Osteoarthritis (From Case Files: Internal Medicine 5e) Practice Exam | Questions with
100% Correct Answers | Updated &Verified | 2024-2025 | 100% Score
Which of the following is most likely to be associated with advanced OA?
A
Disability with recurrent falls and inability to live alone
B
Joints with redness and effusion
C
Best treated with oral steroids
D
Improvement throughout the day after approximately 1 to 2 hours of "unfreezing the joint" - ✔✔The
correct answer is A.
Explanation:
Osteoarthritis is a major cause of decreased functional status in elderly patients and requires ongoing
treatment and evaluation by the physician to try to improve symptoms and to promote mobility. Oral
steroids are not helpful in this condition. Joints that exhibit redness and effusion are less likely to be due
OA.
advanced OA occurs in the elderly
Symmetric bilateral ulnar deviation of both hands in a 42-year-old woman
A
Gonococcal arthritis
, B
Gout
C
Pseudogout
D
Osteoarthritis
E
Rheumatoid arthritis
F
Systemic lupus erythematosus - ✔✔The correct answer is E.
Explanation:
Rheumatoid arthritis gives the ulnar deviation of the fingers. Other deformities associated with RA
include the swan neck (MCP flexion with PIP hyperextension and DIP flexion) and boutonniere (PIP
flexion, DIP hyperextension) deformities.
Painful, swollen metatarsophalangeal great toe (unilateral) with redness and warmth after eating a
steak and shrimp dinner in a 45-year-old man
A
Gonococcal arthritis
B
Gout
C
100% Correct Answers | Updated &Verified | 2024-2025 | 100% Score
Which of the following is most likely to be associated with advanced OA?
A
Disability with recurrent falls and inability to live alone
B
Joints with redness and effusion
C
Best treated with oral steroids
D
Improvement throughout the day after approximately 1 to 2 hours of "unfreezing the joint" - ✔✔The
correct answer is A.
Explanation:
Osteoarthritis is a major cause of decreased functional status in elderly patients and requires ongoing
treatment and evaluation by the physician to try to improve symptoms and to promote mobility. Oral
steroids are not helpful in this condition. Joints that exhibit redness and effusion are less likely to be due
OA.
advanced OA occurs in the elderly
Symmetric bilateral ulnar deviation of both hands in a 42-year-old woman
A
Gonococcal arthritis
, B
Gout
C
Pseudogout
D
Osteoarthritis
E
Rheumatoid arthritis
F
Systemic lupus erythematosus - ✔✔The correct answer is E.
Explanation:
Rheumatoid arthritis gives the ulnar deviation of the fingers. Other deformities associated with RA
include the swan neck (MCP flexion with PIP hyperextension and DIP flexion) and boutonniere (PIP
flexion, DIP hyperextension) deformities.
Painful, swollen metatarsophalangeal great toe (unilateral) with redness and warmth after eating a
steak and shrimp dinner in a 45-year-old man
A
Gonococcal arthritis
B
Gout
C
