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Question 1
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?
Correct Answer:
Slit-lamp examination by an ophthalmologist every 3 months
Question 2
A 4-year-old boy diagnosed with persistent oligoarticular JIA localized to the right knee has failed a 4-week trial of full-dose oral ibuprofen. What is the standard first-line targeted intervention for active monoarticular or oligoarticular JIA joint disease?
Correct Answer:
Intra-articular injection of triamcinolone hexacetonide
Question 3
A 6-year-old girl presents with a 3-week history of daily spiking fevers up to 39.8°C that return to baseline once daily, accompanied by a salmon-pink macular rash on her trunk that appears during fever spikes and fades as her temperature normalizes. Physical examination reveals generalized lymphadenopathy, hepatosplenomegaly, and bilateral wrist and ankle arthritis. Laboratory testing demonstrates WBC 24.5 x 10^9/L (85% neutrophils), platelets 650 x 10^9/L, ESR 95 mm/hr, CRP 140 mg/L, and serum ferritin 3,200 µg/L. ANA and RF are negative. What is the most likely diagnosis?
Correct Answer:
Systemic Juvenile Idiopathic Arthritis (sJIA)
Question 4
A 7-year-old boy with known systemic JIA on oral prednisolone develops non-remitting high fevers, lethargy, purpura, and confusion. Laboratory results show a sudden drop in ESR from 90 mm/hr to 12 mm/hr, while CRP remains elevated at 110 mg/L. Hemoglobin drops from 11.2 to 7.8 g/dL, platelets drop from 520 x 10^9/L to 45 x 10^9/L, fibrinogen is decreased at 1.1 g/L (normal 2.0-4.0), and serum ferritin rises to 28,500 µg/L. What life-threatening sJIA complication has developed?
Correct Answer:
Macrophage Activation Syndrome (MAS)
Question 5
An 11-year-old boy presents with painful left heel pain at the insertion of the Achilles tendon, pain over the tibial tuberosity, and right hip pain. He reports 60 minutes of morning stiffness. His father has ankylosing spondylitis. Physical examination confirms tenderness at entheseal sites and right hip limitation. HLA-B27 testing is positive. Two weeks later, he presents with acute onset of a painful, red, photophobic right eye with decreased vision. Which JIA subtype does this clinical picture represent?
Correct Answer:
Enthesitis-Related Arthritis (ERA)
Question 1
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Prepare with the Cert Rheumatology(SA) Paed Practice Questions - Sub-specialty Certificate in Paediatric Rheumatology of the College of Paediatricians of South Africa Exam practice quiz. This question bank includes 100 questions covering year-old, presents, systemic, child, and girl. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Cert Rheumatology(SA) Paed Practice Questions - Sub-specialty Certificate in Paediatric Rheumatology of the College of Paediatricians of South Africa Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, systemic, child, and girl. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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