Rheumatology Complete Exam Questions with
Correct Detailed Answers | 100% Guaranteed
Pass | Latest & Updated Version
This guide contains complete exam questions with correct, well-explained answers, carefully
compiled to reflect the type of material commonly tested in exams. The structured format
allows students to revise faster, understand concepts better, and strengthen their exam
readiness.
Each answer is accompanied by clear and detailed explanations to ensure you not only know
the correct response but also understand the reasoning behind it.
What You Will Get
✔ Complete exam questions covering major topics
✔ Correct answers with detailed explanations
✔ Clear and well-organized formatting for easy study
✔ Coverage of frequently tested concepts
✔ Latest updated content for current exam preparation
✔ Designed to help improve understanding and confidence
Why This Study Guide Stands Out
This resource is perfect for students who want to study efficiently and maximize their chances
of success. By practicing with complete exam questions and reviewing detailed answers, you
can quickly identify important topics and reinforce your knowledge before the exam.
Ideal For
• Final exam preparation
• Midterm revision
• Quick concept review
• Self-study practice
• Strengthening exam confidence
, A trusted and practical study companion designed to help students prepare effectively
and achieve strong exam results.
POLYMYALGIA RHEUMATICA -ANSWER an inflammatory disorder of the muscles and
joints characterized by pain and stiffness in the neck, shoulders, upper arms, and hips and
thighs
note that it is immune mediated and often affects women over 50
strong associated with GCA - they share the same demographic
MUSCLE PAIN & STIFFNESS
What group of people does PMR typically effect? -ANSWER women aged over 50
Describe the pathophysiology of PMR -ANSWER Antibodies which are produced by the
autoimmune response enter circulation where they travel to muscles and joints, macrophages
go to these joints and secrete inflammatory cytokines eg TNF-alpha, IL-1, IL-6 which promote
inflammation of joint causing pain
Histology shows vasculitis with giant cells which skip certain sections of affected artery
Describe how PMR typically presents -ANSWER Rapid onset - less than 2 weeks
MORNING STIFFNESS and bilateral aching
,- systemic symptoms: fatigue, low grade fever, anorexia,d depression, lethargy, night sweats
Is the aching in PMR unilateral of bilateral? -ANSWER BILATERAL
- shoulders
- hips
- proximal limb muscles
Describe the pain/stiffness associated with PMR -ANSWER More severe in morning and
at night
Last longer than an hour
Gets better with activity
What other inflammatory conditions may be associated with PMR? -ANSWER Mild
polyartehritis
Tensosynvitis
Carpel tunnel syndrome
Temporal arthritis - headache, blindess
What is the key diagnostic feature of PMR? -ANSWER EVELATED ESR
, CRP may be normal
Describe what bloods you would do when diagnosing PMR -ANSWER - FBC: elevated ESR,
CRP may be normal
- LFTs: elevated ALP in 30% of patients
- CK: normal to differentiate between myositis and myopathies, little muscle damage
Give some differential diagnosis of PCA -ANSWER - Recent onset RA
- Polymyositis
- Hypothyroidism
- Primary muscle disease
- OA especially cervical spondylosis and shoulder OA
- Neck lesions
- Spinal stenosis
What is the basic management of PMR? -ANSWER PREDNISIOLONE, 15mg - NSAIDS are
not effective. most patientsbeed steroids for more than 2 years, methotrexate for relapse
Dramatic response within 1 week and if this is not the case then consider another diagnosis
Consider bone protection due to steroids
Are NSAIDs effective at treating PMA? -ANSWER No - prednisolone
What is ESR? -ANSWER Erythrocyte Sedimentation Rate
Correct Detailed Answers | 100% Guaranteed
Pass | Latest & Updated Version
This guide contains complete exam questions with correct, well-explained answers, carefully
compiled to reflect the type of material commonly tested in exams. The structured format
allows students to revise faster, understand concepts better, and strengthen their exam
readiness.
Each answer is accompanied by clear and detailed explanations to ensure you not only know
the correct response but also understand the reasoning behind it.
What You Will Get
✔ Complete exam questions covering major topics
✔ Correct answers with detailed explanations
✔ Clear and well-organized formatting for easy study
✔ Coverage of frequently tested concepts
✔ Latest updated content for current exam preparation
✔ Designed to help improve understanding and confidence
Why This Study Guide Stands Out
This resource is perfect for students who want to study efficiently and maximize their chances
of success. By practicing with complete exam questions and reviewing detailed answers, you
can quickly identify important topics and reinforce your knowledge before the exam.
Ideal For
• Final exam preparation
• Midterm revision
• Quick concept review
• Self-study practice
• Strengthening exam confidence
, A trusted and practical study companion designed to help students prepare effectively
and achieve strong exam results.
POLYMYALGIA RHEUMATICA -ANSWER an inflammatory disorder of the muscles and
joints characterized by pain and stiffness in the neck, shoulders, upper arms, and hips and
thighs
note that it is immune mediated and often affects women over 50
strong associated with GCA - they share the same demographic
MUSCLE PAIN & STIFFNESS
What group of people does PMR typically effect? -ANSWER women aged over 50
Describe the pathophysiology of PMR -ANSWER Antibodies which are produced by the
autoimmune response enter circulation where they travel to muscles and joints, macrophages
go to these joints and secrete inflammatory cytokines eg TNF-alpha, IL-1, IL-6 which promote
inflammation of joint causing pain
Histology shows vasculitis with giant cells which skip certain sections of affected artery
Describe how PMR typically presents -ANSWER Rapid onset - less than 2 weeks
MORNING STIFFNESS and bilateral aching
,- systemic symptoms: fatigue, low grade fever, anorexia,d depression, lethargy, night sweats
Is the aching in PMR unilateral of bilateral? -ANSWER BILATERAL
- shoulders
- hips
- proximal limb muscles
Describe the pain/stiffness associated with PMR -ANSWER More severe in morning and
at night
Last longer than an hour
Gets better with activity
What other inflammatory conditions may be associated with PMR? -ANSWER Mild
polyartehritis
Tensosynvitis
Carpel tunnel syndrome
Temporal arthritis - headache, blindess
What is the key diagnostic feature of PMR? -ANSWER EVELATED ESR
, CRP may be normal
Describe what bloods you would do when diagnosing PMR -ANSWER - FBC: elevated ESR,
CRP may be normal
- LFTs: elevated ALP in 30% of patients
- CK: normal to differentiate between myositis and myopathies, little muscle damage
Give some differential diagnosis of PCA -ANSWER - Recent onset RA
- Polymyositis
- Hypothyroidism
- Primary muscle disease
- OA especially cervical spondylosis and shoulder OA
- Neck lesions
- Spinal stenosis
What is the basic management of PMR? -ANSWER PREDNISIOLONE, 15mg - NSAIDS are
not effective. most patientsbeed steroids for more than 2 years, methotrexate for relapse
Dramatic response within 1 week and if this is not the case then consider another diagnosis
Consider bone protection due to steroids
Are NSAIDs effective at treating PMA? -ANSWER No - prednisolone
What is ESR? -ANSWER Erythrocyte Sedimentation Rate
