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Rheumatology, Vasculitis & Connective Tissue โ€” UPSC CMS MCQs (Medicine) · 10 questions

2024 P1 Q11

Q1. Consider the following statements regarding Lofgren syndrome: 1. It is an acute illness and is more commonly seen in females. 2. It is a clinically distinct phenotype of sarcoidosis characterized by peripheral arthropathy and uveitis. 3. Clinical features include fever, erythema nodosum and bilateral lymphadenopathy. Select the correct answer using the code:

  1. 1 and 2 only
  2. 2 and 3 only
  3. 1 and 3 only
  4. 1, 2 and 3

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 280

2023 P1 Q7

Q2. Which one of the following diseases affects predominantly large arteries?

  1. Granulomatosis with polyangiitis
  2. Polyarteritis nodosa
  3. Giant cell arteritis
  4. Eosinophilic granulomatosis with polyangiitis

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 209

2024 P1 Q41

Q3. A 75-year-old man presented with temporal headache, jaw pain, exacerbated by chewing and talking. Which one of the following investigations will most likely help in diagnosis?

  1. Temporal artery biopsy
  2. Electromyography
  3. MRI of the brain
  4. Carotid colour Doppler

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 291

2021 P1 Q83

Q4. Polyarteritis nodosa has peak incidence between the ages of:

  1. 10โ€“20 years
  2. 20โ€“30 years
  3. 30โ€“40 years
  4. 40โ€“50 years

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 94

2025 P1 Q60

Q5. A 42-year-old man presented with recurrent oral ulcers since one year, episodes of redness of eye and genital ulcers. Which one of the following tests is of diagnostic value?

  1. Mantoux test
  2. Drug-sensitivity test
  3. Pathergy test
  4. Patch test

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 392

2020 P2 Q74

Q6. The initial prevention strategy for antiphospholipid syndrome will be: 1. Steroids 2. Heparin 3. Low dose aspirin 4. Progesterone support Select the correct answer using the code:

  1. 2 and 3
  2. 3 and 4
  3. 3 only
  4. 1 and 4

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 57

2022 P1 Q50

Q7. Which of the following can be used to monitor disease activity in rheumatoid arthritis? 1. Pain (visual analogue scale) 2. X-Ray of hands and wrists 3. DAS 28 score 4. ESR Select the correct answer using the code:

  1. 1, 2 and 3
  2. 1, 2 and 4
  3. 1, 3 and 4
  4. 2, 3 and 4

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 154

2024 P1 Q82

Q8. Which one of the following antibodies is commonly associated with Drug-induced Lupus?

  1. Anti-centromere antibody
  2. Anti-Jo-1 antibody
  3. Anti-histone antibody
  4. Anti-RNP antibody

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 304

2025 P1 Q16

Q9. Which one of the following statements is correct in respect of pulmonary involvement in rheumatoid disease?

  1. Rheumatoid pulmonary nodules are usually asymptomatic and detected incidentally on imaging.
  2. Rheumatoid pulmonary nodules are often solitary and located near hilum.
  3. Pleural effusion in these patients is transudative and usually bilateral.
  4. Combination of pleural effusion and pneumoconiosis in these patients is known as Caplan syndrome.

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 375

2025 P2 Q45

Q10. The best drug for maintenance therapy of Systemic Lupus Erythematosus (SLE) during pregnancy is:

  1. Hydroxychloroquine
  2. Sulfasalazine
  3. Tacrolimus
  4. Progestins

Answer & explanation โ€” reveal it in the interactive practice above.

PYQ 2020โ€“2025 โ€” page 437

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