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Rheumatology Mcqs with Answers PDF  Form

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so my name is Anne Barton I'm delighted to have this opportunity to go through some Rheumatology with you the first lecture is based around inflammatory arthritis so a question one a 63 year old man presents with an acutely red and swollen right great toe joint with no history of trauma so already we're thinking about gout which of the following findings is most useful for making a diagnosis of gout in this patient I'll give you a minute to think about that and those of you who put B that's the correct answer so during an acute episode of gout the serum uric acid actually reduces and so a is incorrect because you do not see an elevation of the serum uric acid during an acute episode of gout an associated right ankle effusion might suggest that this is more likely to be gout but it could equally be something like psoriatic arthritis painless elbow nodules can occur in rheumatoid arthritis and a radiograph showing erosions of the first metatarsal phalangeal joint well that can also occur

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