Rheumatology

A 61-year-old man presents with 24 hours of severe pain, redness and swelling of his right first metatarsophalangeal joint, left ankle and right knee. He has ha…

Rheumatology and Musculoskeletal · Pre-internship · middle twist

A 72-year-old woman presents with three weeks of a new, persistent right-sided headache. Brushing her hair on that side has become painful, and her jaw begins t…

Rheumatology and Musculoskeletal · Pre-internship · middle twist

A 78-year-old woman presents with sudden painless loss of vision in her right eye on waking this morning. For the past three weeks she has had a right-sided hea…

Eyes, Ears, Nose and Throat · Clinical rotations · middle twist

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…

Rheumatology and Musculoskeletal · Clinical rotations · common

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…

Rheumatology and Musculoskeletal · Clinical rotations · common

A 38-year-old male presents to the dermatology clinic with red, scaly plaques on his back and palms. He reports increased symptoms with stress. He has no histor…

Year 3 · Clinical rotations · common

A 50-year-old woman presents to the rheumatology clinic due to an 8-month history of joint pain and swelling that affects her bilateral wrists, MCP, and PIP joi…

Year 3 · Clinical rotations · common

A 24-year-old woman presents with right knee pain, swelling, and difficulty walking for the past 2 days. She also reports multiple joint pains and swelling. The…

Year 4 · Clinical rotations · middle twist

Which of the following is the first-line treatment for an acute gout attack?

Year 3 · Clinical rotations · common

Which of the following is the characteristic crystal found in pseudogout?

Year 3 · Clinical rotations · common