MSK & Rheumatology Practice Questions

MSK and rheumatology questions test joint disease patterns, cervical spine risks in RA, pediatric hip pathology, and rheumatologic mimics. These four sample questions come from MediLingo's bank of 3,900+ questions across 21 specialties.

Sample questions

Question 1

A 55-year-old woman with severe RA needs elective surgery. She reports neck pain and occasional hand tingling. Which screening test is required before intubation?

a) Knee MRI
b) Lower limb EMG
c) Temporal artery biopsy
d) Flexion-extension cervical spine X-ray ✓ Correct

Key teaching point: Screen RA necks with flexion-extension X-rays — atlantoaxial subluxation risk.

Question 2

A 78-year-old man has symmetric pitting edema of the dorsal hands and feet with shoulder girdle pain. RF negative. What PMR mimic is this?

a) RS3PE syndrome ✓ Correct
b) Rheumatoid arthritis
c) Gout
d) Cellulitis

Key teaching point: RS3PE: symmetric pitting edema + girdle pain in elderly, seronegative.

Question 3

A 60-year-old woman with long-standing RA suddenly cannot extend her ring and little fingers. Exam shows dorsal wrist swelling. What complication has occurred?

a) Ulnar deviation
b) Rupture of finger extensor tendons at the wrist ✓ Correct
c) Dupuytren contracture
d) Trigger finger

Key teaching point: RA can rupture finger extensors at the wrist — sudden loss of extension.

Question 4

Which pediatric hip condition progresses through necrosis, fragmentation, reossification, and remodeling stages?

a) SCFE
b) Transient synovitis
c) Legg-Calvé-Perthes disease ✓ Correct
d) Septic arthritis

Key teaching point: Perthes stages: necrosis → fragmentation → reossification → remodeling.

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