IM 7.

What is the most prevalent manifestation of venous

October 30, 2018 thrombosis in APS?
a. superficial thrombophlebitis
1. The age group with the highest burden of b. digital gangrene
noncommunicable degenerative dse and related c. livedo reticularis
disability belongs to the oldest old, variously defined as d. DVT
a. >70-75
b. >75-80 8. In Behcet’s synd, the most dreaded complication is
c. >80-85 a. pulmonary artery vasculitis
d. >85-90 b. genital ulceration
c. cerebral venous thrombosis
2. Who among our members of the population tend to d. bilateral panuveitis
live longer?
a. women 9. The most serious manifestation of SLE is
b. men a. cognitive dysfunction
c. both b. anemia
c. pleuritis with pleural effusion
3. Behcet’s synd, a multisystem disorder primarily d. nephritis
affects which of the ff areas?
a. mouth 10. The basic ADLs consist of these selfcare tasks,
b. genital areas except
c. eyes a. dressing and undressing
d. all b. eating
c. managing money
4. Positive pathergy test is can be elicited in which of d. personal hygiene
the ff conditions?
a. SLE 11. The pneumococcal immunization is recommended
b. RA to be given
c. Behcet’s synd a. once at 50y
d. Sjogren synd b. once at 65y
c. once at 70y
5. What is the best screening test for SLE? d. annually
a. ANA
b. anti-Sm 12. WG is a vasculitis that mainly affects which organ
c. Anti-dsDNA systems?
d. antiphospholipid a. kidneys, respiratory tract, and liver
b. kidneys and liver
6. Which microorganism is associated with higher c. kidneys and upper and lower respiratory
relapse rates in patient with Wegener’s tract
granulomatosis? d. upper respiratory tract
a. S. aureus
b. S. pneumoniae
c. mycoplasma
d. K. pneumoniae
13. A diagnosed case of SLE pt comes to your clinic for
follow up. Which among the ff diagnostic test will you
not include in the request?
a. hgb
b. serum crea
c. UA
d. plt ct
e. ANA
14. Which fetal manifestation is most prevalent in pts
with APS?
a. early fetal loss (<10w)
b. late fetal loss (>10w)
c. premature birth among live births
15. The ff statements on general principles of tx for
vasculitis synd are true except
a. glucocorticoids should be started
immediately where irreversible organ damage
is established
b. aggressive therapy should be avoided for
vasculitic manifestations that usually do not
respond to therapy
c. glucocorticoids should be initiated in those
systemic vasculitides that for which there is no
established standard of therapy
d. none
16. Which dse condition will present with necrotizing
vasculitis of the small arteries and veins with
granuloma formation?
a. WG
b. IgA vasculitis
c. polyarteritis nodosa
d. Churg-Strauss
17. In vasculitis synd, the prominent pathologic process
includes which of the ff?
a. thrombosis
b. damage to blood vessels and inflammation
c. damage to blood vessels
d. inflammation
e. all
18. Which medication for pregnant pts with lupus has
evidence of teratogenicity in humans, but its benefits
might outweigh risks in certain situations?
a. rituximab
b. cyclophosphamide
c. tacrolimus
d. glucocorticoids
19. A 16yo F came to the ER due to palpable pruritic rash
on both lower exs for 5d associated with joint pains
affecting elbows, wrists, knees, and ankles; with colicky
abdominal pain. There were no melena nor
hematochezia. CBC and plt were normal. UA was
normal. How will you manage the case?
a. oral prednisone at 1mkd
b. start steroid pulse therapy
c. observe and monitor disease course
d. prednisone at 1mkd ff’d by
cyclophosphamide
20. The ff are true re Henoch-Schonlein purpura,
except
a. presents commonly with mucosal and eye
lesions
b. pts may experience recurrence of sxs
c. usually a self-limiting condition
d. steroids may be given for those with severe
abdominal pain and progressive renal dse
21. Profound changes in body composition may be the
most evident and inescapable effect of aging.
Interestingly, this is the only body component which
continues to increase across life span
a. waist circumference
b. weight
c. fat mass
d. lean body mass
22. A 35/M had hx of prolonged fever of 3w duration, 27. An asthmatic 45/F developed joint pains,
malaise, joint pains and anorexia. He suddenly erythematous painful nodules on both legs, and SOB.
complains of testicular pains. CBC showed anemia and CBC showed anemia and eosinophilia. CXR showed
leukocytosis. Testicular bx was done and showed pulmonary infiltrates. Which is most likely the dx?
necrotizing vasculitis. Which vasculitides is closely a. microscopic polyangiitis
associated to this case? b. Takayasu
a. GCA c. WG
b. Takayasu d. Churg-Strauss
c. polyarteritis nodosa
d. microscopic polyangiitis 28. Which of the ff dse condition affects small vessels
and manifests with palpable purpura?
23. The most common clinical mx of SLE involves the a. polyarteritis nodosa
__ system b. behcets
a. renal c. churg-strauss
b. neurologic d. Henoch-schonlein
c. cutaneous
d. hematologic 29. Which of the ff dses is GCA closely associated with?
e. musculoskeletal a. polymyalgia rheumatica
b. sjogrens
24. A 70/F diabetic pt presenting with R diabetic foot c. RA
was started with IV antibiotics to control sepsis and d. SLE
insulin to control blood sugar. However, she eventually
underwent amputation. The interventions done 30. The presence of this clinical finding is necessary for
decreased the period of morbidity but will not the dx of behcets synd?
necessarily equate to increasing longevity. This is a a. bilateral panuveitis
classic example of b. vasculitis
a. longevity dividend c. recurrent aphthous ulcers
b. compression of morbidity d. erythema nodosum
c. both
d. neither 31. The mainstay tx for any inflammatory life/organ
threatening mx of SLE
25. Which of the ff clinical mx suggests dx of vasculitis? a. immunosuppression
a. varicose veins b. NSAIDs
b. proteinuria c. systemic glucocorticoids
c. palpable purpura d. antimalarials
d. prolonged fever
e. all 32. A progeroid condition, which occurs as a de novo,
noninherited mutation in lamin A gene with aging sxs
26. The kidneys are the most common organ affected in early childhood and death by 13y in average
in which of the ff? a. laron synd
a. sarcoidosis b. cockayne synd
b. amyloidosis c. Hutchinson-gilford progeria synd
c. sjogrens d. werner’s synd
d. behcets
33. Based on the diagnostic criteria for the dx of SLE, 38. Who among these are more prone to prolonged
which of the ff is correct to make the probable dx? disability?
a. there should be greater than or equal to 4 of a. men
these criteria b. women
b. there should be greater than or equal to 2 of c. both
these criteria
c. there should be greater than or equal to 5 of 39. Brain atrophy occurs with aging after 60y. What
these criteria present at anytime in the pt’s hx part of the brain shows the highest ave shrinkage?
d. there should be greater than or equal to 3 of a. inferior temporal lobe
these criteria b. orbitofrontal cortex
e. none c. fusiform gyrus
d. hippocampus
34. Which of the ff statements is/are true of Behcet’s
synd 40. The 3 Ds of aging except
a. it usually affects the young with the female a. drug reaction
more affected than male b. dementia
b. life expectancy is poor c. depression
c. blindness is the only serious complication d. delirium
d. all
41. p-ANCA vasculitis
35. The rates of cognitive impairments, such as A Polyarteritis nodosa
memory problems, increasing with age b. Takayasu
a. men are worse c. Churg-strauss
b. men are better d. Henoch-Schonlein
c. no difference between genders
d. none 42. Necrotizing vasculitis affecting small arteries and
veins with involvement of the lung and upper airways
36. The ff statements are true of APS, except a. WG
a. there is recurrent arterial or venous b. Henoch-Schonlein
thrombosis and/or pregnancy morbidity c. Takayasu
b. it is an autoantibody mediated acquired d. churg-strauss
thrombophilia 43. Which of the ff vasculitis synds affects large vessels
c. the trigger is not known like the aorta?
d. it may occur alone or in association with any a. Takayasu
other autoimmune dse b. Henoch-schonlein
e. none c. churg-strauss
d. WG
37. Nephritis is the most serious complication of which
of the ff? 44. Which is not included in the dx of behcets synd?
a. Sjogren a. recurrent oral ulcers
b. SLE b. recurrent genital ulcers
c. scleroderma c. pathergy test
d. behcets d. asthma
e. RA
45. A 23/F consulted as outpt due to fever, night sweats,
anorexia and wt loss of 10kgs in just 4w. she dev’d
abdominal pains for 5d now and ff’d by nausea and
vomiting which prompted the consult. BP on R arm was
160/100. BP on L arm is palpatory 80. Pulses on ___ are
faint. What’s your dx?
a. GCA
b. WG
c. Takayasu
d. Polyarteritis nodosa

46. The most common venous thrombosis in pts with

APS?
a. superficial thrombophlebitis
b. PE
c. livedo reticularis
d. DVT

47. Which of the ff aging changes does not correctly

match to the corresponding organ system?
a. endocrine-hypergonadism
b. vascular-segmental or global ischemic
changes in many tissues
c. immune-increased infections and
autoimmunity
d. hepatic detoxification-increased exposure to
dse-inducing endobiotics

48. What is the most common mx of diffuse CNS

lupus?
a. psychosis
b. cognitive dysfunction
c. headache
d. seizures
e. mood disorder

49. An exposure to UV light causes flares of SLE in 70%

of pts
a. true
b. false

50. The prevalence of disability in selfcare and home

mgt increases steeply with aging
a. it tends to be higher in women than in men
b. it tends to be lower in women than in men
c. no difference between gender
d. none