QuestionSBA
QuestionChoice
This patient is presenting with the typical symptoms of ankylosing spondylitis: back pain and stiffness worse in the morning that gets better with movement. This condition is also associated with anterior uveitis, which this patient experienced one month ago.
10025155
a
Ankylosing Spondylitis
QuestionChoice
This patient's presentation is more typical of ankylosing spondylitis. The age and gender of this patient (a young man) also points towards this diagnosis.
10025159
e
Mechanical back pain
QuestionChoice
Polymyalgia rheumatica would typically cause shoulder and hip girdle stiffness alongside some systemic symptoms such as fever, anorexia, weight loss and malaise. Normally, there would be raised inflammatory markers.
10025157
c
Polymyalgia Rheumatica
QuestionChoice
Paget's disease would present with bone pain and an isolated rise in alkaline phosphatase (ALP). It could also be picked up on X-ray where you may find osteolysis, increased bone size and sclerosis or pathological fractures.
10025158
d
Paget’s disease of the bone
QuestionChoice
Cauda equina syndrome would present with symptoms such as saddle anaesthesia, serve sudden onset back pain and urinary incontinence. This patient is more likely to have ankylosing spondylitis.
10025156
b
Cauda equina syndrome
Concept
Chapter
2693
3911
ankylosing spondylitis
Topic
146
Rheumatology
17429
A 20-year-old male presents to the GP with worsening back pain for the past ten months. He tells you the pain is worse in the morning, but gets better on exercise. You note he had an episode of anterior uveitis a month ago.

Which of the following is the most likely diagnosis?
a