Rheumatology Quiz 4

Welcome back to the blog! I get a feeling there might be a riot if I don’t do the monthly quiz now. I hope you have fun. Don’t forget to post your scores to social media to show how awesome you are.

Don’t forget, the quiz is meant to be fun, it isnt a reflection of your lifes achievements, quality as a clinician or ability to learn. If you don’t score 8/8 on this quiz you have my permission to continue practicing as a healthcare professional.

The recurrent features are back with legend of the blog and why not do the quiz while listening to 30 Seconds To Mars at the bottom of the page.

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PLEASE REMEMBER – THIS QUIZ IS NOT A REPLACEMENT FOR CLINICAL REASONING, IF YOU ARE UNSURE GET ADVICE

Legend of the Blog this week is Professor David Hunter, his podcast Joint Action has been a source of amazing information for me recently and I recommend checking it out!. Follow him on twitter as well for loads of arthritis related info!

This quiz centres around Polymyagia Rheumatica!

Results

#1. 90%+ of Polymyalgia Rheumatica Patients present with...

Back Pain

Back Pain

Acute Bilateral Shoulder Pain

Acute Bilateral Shoulder Pain

Pins and Needles

Pins and Needles

Restricted Shoulder Range of Motion

Restricted Shoulder Range of Motion

All of the above

All of the above

#2. What Percentage of PMR Patients Present with Peripheral Synovitis

~5%

~5%

~12%

~12%

~23%

~23%

~38%

~38%

~46%

~46%

#3. What Might Indicate Emergency Referral in Suspected PMR?

Select all that apply:

Past History of Cancer

Past History of Cancer

Visual Disturbance

Visual Disturbance

Temporal Headaches

Temporal Headaches

Jaw Claudication

Jaw Claudication

Family History of Rheumatoid Arthritis

Family History of Rheumatoid Arthritis

Pins and Needles in the Left arm

Pins and Needles in the Left arm

#4. PMR occurs

Over the age of 50

Over the age of 50

Prior to age 80

Prior to age 80

After the menopause

After the menopause

#5. Who Should You Refer With Suspected PMR to Rheumatology

Select all that apply:

All suspected PMR should be referred to Rheumatology

All suspected PMR should be referred to Rheumatology

Those with peripheral synovitis

Those with peripheral synovitis

Those with symptoms suspicious of Giant Cell Arteritis

Those with symptoms suspicious of Giant Cell Arteritis

Those with positive ANA, anti-ccp or Rheumatoid Factor

Those with positive ANA, anti-ccp or Rheumatoid Factor

#6. Almost all PMR presents with

Select all that apply:

Bilateral buttock pain

Bilateral buttock pain

Psoriasis

Psoriasis

Family History of RA

Family History of RA

Protracted Shoulder Stiffness on Waking

Protracted Shoulder Stiffness on Waking

Raised Inflammatory markers (ESR or CRP

Raised Inflammatory markers (ESR or CRP

#7. Approximately how many PMR ratients will later develop Rheumatoid Arthritis?

10%

10%

25%

25%

33%

33%

50%

50%

#8. Imaging For Polymyalgia Rheumatica

Shoulder MRI

Shoulder MRI

Shoulder and Hip Ultrasound Scan

Shoulder and Hip Ultrasound Scan

Shoulder and Hip Xrays

Shoulder and Hip Xrays

Hip MRI

Hip MRI

Finish

Music Choice: 30 Seconds To Mars – “Closer To The Edge”

“I don’t remember the moment I tried to forget
I lost myself, is it better not said?
Now I’m closer to the edge