MSP TEST Questions With Complete Solutions Questions 2025
GUARANTEE A
A 23 year old male presents with pain and stiffness over the SI joints. He reports that the pain is worst in
the morning and at night, and movement seems to help. You note that the patient also has a
hyperkyphosis in the thoracic spine. What do you suspect this patient has? - Ankylosing Spondylitis
A 20 year old male presents with low back pain. Radiographs show Bamboo Spine, Dagger Sign and
Trolley Track Sign. What is the diagnosis? - Ankylosing Spondylitis
What would the lab findings on an AS patient be? - Increased ESR
Seronegative
Normal alkaline phosphatase
HLA B27 positive
Your patient is diagnosed with AS. What treatment options can you recommend? - Suggest that the
patient do moderate exercise to maintain the ROM (swimming, hula hooping, etc.). Acupuncture, soft
tissue work, nutrition and anti-inflammatories also may help. Refer them to a rheumatologist.
What is the end game of AS? - Bony ankylosis
What is the end game of Psoriatic Arthritis? - Bony ankylosis
28 year old male presents with a white skin lesion around his elbows, SI joint pain, and pitting in his
finger nails. What do you suspect? - Psoriatic arthritis
You are asked to assess a hand radiograph of your colleague's patient. You observe uniform narrowing of
the joint spaces, fluffy periostitis and mouse ear deformities. What should you tell him? - It looks like
Psoriatic Arthritis to me.
25 year old male presents to your office complaining of joint pain in both ankles and both knees. After a
through history and physical exam, you note that he had urethritis a few weeks ago and currently has a
painless rash on his palms. What do you suspect? - Reiter's Syndrome
, What are the lab findings for Reiter's Syndrome? - Increased ESR
Positive HLA B27
Seronegative
21 year old male complains of migrating joint pain (started in his left ankle, now his knee hurts, etc.). He
also mentions (during the history) that he thinks he might be lactose intolerant because he has diarrhea
anytime he drinks milk, and his joints usually hurt worse after. What do you think your patient has? -
Enteropathic Arthropathy
In gout, what are the crystals composed of? - Uric acid
Why does gout affect males more than females? - Males have naturally higher levels of uric acid than
women
Why does gout cause symptoms? - Uric acid crystals are asymptomatic
Patient will experience symptoms when the crystals are phagocytized by PMNs and an immune response
is elicited
30 year old male presents with great toe pain which begins at night and gets worse throughout the day.
They explain that this has been happening for years on and off, and finally decided to get it checked out.
Upon examination, you note that they display the cardinal signs of inflammation and tophi on the big
toe. What is your diagnosis? - Gouty Arthritis
What disease is the "great mimicker"? - Lyme Disease
What is the classic presentation of Lyme Disease? - Bulls eye rash
Fatigue
Headache
Neck Stiffness
GUARANTEE A
A 23 year old male presents with pain and stiffness over the SI joints. He reports that the pain is worst in
the morning and at night, and movement seems to help. You note that the patient also has a
hyperkyphosis in the thoracic spine. What do you suspect this patient has? - Ankylosing Spondylitis
A 20 year old male presents with low back pain. Radiographs show Bamboo Spine, Dagger Sign and
Trolley Track Sign. What is the diagnosis? - Ankylosing Spondylitis
What would the lab findings on an AS patient be? - Increased ESR
Seronegative
Normal alkaline phosphatase
HLA B27 positive
Your patient is diagnosed with AS. What treatment options can you recommend? - Suggest that the
patient do moderate exercise to maintain the ROM (swimming, hula hooping, etc.). Acupuncture, soft
tissue work, nutrition and anti-inflammatories also may help. Refer them to a rheumatologist.
What is the end game of AS? - Bony ankylosis
What is the end game of Psoriatic Arthritis? - Bony ankylosis
28 year old male presents with a white skin lesion around his elbows, SI joint pain, and pitting in his
finger nails. What do you suspect? - Psoriatic arthritis
You are asked to assess a hand radiograph of your colleague's patient. You observe uniform narrowing of
the joint spaces, fluffy periostitis and mouse ear deformities. What should you tell him? - It looks like
Psoriatic Arthritis to me.
25 year old male presents to your office complaining of joint pain in both ankles and both knees. After a
through history and physical exam, you note that he had urethritis a few weeks ago and currently has a
painless rash on his palms. What do you suspect? - Reiter's Syndrome
, What are the lab findings for Reiter's Syndrome? - Increased ESR
Positive HLA B27
Seronegative
21 year old male complains of migrating joint pain (started in his left ankle, now his knee hurts, etc.). He
also mentions (during the history) that he thinks he might be lactose intolerant because he has diarrhea
anytime he drinks milk, and his joints usually hurt worse after. What do you think your patient has? -
Enteropathic Arthropathy
In gout, what are the crystals composed of? - Uric acid
Why does gout affect males more than females? - Males have naturally higher levels of uric acid than
women
Why does gout cause symptoms? - Uric acid crystals are asymptomatic
Patient will experience symptoms when the crystals are phagocytized by PMNs and an immune response
is elicited
30 year old male presents with great toe pain which begins at night and gets worse throughout the day.
They explain that this has been happening for years on and off, and finally decided to get it checked out.
Upon examination, you note that they display the cardinal signs of inflammation and tophi on the big
toe. What is your diagnosis? - Gouty Arthritis
What disease is the "great mimicker"? - Lyme Disease
What is the classic presentation of Lyme Disease? - Bulls eye rash
Fatigue
Headache
Neck Stiffness
