QuestionSBA
QuestionChoice
This is correct. This patient has a typical presentation of osteoarthritis as the stiffness in her joints resolve within 30 mins but resolves as the day goes on, however the pain increases with movement throughout the day.
10002706
a
Osteoarthritis
QuestionChoice
This is incorrect as pseudogout typically has an acute attack and then resolves within a few weeks. However, this patient has had this condition constantly for the past 15 years.
10002707
b
Pseudogout
QuestionChoice
Whilst a good differential, this is not rheumatoid arthritis as the morning stiffness resolved in 30 minutes.
10002709
d
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 the cause.
10002708
c
Septic Arthritis
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.
10002710
e
Psoriatic Arthritis
Concept
Chapter
2693
3766
Osteoarthritis
Topic
145
Orthopaedics
13088
A 77-year-old female has pain in her left knee and both of her hands. She says that her left knee and hands are stiff for 30 minutes in the morning, but get better as the day goes on. The pain is exacerbated by movement throughout the day. The pain and stiffness has lasted for around the past 15 years and have progressively gotten worse. On examination, the joint is not red or warm to the touch.

What is the most likely diagnosis?
a