YourName: TANG Yin Yin

Theme: systemic sclerosis

OPTION LIST

A	Pulmonary hypertension	I	Low-dose oral prednisolone
B	Bleomycin	J	Collagen type IV
C	Myocardial fibrosis	K
D	High-dose corticosteroids	L
E	Collagen types I and III	M
F	Digital ischaemia	N
G	Raynaud’s phenomenon	O
H	ACE inhibitor	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. Fibroblasts synthesis increased quantities of this substance producing fibrosis in the lower dermis of the skin as well as the internal organs.

2.This clinical feature is seen in the majority of cases and can precede the onset of the full blown disease by many years.

3. This is the most likely cause of arrhythmias.

4. This is the first drug of choice for preventing/controlling hypertensive scleroderma renal crisis.

5. This drug may improve Raynaud’s phenomenon.

ANSWERS

1. E

2. G

3. C

4. H

5. H