Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map

Review of Clinical Signs Review Questions

Clinical Signs of Systemic Sclerosis

Bernard M. Karnath, MD

Questions 1 through 5 are based on the following case:

A 53-year-old man with a past medical history of hypertension and coronary artery disease presents to the emergency department complaining of chest pain and shortness of breath that started about 1 hour ago. Four weeks ago, he was admitted to the hospital after having a myocardial infarction (MI). Cardiac enzymes, chest radiograph, and an electrocardiogram (ECG) are ordered. The ECG (above) shows the following:

1. Which of the following complications is least likely to develop in this patient?

  1. Interstitial lung disease
  2. Glomerular nephritis
  3. Renal crisis
  4. Pulmonary hypertension
  5. Esophageal reflux
Click here to compare your answer.


2. Which of the following findings is seen prior to or at the time of diagnosis of scleroderma?

  1. Arthritis
  2. Interstitial lung disease
  3. Pulmonary hypertension
  4. Raynaud’s phenomenon
  5. Renal crisis
Click here to compare your answer.


3. This patient is likely to test positive for which of the following antibodies?

  1. Anti-CCP (cyclic citrullinated peptide)
  2. Anti-Jo1
  3. Anti-SCL-70
  4. Anti-Smith
Click here to compare your answer.


4. The case patient was diagnosed with scleroderma after the first visit. Which of the following medications is least likely to be beneficial as chronic medication?

  1. Angiotensin-converting enzyme (ACE) inhibitors
  2. Calcium channel blockers
  3. High-dose corticosteroids
  4. Proton pump inhibitors
Click here to compare your answer.


5. The patient presents again after 2 years with dry cough and dyspnea on exertion. Which of the following lung diseases is most likely?

  1. Diaphragmatic weakness
  2. Interstitial lung diseases
  3. Lung nodule
  4. Shrinking lung syndrome
Click here to compare your answer.

Click here to read more about Clinical Features of Systemic Sclerosis (Requires Adobe Acrobat Reader)


Review of Clinical Signs main page



Check our archives to test your knowledge in other clinical signs:

Review of Clinical Signs Archives


If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/31/08 • kkj