OSTEOARTHRITIS PRACTICE TEST QUESTIONS WITH ANSWERS
AND RATIONALES (2025 EDITION)
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
Pseudogout
D
Osteoarthritis
E
Rheumatoid arthritis
F
Systemic lupus erythematosus The correct answer is B.
Explanation:
Gouty arthritis often affects the first metatarsophalangeal joint and can be precipitated by various
foods or alcohol.
Unilateral nontender bony enlargement of the first DIP and activity-related right hip pain in a 68-
year-old woman
A
Gonococcal arthritis
B
Gout
C
Pseudogout
D
Osteoarthritis
E
Rheumatoid arthritis
F
AND RATIONALES (2025 EDITION)
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
Pseudogout
D
Osteoarthritis
E
Rheumatoid arthritis
F
Systemic lupus erythematosus The correct answer is B.
Explanation:
Gouty arthritis often affects the first metatarsophalangeal joint and can be precipitated by various
foods or alcohol.
Unilateral nontender bony enlargement of the first DIP and activity-related right hip pain in a 68-
year-old woman
A
Gonococcal arthritis
B
Gout
C
Pseudogout
D
Osteoarthritis
E
Rheumatoid arthritis
F
