Examination Questions Block Musculoskeletal 2013 1. Among the following statements, which is correct regarding the joint? a.

It is an organ consisting of synovium, joint fluid and cartilage b. Network outside the joint are the tendon, synovium c. Its function is as a hinge forming bone and the pads d. Joint fluid only works as a joint lubricant e. Inflammation of the joints called artralgia. 2. Principle management of rheumatic diseases are: a. Eliminate the etiology by giving antibiotics b. Overcome inflammation by giving corticosteroids c. Manage the symptoms by giving analgetics d. Overcome complications with medical rehabilitation e. Treat the etiology and manage the symptoms 3. The following statement is true about the pathogenesis of rheumatic diseases: a. Inflammation is a complex interaction between the causative agent, parenchymal cells, tissue components, vascular and inflammatory cells b. Inflammation is marked by constantly increasing white blood cell c. In the pathogenesis, there is complex interactions between joint fluid, synovial membrane and joint cartilage d. Inflammation often marked by heat, dolor, tumor, and functional disorders e. Inflammation in rheumatic diseases is due to autoimmune process A fifty years old male, came to the ER complining of pain in his right knee since the night before. The pain got worsens so made him unable to walk. On physical examination there are acute inflammatory signs, positive krepitation and limitations of joint motion. 4. Based on above clinical data, the most likely diagnosis is: A. Rheumatoid Arthritis B. Osteoarthritis C. Gouty arthitis D. SLE E. Rheumatic non artikuler A thirty years old male came with the complaint of a sudden swelling on the right big toe. On physical examination there is signs of acute inflammation in the MTP 1 right foot. Laboratory examination revealed uric acid serum 9 mg/dl. The best choice of therapy in the above case is: A. Allopurinol 100 mg / day B. Allopurinol 100 mg / day combined with probenecid C. Kolkhisin combination with NSAIDs D. NSAID combination with allopurinol E. Kolkhisin combination with allopurinol

5. Which one is not part of clinical disorders in gout: a. Coronary heart disease as additional illness b. Urinary tract stones c. Tofus d. Septic arthritis e. Hipeurisemia asymptomatic 6. Management of patients with acute gouty arthritis: a. Give colchisin to eliminate pain b. Give NSAIDs to overcome inflammation c. Give allopurinol to reduce uric acid d. Give DMARD to treat the etiology e. Give steroid injections intraartikuler 7. Diagnostic criteria for acute gouty arthritis: a. Inflammation is peaked within an hour b. Unilateral joint attack metakarpopalangeal 1 c. Redness on bilateral joints d. Joint fluid culture revealed microorganism e. Joint x-ray show narrowing of the joint gap 8. Person is diagnosed Osteoartritis if there is joint pain accompanied by: a. Age more than 45 years b. Joint pain in the morning more than 30 minutes c. Feel warm on palpation examination d. There is no crepitation e. Widening of the bones around the knee 9. Recommended education and counceling in patients with Osteoasrtrtitis: a. Resting the joint totally b. Athletic sports such as tennis or badminton c. Gradual mobilization if there is joint pain d. Take strong analgetic when the pain occur e. Reduce body weight in all cases of OA