Rheumatology Board Exam Started: Jul 13, 2026 09:06 Page 15 of 53 Attempt #2479 Overall: 0 / 263 questions answered Question 71 / 263 Not answered At a preventive-care consultation: a 27-year-old woman presents with first MTP acute inflammation. Relevant risk context includes recent steroid taper. What is the most likely diagnosis? A. Axial spondyloarthritis B. Acute gout flare C. Giant cell arteritis D. Rheumatoid arthritis E. Systemic lupus erythematosus flare Show Answer & Explanation Correct Answer: E Explanation: The pattern of first MTP acute inflammation with risk factors such as recent steroid taper 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 72 / 263 Not answered At a multidisciplinary case conference: a 39-year-old man 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. Muscle enzyme panel D. Synovial fluid crystal analysis E. Autoimmune antibody profile 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: 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 73 / 263 Not answered During ward handover: a 80-year-old woman has symmetric small-joint morning stiffness with risk profile of older age. After initial stabilization and assessment, what is the most appropriate management step? A. Acute gout anti-inflammatory treatment B. Biologic therapy escalation when indicated C. Methotrexate-based DMARD initiation D. Multidisciplinary rehabilitation E. Hydroxychloroquine-based lupus management Show Answer & Explanation Correct Answer: D Explanation: Multidisciplinary rehabilitation 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 74 / 263 Not answered During ward handover: a 78-year-old woman presents with inflammatory back pain improving with exercise. Relevant risk context includes older age. What is the most likely diagnosis? A. Dermatomyositis B. Acute gout flare C. Giant cell arteritis D. Rheumatoid arthritis E. Systemic lupus erythematosus flare Show Answer & Explanation Correct Answer: A 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: 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 75 / 263 Not answered At a preventive-care consultation: a 57-year-old man presents with malar rash with arthralgia. Relevant risk context includes older age. What is the most likely diagnosis? A. Dermatomyositis B. Axial spondyloarthritis C. Acute gout flare D. Rheumatoid arthritis E. Systemic lupus erythematosus flare Show Answer & Explanation Correct Answer: D Explanation: The pattern of malar rash with arthralgia with risk factors such as older age is most consistent with Rheumatoid arthritis. This answer best matches the expected diagnostic framework for 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 15 of 53 Next → »