12. Joints

1The following are features of rheumatoid arthritis EXCEPT which of the following?
  • (a) Periarticular soft tissue swelling
  • (b) Osteoporosis
  • (c) Joint space narrowing
  • (d) Chondrocalcinosis
2Concerning rheumatoid arthritis, which of the following statements are true?
  • (a) It first occurs around the metatarsophalangeal joints
  • (b) There is asymmetrical involvement
  • (c) Atlantoaxial subluxation is never seen
  • (d) Severe destruction causes arthritis mutilans
3Which of the following statements about psoriatic arthritis are correct?
  • (a) It predominantly involves the proximal interphalangeal joints
  • (b) It is a type of erosive arthropathy
  • (c) Soft tissue calcification is seen
  • (d) It usually causes widening of the joint space
4Which of the following features favour the diagnosis of rheumatoid arthritis rather than osteoarthritis?
  • (a) Marginal erosion
  • (b) Asymmetrical involvement
  • (c) Subchondral cyst
  • (d) Uniform joint space narrowing
5Regarding joint infections, which of the following statements are true?
  • (a) Usually only one joint is affected
  • (b) Joint effusion occurs late in the course of disease
  • (c) Rapid destruction of the articular cartilage is seen in tuberculous arthritis
  • (d) Osteoporosis is an important sign in diagnosing early pyogenic arthritis
6In the following list of arthropathies and joints, which coupling is the most likely to occur?
  • (a) Rheumatoid arthritis and the hips
  • (b) Gout and the metatarsophalangeal joint of the big toe
  • (c) Osteoarthritis and the elbow
  • (d) Syringomyelia and the pelvis
7Avascular necrosis is seen in the following situations EXCEPT which one?
  • (a) Long-term treatment with steroid therapy
  • (b) Thalassaemia
  • (c) Collagen vascular diseases
  • (d) Regular deep-sea diving
8Which of the following are radiological features of avascular necrosis?
  • (a) Osteophyte formation
  • (b) Smooth articular contour
  • (c) Subarticular crescentic lucent line
  • (d) Associated with soft tissue calcification
9Which of the following are associated?
  • (a) Perthe’s disease and the femoral head
  • (b) Freiberg’s disease and the metacarpal heads
  • (c) Kohler’s disease and the lunate bone
  • (d) Osgood–Schlatter disease and the elbow
10With regard to scleroderma, which of the following statements are true?
  • (a) It usually affects the tips of the proximal phalanges
  • (b) It causes hypertrophy of the soft tissues of the fingers
  • (c) It typically causes marginal erosions
  • (d) Soft tissue calcification is often seen
11Regarding the following joint diseases, which statements are correct?
  • (a) Ultrasound replaces x-rays for detecting dislocation or subluxation of the hip in infants
  • (b) Perthe’s disease occurs between the ages of 12 and 17 years
  • (c) Early slipped femoral epiphysis is best appreciated on an anteroposterior film of the hip
  • (d) Slipped femoral epiphysis is usually seen in children less than 5 years of age
12Concerning internal derangement of the knee, which of the following statements are true?
  • (a) The normal menisci are of uniform high signal on all sequences
  • (b) The normal anterior cruciate ligament is of uniform high signal intensity
  • (c) Bone bruises are better seen in plain radiographs than on MRI
  • (d) MRI can occasionally show meniscal tears not seen at arthroscopy
13Which of the following are NOT rotator cuff muscles of the shoulder?
  • (a) Supraspinatus
  • (b) Infraspinatus
  • (c) Teres major
  • (d) Subscapularis
14Concerning rotator cuff muscles of the shoulder, which of the following statements are true?
  • (a) The subscapularis is the most commonly injured rotator cuff muscle
  • (b) Tears of the supraspinatus tendon are thought to be due to impingement between the acromium and greater tuberosity of the humerus
  • (c) CT is sensitive in detecting rotator cuff injury
  • (d) Calcification in the supraspinatus tendon is not well seen on ultrasound examination