Published 22 April 2009, doi:10.1136/bmj.b1579
Cite this as: BMJ 2009;338:b1579

Endgames

OnExamination Quiz

Painful joints and osteoarthritis

The first 150 words of the full text of this article appear below.

The answer to this question, and more questions on this topic, are available from www.onexamination.com/endgames until midnight on Wednesday.

This week’s quiz is on painful joints and osteoarthritis and is taken from the MRCGP examination.

Select the most appropriate diagnosis from the list of options below that would best explain the three presentations that follow.

A Osteoarthritis
B Gout
C Ankylosing spondylitis
D Still’s disease
E Systemic lupus erythematosus
F Reiter’s syndrome
G Haemarthrosis
H Rheumatoid arthritis
I Psoriatic arthropathy

A 27 year old man presented with morning stiffness and backache. He was positive for HLA-B27 antigen.

A 22 year old woman presented with stiffness, swelling, and pain in the joints of her hands. On examination, she had radial deviation of her right wrist and nodules on her left elbow.

A 66 year old man presented with pain in the knees and hips, which was relieved by rest. Examination of . . . [Full text of this article]


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Rapid Responses:

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Endgames not linked to MRCGP revision website
Chris Elfes, et al.
bmj.com, 7 May 2009 [Full text]
Wording for the Onexamination quiz
Amy Davis
bmj.com, 9 May 2009 [Full text]
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