This page is dedicated to organizing various examples of standardized exam questions whose answer is juvenile rheumatoid arthritis. While this may seem a odd practice, it is useful to see multiple examples of how juvenile rheumatoid arthritis will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 4 year old girl is brought to the clinic because her parents have noticed that she has been limping for the past 6 weeks. The limp seems to be movie obvious when she first wakes up in the morning, and becomes less noticeable as the day goes on/plays. She does not have any recent history of a fever, rash, or other illnesses. There are not exposures to pets or ticks. She appear swell today int eh clinic, but does continue to walk wth a limp. Her temperature is 98.3°F. Examination of the skin shows no rash. The patient’s pupils are equal, round, and reactive to light. There is a normal red reflex bilaterally. The right knee is swollen and warm, but there is no erythema and it is not tender. The rest of the physical exam is non-contributory. Lab studies are ordered and shown below:
- ESR: 67 mm/h
- Antinuclear antibody: positive
- Rheumatoid factor: negative
- Antistreptolysin O titer: negative
- Lymph antibody: negative
What could be the underlying condition in this patient?
Page Updated: 11.09.2016