EXAM 2026-2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
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Women aged 65 and older AND younger women with fracture
risk of 9.3% or
higher - ANSWER-screen for osteoporosis
with DEXA
Non-biologic DMARDS - ANSWER-Methotrexate,
Leflunomide,
Hydroxychloroquine, Sulfasalazine,
Azathioprine
Neonatal risk of mother positive for anti-Ro/SSA or anti-
La/SSB - ANSWER-
Congenital heart
block
Secondary osteoarthritis due to hemochromatosis
presentatoin - ANSWER-
characteristically involves the MCP and the
wrist joints
,Pulmonary complications of polymyositis with positive anti Jo-
1 – ANSWER-Interstitial lung disease is strongly associated,
patient may need CXR or high res CT Chest
Pts may also get aspiration pna, PAH
Goal uric acid level in gout - ANSWER-less than 6,
increase allopurinol
gradually till goal achieved, even
in CKD
treatment giant cel arthritis - ANSWER-Prednisone 60mg/dayor
1mg/kg/day
For PMR, patient can be on a lower dose 15mg/day (10 -
20mg/d)
malignancy associated with sjogren syndrome - ANSWER-44X
increased risk of
Lymphoma. B-cell lymphoma, MALT (obtain lymph node
biopsy if new
adenopathy)
ANCA associated vasculitides - ANSWER-1. Granulomatosis
with polyangiitis
(Wegener's)
2. Microscopic
polyangiitis
,3. Eosinophilic granulomatosis with polyangiitis
(churg-strauss)
treatment interstitial lung disease associated with
systemic sclerosis -
ANSWER-
cyclophosphamide
gold standard new pt with gout symptoms - ANSWER-joint
aspiration, to
establish diagnosis and rule out
infection
Eosinophilic granulomatosis with polyangiitis presentation –
ANSWER-Eosinophilia
Migratory pulmonary infiltrates
mononeuritis multiplex
Purpuric skin rash
+in setting of antecedent atopy
DISH (diffuse idiopathic skeletal hyperostosis) or Forestier
disease - ANSWER-
Flowing osteophytes seen on
radiography
treatment kerratoconjunctivitis sicca not responding to
artifical tears of punctal
, plug - ANSWER-cyclosporine
eye drop
Cryoglobulinemic vasculitis - ANSWER-Ear infarction (very
common) as well as skin infarctions
Low C4 with normal C3 in presence of
positive RF about 90% are infected with
hepatitis C palpable purpura
Milwaukee shoulder syndrome - ANSWER-Usually
preceding trauma
basic calcium phosphate
deposition
frozen shoulder with pain,
stiffness, swelling
IgG4-related disease - ANSWER-Lymphoplasmacytic
infiltration and
enlargement of various structures e.g pancreas,
lymph nodes, etc
osteoarthritis joints - ANSWER-distal interphalangeal,
carpometacaral
initial treatment of choice for new onset erosive rheumatoid
arthritis - ANSWER-
methotrexate