Your Name: Kersten Morgan Bates

Theme: Bone Disease

OPTION LIST

A	Ankylosing Spondylitis	I	Pseudogout
B	Gout	J	Rheumatoid Arthritis
C	Myeloma	K	Septic Arthritis
D	Osteoarthritis	L
E	Osteomalacia	M
F	Osteoporosis	N
G	Paget’s disease	O
H	Primary Hyperparathyroidism	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 50 year old woman presents with pain and stiffness in her hands. On further questioning she reveals that she also has pain in her back, hips and knees, which is worse in the evenings.

2. A 40 year woman presents with pain, swelling and stiffness in her hands. On further questioning she revels that she also has pain in her wrists, shoulders and knees which is worse in the mornings.

3. A 24 year old man presents with pain and stiffness in his buttocks and lower back which is worse when he wakes up in the mornings, but eases after he has gone to the gym. On further questioning he reveals that he has had 2 similar episodes in the past.

4. A 50 year old obese, hypertensive man presents with a 2 day history of a painful, swollen, red toe. On further questioning he reveals that the symptoms had started the morning after the office party, where he ingested large amounts of alcohol.

5. A 60 year old woman presents with pain in her back and knees. It was noted that she had bowed legs, and her blood tests revealed a lone increase in Alkaline Phosphatase.

ANSWERS

1. D

2. J

3. A

4. B

5. G