MSP Final Exam UPDATED Exam Questions and CORRECT Answers
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Course
MSP
Institution
MSP
MSP Final Exam UPDATED Exam
Questions and CORRECT Answers
A 23 year old male presents with pain and stiffness over the SI joints. He reports that the pain
is worst in the morning and at night, and movement seems to help. You note that the patient
also has a hyperkyphosis in the thoracic spin...
MSP Final Exam UPDATED Exam
Questions and CORRECT Answers
A 23 year old male presents with pain and stiffness over the SI joints. He reports that the pain
is worst in the morning and at night, and movement seems to help. You note that the patient
also has a hyperkyphosis in the thoracic spine. What do you suspect this patient has? -
CORRECT ANSWER- Ankylosing Spondylitis
A 20 year old male presents with low back pain. Radiographs show Bamboo Spine, Dagger
Sign and Trolley Track Sign. What is the diagnosis? - CORRECT ANSWER- Ankylosing
Spondylitis
What would the lab findings on an AS patient be? - CORRECT ANSWER- Increased ESR
Seronegative
Normal alkaline phosphatase
HLA B27 positive
Your patient is diagnosed with AS. What treatment options can you recommend? -
CORRECT ANSWER- Suggest that the patient do moderate exercise to maintain the ROM
(swimming, hula hooping, etc.). Acupuncture, soft tissue work, nutrition and anti-
inflammatories also may help. Refer them to a rheumatologist.
What is the end game of AS? - CORRECT ANSWER- Bony ankylosis
What is the end game of Psoriatic Arthritis? - CORRECT ANSWER- Bony ankylosis
28 year old male presents with a white skin lesion around his elbows, SI joint pain, and
pitting in his finger nails. What do you suspect? - CORRECT ANSWER- Psoriatic arthritis
You are asked to assess a hand radiograph of your colleague's patient. You observe uniform
narrowing of the joint spaces, fluffy periostitis and mouse ear deformities. What should you
tell him? - CORRECT ANSWER- It looks like Psoriatic Arthritis to me.
, 25 year old male presents to your office complaining of joint pain in both ankles and both
knees. After a through history and physical exam, you note that he had urethritis a few weeks
ago and currently has a painless rash on his palms. What do you suspect? - CORRECT
ANSWER- Reiter's Syndrome
What are the lab findings for Reiter's Syndrome? - CORRECT ANSWER- Increased ESR
Positive HLA B27
Seronegative
21 year old male complains of migrating joint pain (started in his left ankle, now his knee
hurts, etc.). He also mentions (during the history) that he thinks he might be lactose intolerant
because he has diarrhea anytime he drinks milk, and his joints usually hurt worse after. What
do you think your patient has? - CORRECT ANSWER- Enteropathic Arthropathy
In gout, what are the crystals composed of? - CORRECT ANSWER- Uric acid
Why does gout affect males more than females? - CORRECT ANSWER- Males have
naturally higher levels of uric acid than women
Why does gout cause symptoms? - CORRECT ANSWER- Uric acid crystals are
asymptomatic
Patient will experience symptoms when the crystals are phagocytized by PMNs and an
immune response is elicited
30 year old male presents with great toe pain which begins at night and gets worse throughout
the day. They explain that this has been happening for years on and off, and finally decided to
get it checked out. Upon examination, you note that they display the cardinal signs of
inflammation and tophi on the big toe. What is your diagnosis? - CORRECT ANSWER-
Gouty Arthritis
What disease is the "great mimicker"? - CORRECT ANSWER- Lyme Disease
What is the classic presentation of Lyme Disease? - CORRECT ANSWER- Bulls eye rash
Fatigue
Headache
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