Pediatric Rheumatology Quiz

All of the following features usually suggest inflammatory joint involvement except ?

• Pain more in the morning

• Pain more after activity

• Pain more after rest

• Persistent joint swelling

All of the following diseases more commonly causes typical monoarthritis except ?

• Hemophilia

• Septic Arthritis

• Juvenile Idiopathic Arthritis (JIA)

• TB infection

Which of the following point/s support/s the suspicion of leukemia in a 4 years old boy, presented with predominant joint complaints ?

• Migratory joint involvement with fever

• Persistent night pain & night awakening

• HB – 9gm% , WBC – 4500/cumm and platelet count – 1,65,000 with no blasts on peripheral blood smear examination

• Raised LDH level

• All of the above

All of the following statements about Kawasaki Disease are true except ?

• Arthritis, thrombocytosis, skin peeling & coronary artery involvement usually occurs after first 1-2 weeks

• It is a self-limiting disease so fever can get relieved after 12-14 days

• It is mandatory to fulfill Kawasaki Criteria to reach to a final diagnosis and treat the child with IV Immunoglobulin in clinical practice.

• Kawasaki patients with coronary artery involvement need a long-term follow up and management

All of the following statements about Juvenile Idiopathic Arthritis are false except ?

• Severe joint pain is a classical presentation

• CRP and/or ESR has to be elevated to diagnose

• It is a clinical diagnosis

• Positive RF(RA) is a confirmatory test