FM EORE Orthopedics & Rheumatology Review | 80+ Questions with Answers | MED318 | RA, OA, Gout, Fractures, Lupus

This expert-verified guide includes over 80 multiple-choice questions and answers covering key topics in musculoskeletal, orthopedic, and rheumatologic medicine for the Family Medicine End of Rotation Exam (EORE), structured for the 2025 academic year. Designed for students in MED318 or those completing family medicine, internal medicine, orthopedics, or rheumatology rotations, this document bridges clinical presentation with diagnostic strategies and evidence-based management. The content is focused on high-yield conditions frequently encountered in primary care and outpatient musculoskeletal assessments: Rheumatoid Arthritis (RA): symmetrical small joint involvement, morning stiffness, anti-CCP positivity, DMARD treatment Osteoarthritis (OA): weight-bearing joint degeneration, Heberden and Bouchard nodes, X-ray findings, and conservative vs. surgical interventions Gout: acute monoarthritis, podagra, negatively birefringent crystals, NSAIDs vs. allopurinol use Osteoporosis: DEXA scan criteria, calcium/Vitamin D supplementation, bisphosphonates, and lifestyle advice Fibromyalgia: trigger point exam, diagnosis of exclusion, and treatment with amitriptyline or SNRIs Costochondritis: reproducible chest wall pain, activity-induced, treated with reassurance and NSAIDs Plantar Fasciitis: post-rest heel pain, conservative and interventional treatment options Reactive Arthritis: classic triad (conjunctivitis, urethritis, arthritis), post-infectious, HLA-B27 association Back Pain: red flag evaluation (cauda equina, cancer, infection), imaging indications, herniated disc signs, and conservative vs. urgent management Cauda Equina Syndrome: saddle anesthesia, incontinence, surgical emergency Systemic Lupus Erythematosus (SLE): malar rash, arthritis, renal/CNS symptoms, drug-induced lupus, antibody markers (ANA, anti-dsDNA, anti-Smith) This resource is well-suited for: Physician Assistant (PA) students reviewing for the MSK/Ortho EORE Medical students (MD/DO) in clinical rotations or prepping for Step 2 CK Nursing and Nurse Practitioner (NP) students focusing on MSK/rheum conditions International medical graduates (IMGs) preparing for USMLE/PANCE Organized for rapid recall and differential diagnosis reinforcement, this document supports both test readiness and real-world clinical practice. Keywords: orthopedics, rheumatology, rheumatoid arthritis, osteoarthritis, gout, osteoporosis, fibromyalgia, lupus, SLE, costochondritis, plantar fasciitis, cauda equina, back pain, herniated disc, ganglion cyst, fracture management, joint pain, DMARDs, bisphosphonates, HLA-B27, ANA, anti-dsDNA