Rheumatologic problems
General Medicine · Topic 7
Source: NMC CBME Curriculum 2024 · Volume II · General Medicine · Topic 7 · combined PDF page 293
Practice questions
- Which group consists entirely of rheumatologic disorders specifically identified as commonly encountered in older adults?
- An older patient with a suspected rheumatologic disorder presents chiefly with nonspecific complaints and a decline in physical function. Which interpretation is best supported?
- Why may an older adult be especially susceptible to adverse effects from pharmacologic treatment of rheumatologic disease?
- When selecting treatment goals for an older patient with a rheumatologic disorder and substantial comorbidity, which approach best reflects the geriatric review?
- In an older adult receiving medication for rheumatologic symptoms, which potential complication is specifically highlighted as a concern with nonsteroidal anti-inflammatory medication?
- A patient with diabetes reports musculoskeletal symptoms involving the hands, shoulders, and feet. Which statement best fits the reviewed evidence?
- Which statement best characterizes the relationship between diabetes and musculoskeletal disorders?
- A patient with diabetes has a chronic musculoskeletal problem for which no cure is available. Which treatment aim remains supported by the review?
- Which mechanism is described for cartilage damage in acromegaly?
- A patient has arthralgia and progressive facial and acral changes. Which endocrine disorder is particularly relevant to include in the differential diagnosis?
- Which nerve-compression syndrome is described as very common in patients with acromegaly?
- Which description best reflects the potential severity of arthritis associated with acromegaly?
- A patient with Cushing syndrome has difficulty rising from a chair because of weakness centered in the proximal muscles. Which manifestation is most consistent with the reviewed description?
- Which bone-related consequences are described in patients with Cushing syndrome?
- A patient with a history of exogenous glucocorticoid administration develops avascular necrosis. Which association is supported by the reviewed literature?
- Which medication-related circumstance is specifically cautioned against because it can have severe effects in the context of glucocorticoid therapy?
- Through which pathway are gonadotropins described as helping protect bone mass?
- A patient with an unexplained rheumatologic-appearing presentation is found to have a pituitary tumor. Which general principle is supported by the reviewed literature?
- After successful treatment of acromegaly, which outcome is most consistent with the review of sequelae?
- Which statement best describes the reversibility of rheumatologic abnormalities after successful treatment of acromegaly?
- Which set of rheumatologic problems is specifically identified as a noninvasive application of MRI?
- Which imaging modality is identified in the reviewed literature as having applications in the evaluation of arthritides and other rheumatologic problems such as avascular necrosis?
- In addition to investigating rheumatologic problems, what potential role for MRI in arthritides is highlighted by the review?
- An employee in a rapidly repetitive-motion job develops hand symptoms and muscle pain. Which group of occupational problems is identified in the review as potentially occurring in this setting?
- A workplace review finds clusters of early musculoskeletal symptoms in one production area. Which response is most consistent with the occupational review's prevention approach?
- According to the occupational review, what is the expected value of rapid early identification and treatment of repetitive-motion symptoms?
- An older patient with a rheumatologic disorder also has cardiovascular disease and cognitive impairment. How do these comorbidities affect management according to the geriatric review?
- Which statement best integrates the described musculoskeletal effects of excess growth hormone and glucocorticoid excess?
- A patient with diabetes and a musculoskeletal disorder asks whether treatment is worthwhile if the disorder cannot be cured. Which response is most appropriate based on the review?