QuestionSBA
QuestionChoice
Acute pseudogout is unlikely to last for 7 weeks and to be bilateral. Pseudogout presentations are typically unilateral. Chronic pseudogout (CPP disease), however, can mimic the presentation of osteoarthritis.
10003395
e
Acute pseudogout
QuestionChoice
The x-ray shows characteristic features of osteoarthritis including a loss of joint space, osteophytes, subchondral cysts and subchondral sclerosis. The joints predominantly affected in this x-ray are the distal interphalangeal joints.
10003391
a
Osteoarthritis
QuestionChoice
Acute gout is unlikely to last for 7 weeks and is unlikely to be bilateral. Additionally, acute gout is unlikely to produce the findings in this x-ray.
10003394
d
Acute gout
QuestionChoice
Rheumatoid arthritis is likely to present with a loss of joint space, marginal erosions, subchondral cysts and subchondral sclerosis. It also largely involves the metacarpophalangeal (MCP) joints and proximal interphalangeal (PIP) joints but spares the distal interphalangeal (DIP) joints. This x-ray does not show any marginal erosions. Also, the MCPs and PIPs are not affected.
10003392
b
Rheumatoid arthritis
QuestionChoice
Psoriatic arthritis is most likely to present with a ‘pencil in cup appearance’ on x-ray. Depending on the type of psoriatic arthritis, various joints can be affected. The distal interphalangeal (DIP) predominant type would predominantly involve the DIPs.
10003393
c
Psoriatic arthritis
Concept
Chapter
2693
3976
Osteoarthritis
Topic
146
Rheumatology
13225
Picture
1514
Osteo_of_the_hand.jpeg
images/hksvrg4q1682080997474.jpg
images/hksvrg4q1682080997474_256.jpg
images/hksvrg4q1682080997474_512.jpg
EwgOBQAHaZp5Zpd4d4iHeAAAAAAA
Topic
146
Rheumatology
A 62-year-old man presents to his GP with a 7-week history of pain in the joints of his hand. An x-ray of both his hands is conducted.

What is the most likely diagnosis?

[lightgallery]
a