Joint Pain
Rheumatology
Diagnostic Imaging
GI
OB
100

This monoarticular joint pain is definitively diagnosed by the presence of monosodium urate crystals

What is gout?

100

>3 months of widespread pain, 11/18 tender points, and fatigue.

What is fibromyaligia?

100

X-ray reveals osteophyte formation, sclerosis, and reduced joint space. 

What is osteoarthritis?

100

Best initial study for H. pylori in an adult patient without diagnosed PUD or red flags.

What is urea breath test?
100

Associated with a doubling of hCG every 48 hours.

What is a viable intrauterine pregnancy?

200

A non-specific test for autoimmune inflammation.

What is Anti-nucleated antibody (ANA)?

200

Positive dsDNA and positive Anti-sm

(Anti-DNA and Anti-Smith)

What is systemic lupus erythematosus

200

Chronic back pain with progressive stiffness

What is anyklosing spondylitis? 

200

Best non-invasive screening for colorectal cancer in a patient of average risk.

What is stool DNA?

200

Diagnostic test for RhD Alloimmunization

What is Indirect Coombs test?

300

Asymptomatic patient with serum urate of >6.8 mg/dL and no history of pain.

What is asymptomatic hyperuricemia?

300
  • Abnormal Schirmer's test

  • Associated with Sjogren's

What is keratoconjunctivitis sicca

300

Hard subcutaneous nodules associated with scleroderma

What is calcinosis cutis?

300

Enzyme most specific to pancreatic injury.

What is lipase?

300

Most concerning contraction stress test finding indicating possible need for urgent or emergency C-section.

What are late decelerations?

400

Diagnosis associated with these findings

What is Osteoarthritis?

400

Antibody most specific for CREST

What is Anticentromere antibody?

400

Diagnosis associated with erosive changes and new bone formation within the same digit.

Psoriatic arthritis

400

Diagnosis associated with Schatzki's ring, heartburn, and early satiety.

What is hiatal hernia?

400

Management of biophysical profile score of 4/10

Deliver as soon as possible

(prompt delivery as soon as gestational age will support extrauterine life)

500

Bilateral shoulder and hip pain with negative autoantibodies and elevated acute phase reactants

What is polymyalgia rheumatica?

500

Scleroderma + Anti-RNA polymerase III antibody

What is higher risk of renal crisis?

500

Type 3, Salter Harris fracture

500

Best initial test for a patient with lower GI bleed who presented as hemodynamically unstable.

What is EGD?

500

Most common cause of alpha fetoprotein false positive

What is incorrect gestational age?

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