Deck 198: Seronegative Spondyloarthropathies

Question 1

A patient is diagnosed with ankylosing spondylitis and begins taking a COX-2 inhibitor with minimal pain and inflammation relief. What will the provider order initially to manage this patient's symptoms?

A) A trial of sulfasalazine and methotrexate
B) Biologic anti-tumor necrosis factor agents
C) Changing to a COX-1 inhibitor medication
D) Corticosteroid injections every 3 months

Answer 1

C

Question 2

A patient reports a history of recurrent lower back pain for 6 months. The patient describes the pain as a deep ache and stiffness that is worse upon awakening and improves after walking. Which findings will the examiner elicit to help make a clinical diagnosis of ankylosing spondylitis? (Select all that apply.)

A) Assessment of the degree of lumbar lordosis
B) Evaluation of lateral thoracic spine flexion
C) Measurement of chest expansion
D) Noting the degree of cervical kyphosis
E) Observation for scapular asymmetry

Answer 2

A, B, C

Question 3

A patient is treated for a urinary tract infection and, 3 weeks later, presents with pain and swelling of one knee and in one hand, along with inflammation in both eyes. What will the provider suspect as the cause of these symptoms?

A) Ankylosing spondylitis
B) Infectious arthritis
C) Psoriatic arthritis
D) Reactive arthritis

Answer 3

D