Cert Rheumatology(SA) Phys Practice Questions - CMSA Sub-specialty Certificate In Rheumatology Cert Rheumatology(SA) Phys - South Africa Exam

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A 48-year-old woman presents with an 8-week history of symmetrical joint pain and swelling in both hands and wrists, accompanied by 2 hours of morning stiffness. On examination, she has synovitis in 4 PIP joints, 4 MCP joints, and both wrists (10 small joints total). Laboratory investigations reveal a high-positive anti-CCP antibody titer (>3 times upper limit of normal) and an elevated CRP level. According to the 2010 ACR/EULAR Classification Criteria for Rheumatoid Arthritis, what is her total classification score?

8 points (Joint involvement: 3, Serology: 3, Acute phase reactants: 1, Duration: 1) 9 points (Joint involvement: 5, Serology: 3, Acute phase reactants: 1, Duration: 0) 10 points (Joint involvement: 5, Serology: 3, Acute phase reactants: 1, Duration: 1) 7 points (Joint involvement: 3, Serology: 2, Acute phase reactants: 1, Duration: 1)

Correct Answer:

10 points (Joint involvement: 5, Serology: 3, Acute phase reactants: 1, Duration: 1)

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