ABIM – Rheumatology ACTUAL
QUESTIONS AND CORRECT ANSWERS
Autoimmune condition involving lungs and kidneys with positive ANCA with perinuclear
pattern. Biopsy shows non-granulomatous necrotizing small-vessel vasculitis. - Correct
answers✔✔Microscopic Polyangitis
Autoimmune condition involving lungs and kidneys with positive C-ANCA. Biopsy shows
granulomatous inflammation. - Correct answers✔✔Granulomatosis with polyangiitis.
Autoimmune condition that affects lungs, skin, joints, and kidneys. Is an immune complex
mediated vasculitis as shown on biopsy. - Correct answers✔✔IgA Vasculitis
A smoking related vasculopathy causing reduced pulses and gangrenous ulcers. - Correct
answers✔✔Thromboangiitis obliterans
Gout medications: What is first line for gout prevention attacks? - Correct
answers✔✔Allopurinol (or febuxostat if they cannot tolerate allopurinol)
Gout medications: Which gout medication can you not use if GFR <60? - Correct
answers✔✔Probenecid
Gout medications: Which gout medication has an associated risk of cardiovascular death? -
Correct answers✔✔Febuxostat
Gout medications: Which antihypertensive has a modest uricosuric effect? - Correct
answers✔✔ARBs
, Gout medications: Which antihypertensive has a worsening effect on gout? - Correct
answers✔✔HCTZ/Chorthalidone
Patient presents with urethritis, conjunctivitis, and arthritis. What is the diagnosis? - Correct
answers✔✔Reactive Arthritis
What is the next diagnostic test to perform once you have diagnosed reactive arthritis? - Correct
answers✔✔Chlamydia or Gonorrhea testing. Chlamydia is the most common agent causing
urethritis associated with reactive arthritis.
What is the significance of HLA-B27 in reactive arthritis? - Correct answers✔✔It may be
present but has little diagnostic specificity.
How do you diagnose ankylosing spondylitis? - Correct answers✔✔If the patient is younger than
45 and the symptoms and radiography is consistent, you DO NOT need HLA-B27 testing.
What GI abnormality do patients with diffuse cutaneous systemic sclerosis have? - Correct
answers✔✔Gastric antral vascular ectasia
What does gastric antral vascular ectasia look like and what condition is it associated with? -
Correct answers✔✔Appears like ectatic vessel like stripes on a watermelon. Associated with
diffuse cutaneous systemic sclerosis.
What are Cameron lesions? - Correct answers✔✔Erosions found on the crest of gastric folds.
Associated with large hiatal hernias.
What are Dieulafoy lesions? - Correct answers✔✔Submucosal arterioles that intermittently
protrude through the mucosa and cause hemorrhage.
QUESTIONS AND CORRECT ANSWERS
Autoimmune condition involving lungs and kidneys with positive ANCA with perinuclear
pattern. Biopsy shows non-granulomatous necrotizing small-vessel vasculitis. - Correct
answers✔✔Microscopic Polyangitis
Autoimmune condition involving lungs and kidneys with positive C-ANCA. Biopsy shows
granulomatous inflammation. - Correct answers✔✔Granulomatosis with polyangiitis.
Autoimmune condition that affects lungs, skin, joints, and kidneys. Is an immune complex
mediated vasculitis as shown on biopsy. - Correct answers✔✔IgA Vasculitis
A smoking related vasculopathy causing reduced pulses and gangrenous ulcers. - Correct
answers✔✔Thromboangiitis obliterans
Gout medications: What is first line for gout prevention attacks? - Correct
answers✔✔Allopurinol (or febuxostat if they cannot tolerate allopurinol)
Gout medications: Which gout medication can you not use if GFR <60? - Correct
answers✔✔Probenecid
Gout medications: Which gout medication has an associated risk of cardiovascular death? -
Correct answers✔✔Febuxostat
Gout medications: Which antihypertensive has a modest uricosuric effect? - Correct
answers✔✔ARBs
, Gout medications: Which antihypertensive has a worsening effect on gout? - Correct
answers✔✔HCTZ/Chorthalidone
Patient presents with urethritis, conjunctivitis, and arthritis. What is the diagnosis? - Correct
answers✔✔Reactive Arthritis
What is the next diagnostic test to perform once you have diagnosed reactive arthritis? - Correct
answers✔✔Chlamydia or Gonorrhea testing. Chlamydia is the most common agent causing
urethritis associated with reactive arthritis.
What is the significance of HLA-B27 in reactive arthritis? - Correct answers✔✔It may be
present but has little diagnostic specificity.
How do you diagnose ankylosing spondylitis? - Correct answers✔✔If the patient is younger than
45 and the symptoms and radiography is consistent, you DO NOT need HLA-B27 testing.
What GI abnormality do patients with diffuse cutaneous systemic sclerosis have? - Correct
answers✔✔Gastric antral vascular ectasia
What does gastric antral vascular ectasia look like and what condition is it associated with? -
Correct answers✔✔Appears like ectatic vessel like stripes on a watermelon. Associated with
diffuse cutaneous systemic sclerosis.
What are Cameron lesions? - Correct answers✔✔Erosions found on the crest of gastric folds.
Associated with large hiatal hernias.
What are Dieulafoy lesions? - Correct answers✔✔Submucosal arterioles that intermittently
protrude through the mucosa and cause hemorrhage.
