Cert Rheumatology(SA) Paed Practice Questions - Sub-specialty Certificate In Paediatric Rheumatology Of The College Of Paediatricians Of South Africa Exam

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A 3-year-old girl is brought to the paediatric rheumatology clinic with a 2-month history of a swollen left knee and morning limp lasting 40 minutes. On examination, there is a moderate left knee effusion with warmth and restricted range of motion, but no systemic symptoms. Laboratory investigations reveal ESR 28 mm/hr, CRP 12 mg/L, ANA positive at 1:320 (speckled pattern), and negative RF. Which of the following is the most important immediate screening investigation required for this patient?

Slit-lamp examination by an ophthalmologist every 3 months Renal ultrasound to evaluate for lupus nephritis Echocardiogram to screen for coronary artery aneurysms High-resolution CT of the chest for interstitial lung disease

Correct Answer:

Slit-lamp examination by an ophthalmologist every 3 months

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