Complete Exam Study Guide & Practice Questions (Latest
2026)
Pass your Georgia CAM license exam on your very first attempt with this
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Association (POA) Act, HOA covenant enforcement, budgeting, and legal management
responsibilities. Eliminate testing anxiety and master state-specific legal scenarios using
realistic practice questions modeled directly after the official AMP/PSI Georgia real
estate commission blueprint.
1. Which of the following best describes the pathophysiology of gout?
A) Autoimmune destruction of joint cartilage
B) Deposition of monosodium urate crystals in joints and soft tissues
C) Bacterial infection of the synovial fluid
D) Degenerative changes in articular cartilage
Answer: B) Deposition of monosodium urate crystals in joints and soft tissues
Rationale: Gout is caused by hyperuricemia leading to the deposition of monosodium
urate crystals in joints, tendons, and surrounding tissues. These crystals trigger an acute
inflammatory response via activation of the NLRP3 inflammasome, resulting in intense
pain, redness, and swelling. Rheumatoid arthritis is autoimmune, septic arthritis is
bacterial, and osteoarthritis is degenerative.
2. Which of the following is a risk factor for the development of gout?
A) Low purine diet
B) Renal insufficiency
C) High urine output
D) Low uric acid levels
Answer: B) Renal insufficiency
Rationale: Renal insufficiency decreases uric acid excretion, leading to hyperuricemia and
increased risk of gout. Other risk factors include high purine diet (red meat, seafood,
alcohol), obesity, hypertension, diuretic use, and genetic predisposition. Low urine output
and high uric acid levels also increase risk.
,3. Which of the following medications is used to treat acute gout?
A) Allopurinol
B) Colchicine
C) Febuxostat
D) Probenecid
Answer: B) Colchicine
Rationale: Colchicine is used to treat acute gout flares by inhibiting microtubule
polymerization and reducing the inflammatory response to urate crystals. Allopurinol and
febuxostat are used for chronic urate-lowering therapy (prevention). Probenecid promotes
uric acid excretion and is used for prevention in underexcretors.
4. Which of the following is a complication of chronic gout?
A) Tophi formation
B) Joint erosion
C) Renal stones
D) All of the above
Answer: D) All of the above
Rationale: Chronic untreated gout can lead to tophi formation (deposits of urate crystals in
soft tissues), joint erosion and destruction, and uric acid nephrolithiasis (kidney stones).
Tophi can cause joint deformity and nerve compression. Chronic gout also increases the
risk of cardiovascular disease and renal failure.
5. Which of the following best describes the pathophysiology of osteoarthritis?
A) Autoimmune inflammation of the synovium
B) Progressive loss of articular cartilage with subchondral bone changes
C) Uric acid crystal deposition in joints
D) Infection of the joint space
Answer: B) Progressive loss of articular cartilage with subchondral bone changes
Rationale: Osteoarthritis is a degenerative joint disease characterized by progressive loss of
articular cartilage, subchondral bone sclerosis, and osteophyte (bone spur) formation. It
results from mechanical stress, aging, and genetic factors. Rheumatoid arthritis is
autoimmune; gout is crystal-induced; septic arthritis is infectious.
,6. Which of the following is a risk factor for osteoarthritis?
A) High-impact exercise
B) Joint trauma
C) Rheumatoid arthritis
D) Gout
Answer: B) Joint trauma
Rationale: Joint trauma, including previous injury or repetitive stress, increases the risk of
osteoarthritis. Other risk factors include aging, obesity (increased mechanical load),
genetic predisposition, and occupations requiring repetitive joint use. High-impact exercise
in moderation is not a significant risk factor in the absence of injury.
7. Which of the following is a characteristic of osteoarthritis?
A) Symmetric joint involvement
B) Morning stiffness lasting >1 hour
C) Joint pain worsened with activity and improved with rest
D) Systemic symptoms (fever, weight loss)
Answer: C) Joint pain worsened with activity and improved with rest
Rationale: Osteoarthritis typically causes pain that worsens with activity and improves
with rest. It is asymmetric and primarily affects weight-bearing joints (knees, hips, spine).
Morning stiffness is usually brief (<30 minutes). Rheumatoid arthritis is symmetric, has
prolonged morning stiffness (>1 hour), and may have systemic symptoms.
8. Which of the following best describes the pathophysiology of rheumatoid
arthritis?
A) Degenerative cartilage loss with osteophyte formation
B) Autoimmune inflammation of the synovium leading to pannus formation and joint
destruction
C) Uric acid crystal deposition in joints
D) Bacterial infection of the synovial fluid
Answer: B) Autoimmune inflammation of the synovium leading to pannus
formation and joint destruction
Rationale: Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by
synovial inflammation, pannus formation (proliferative synovitis), and eventual cartilage
and bone destruction. Autoantibodies (rheumatoid factor, anti-CCP) are present in most
, patients. RA is symmetric, affects small joints of hands and feet, and has systemic
manifestations.
9. Which of the following is a characteristic of rheumatoid arthritis?
A) Asymmetric joint involvement
B) Morning stiffness lasting >1 hour
C) Joint pain improved with activity
D) Negative rheumatoid factor
Answer: B) Morning stiffness lasting >1 hour
Rationale: Rheumatoid arthritis typically causes morning stiffness lasting >1 hour. It is
symmetric and affects small joints (hands, feet). Rheumatoid factor is positive in about 70-
80% of patients. Osteoarthritis is asymmetric and has brief morning stiffness (<30
minutes).
10. Which of the following extra-articular manifestations is associated with
rheumatoid arthritis?
A) Subcutaneous nodules
B) Uveitis
C) Renal stones
D) Tophi
Answer: A) Subcutaneous nodules
Rationale: Rheumatoid nodules are subcutaneous nodules that occur over pressure points
(elbows, fingers) in patients with RA, especially those with high rheumatoid factor titers.
Other extra-articular manifestations include vasculitis, pericarditis, pleuritis, and Sjögren's
syndrome. Uveitis is associated with ankylosing spondylitis; tophi are associated with gout.
11. Which of the following medications is a disease-modifying antirheumatic drug
(DMARD) used for rheumatoid arthritis?
A) Ibuprofen
B) Prednisone
C) Methotrexate