Rheumatology and Musculoskeletal practice questions

A 16-year-old female long-distance runner develops gradually worsening right groin pain over six weeks. She has recently increased her training volume and repor…

A 68-year-old man presents with a 24-hour history of a painful, swollen right knee and is now unable to bear weight. He takes hydrochlorothiazide for hypertensi…

A 24-year-old man has 9 months of low back pain that began gradually and improves after exercise but not with rest. He wakes in the second half of the night and…

A 67-year-old woman has new bilateral shoulder and hip girdle aching with difficulty lifting her arms and rising from a chair. Symptoms are worst in the morning…

A 42-year-old woman has 6 months of symmetrical swelling and tenderness of the metacarpophalangeal and proximal interphalangeal joints. Morning stiffness lasts…

A 58-year-old man develops severe pain and swelling at the base of his right great toe overnight. He is afebrile and has no skin wound or prosthetic joint. Syno…

A 67-year-old man has recurrent sinusitis, otitis and a persistent cough with occasional blood-streaked sputum. Urinalysis shows dysmorphic red cells and red-ce…

A 29-year-old woman has photosensitive facial erythema, painless oral ulcers and symmetrical pain and swelling of the small joints of both hands. Urinalysis sho…

A 69-year-old man presents with 2 months of progressive low back pain that is worse at night and is not relieved by rest. He has lost 6 kg unintentionally and h…

A 74-year-old woman has 3 weeks of a new unilateral temporal headache and pain in her jaw when chewing. She has no visual symptoms, limb weakness or constitutio…

A 67-year-old woman reports several years of pain at the bases of both thumbs and in the distal finger joints. The pain is worse after gardening, morning stiffn…