Multidisciplinary rehabilitation Show Answer & Explanation Correct Answer: E Explanation: Multidisciplinary rehabilitation 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 Question 70 / 263 Not answered In an outpatient specialty clinic: a 53-year-old man presents with malar rash with arthralgia. Relevant risk context includes psoriasis. What is the most likely diagnosis? A. Giant cell arteritis B. Rheumatoid arthritis C. Axial spondyloarthritis D. Systemic lupus erythematosus flare E. Dermatomyositis Show Answer & Explanation Correct Answer: B Explanation: The pattern of malar rash with arthralgia with risk factors such as psoriasis 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 Cancel « ← Previous Page 14 of 53 Next → »