QuestionSBA
QuestionChoice
Rheumatoid Arthritis is correct as the pain the patient experiences takes greater than 30 mins in the morning to resolve, however movement eases the pain, indicative of an inflammatory condition.
10002711
a
Rheumatoid Arthritis
QuestionChoice
This is incorrect as the patient has not reported any signs of infection, such as a red or warm joint. There are no systemic symptoms such as fever, indicating an infection is a cause.
10002714
d
Septic Arthritis
QuestionChoice
Osteoarthritis is incorrect as OA is associated with short morning stiffness, and pain at the end of the day.
10002712
b
Osteoarthritis
QuestionChoice
This is incorrect. Psoriatic Arthritis is generally associated with warm-to-the-touch joints. Furthermore, psoriatic arthritis is associated with skin changes consistent with psoriasis.
10002713
c
Psoriatic Arthritis
QuestionChoice
This is incorrect as reactive arthritis occurs within 4 weeks of an infection and this patient stated she has not been ill recently.
10002715
e
Reactive Arthritis
Concept
Chapter
2693
3975
Rheumatoid Arthritis
Topic
146
Rheumatology
13089
A 54-year-old presents to her GP with pain and stiffness in both of her hands. The patient also remarks the pain gets better throughout the day and lasts for around 2 hours in the morning. On examination, the GP notes the joint most affected are the proximal interphalangeal and the metacarpophalangeal joints. They are not red or warm to the touch. The GP notes there is pain on joint palpation and a reduced range of motion. On further questioning, the patient reveals she had community-acquired pneumonia 6 months ago, but has not been ill since then.

What is the underlying diagnosis?
a