MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

ANKYLOSING SPONDYLITIS

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

Physical examination Limited range of motion in the vertebrae, especially the lumbar vert, forward flexion, rear side and extension. Schober’s test or modification thereof. Which physical exam?

A	Posture posture
B	Spine mobility
C	Enthesitis
D	Chest expansion

Explanation:

Detailed explanation-1: -Schober’s test is classically used to determine if there is a decrease in lumbar spine range of motion (flexion), most commonly as a result of ankylosing spondylitis.. Determination of progression and therapeutic effects of ankylosing spondylitis and other pathologic conditions associated with low back pain.

Detailed explanation-2: -The Schober test is used to diagnose Ankylosing spondylitis and other spondyloarthropathies, assess disability in the clinical setting and litigation and assess treatment results.

Detailed explanation-3: -The analysis of demographic data (height, weight and BMI) showed the homogeneity between the strata and genders. In this study normative values for 200 healthy adults were found to be 6.85 ±1.18 cm for MMST flexion and 2.42±0.74 cm for MMST extension.

Detailed explanation-4: -To conduct the test, the patient stands upright. The examiner locates the two posterior superior iliac spines and draws a horizontal line between them. A second point is marked 15cm above this line. Then the patient is asked to bend forwards as far as possible whilst keeping the knees fully extended.

There is 1 question to complete.