Sarcoidosis is an autoimmune disease that presents with non-specific symptoms of fatigue, fever, and arthralgias. Which of the following signs should raise suspicion of this disorder?
A. Facial rash across nose and cheeks
B. Bilateral hilar lymphadenopathy on chest x-ray
C. Specific tender points on the body
D. Swelling of metacarpophalangeal joints
Question 2A 34-year-old female presents with fever, general malaise, fatigue, arthralgias and rash for the last 2 weeks. On physical examination, you note facial erythema across the nose and cheeks.
Serum diagnostic tests reveal positive antinuclear antibodies, anti-DNA antibodies, elevated C-reactive protein and erythrocyte sedimentation rate. The clinician should include the following disorder in the list of potential problems:
A. Fibromyalgia
B. Sarcoidosis
C. Systemic lupus erythematosus
D. Rheumatoid arthritis
Question 3A 33-year-old female reports general malaise, fatigue, stiffness, and pain in multiple joints of the body. There is no history of systemic disease and no history of trauma.
On physical examination, the patient has no swelling or decreased range of motion in any of the joints. She indicates specific points on the neck and shoulders that are particularly affected. She complains of tenderness upon palpation of the neck, both shoulders, hips, and medial regions of the knees. The clinician should include the following disorder in the list of potential diagnoses:
A. Osteoarthritis
B. Rheumatoid arthritis
C. Fibromyalgia
D. Polymyalgia rheumatica
Question 4Your patient is a 55-year-old male who presents with sudden, severely tender, swollen, erythematous elbow. The patient reports that he experienced similar symptoms in the past.
You note the right elbow has a swollen, tender, soft 3 cm round nodule. The clinician should recognize these are signs and symptoms of:
A. Gouty arthritis
B. Rheumatoid arthritis
C. Epicondylitis
D. Reiter's syndrome
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