QuestionSBA
QuestionChoice
These X-ray features are consistent with the diagnosis of rheumatoid arthritis. Erosions and subluxation may also be seen.
10026991
a
Soft tissue swelling, periarticular osteopenia, swan neck deformity, ulnar deviation
QuestionChoice
These X-ray features are characteristic of osteoporosis, a systemic skeletal condition characterised by low bone density. Given the diagnosis of rheumatoid arthritis, soft tissue swelling, periarticular osteopenia, swan neck deformity and ulnar deviation are the most likely findings.
10026992
b
Increased radiolucency and cortical thinning
QuestionChoice
Normal X-rays may be seen in some other arthropathies, for example, gout. In the early stages of rheumatoid arthritis, X-rays can be normal, however, we are told that this patient has a longstanding diagnosis and deformity in her hands, so we would not expect the X-ray to be normal.
10026993
c
Normal X-ray
QuestionChoice
These X-ray findings are seen in osteoarthritis, due to the breakdown of joint cartilage and underlying bone.
10026994
d
Osteophytes, loss of joint space, sub-periosteal cysts and sclerosis
QuestionChoice
These X-ray findings are characteristic of osteosarcoma, a type of malignant bone tumour, not rheumatoid arthritis.
10026995
e
Mixed lytic and sclerotic lesion with a 'sunburst’ periosteal reaction
Concept
Chapter
2693
3975
Rheumatoid Arthritis
Topic
146
Rheumatology
17796
A 68-year-old woman has a longstanding diagnosis of rheumatoid arthritis. She undergoes a review due to experiencing increasing pain, stiffness and deformity in her hands.

What are the most likely findings on an X-ray of her hands?
a