MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

ANKYLOSING SPONDYLITIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 26-year-old man came to the health center with complaints of pain and stiffness in the waist in the morning. Pain persists for at least 3 months. Pain is reduced/improved by exercise. Is the clinical symptom of ankylosing spondylitis a manifestation?
A
Skeletal manifestations
B
Non-skeletal manifestations
C
Physical manifestation
D
Local manifestation
Explanation: 

Detailed explanation-1: -Treatment options for sacroiliitis include: alternating ice and heat to relieve pain and inflammation. physical therapy and exercise. injections of corticosteroids directly into the joint (these can only be done periodically due to side effects from regular use)

Detailed explanation-2: -Ankylosing spondylitis may affect more than the spine. The disease may inflame joints in the pelvis, shoulders, hips and knees, and between the spine and ribs.

Detailed explanation-3: -In the second stage, joint involvement, particularly in the sacroiliac joints (located between the pelvis and spine), is visible on x-rays. Along with the symptoms of AS, these features make AS more likely to be diagnosed at this stage. In the third stage, joint damage has occurred and is irreversible.

Detailed explanation-4: -Rheumatoid arthritis (RA) is characterized by symptoms of joint swelling, pain and stiffness in the morning[1], which improves as the day progresses.

There is 1 question to complete.