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What is the most likely cause of death after 6 months post cardiac transplantation?

A.

Rejection

B.

Infection

C.

Coronary artery disease

D.

Malignancy

E.

Congestive heart failure

Rheumatology

A 77 year old woman has symptoms of temporal arteritis which is confirmed by temporal artery biopsy.  A DEXA scan gives a T score of –3.0.  No previous fractures.  What is the best treatment option for this woman?

A.

Predinsone 40mg/day

B.

Prednisone 40mg/day and HRT

C.

Prednisone 40mg/day and alendronate

D.

Prednisone 7mg/day

E.

Prednisone 40mg alternate days

A 54 year old woman has had rheumatoid arthritis for many years, treated with methotrexate and low dose prednisone.  She smokes one packet of cigarettes a day and drinks 5 units of alcohol a day.  She presents with a peripheral neuropathy in the feet and several reddish, purpuric or vasculitic lesions are seen in both hands on examination.  Many blood test results given, mild anaemia, normocytic, normal WBC count and differential, ESR slightly elevated, (e.g. 50) no other blood tests diagnostic.  What is the most likely diagnosis?

A.

Vitamin B12 deficiency

B.

Amyloidosis

C.

Methotrexate toxicity

D.

Alcohol induced neuropathy

E.

Churg Strauss syndrome

A 44 year old diabetic man presents has the following x-ray taken

(chondrocalcinosis of triangular ligament)

What is the diagnosis?

A.

Hyperparathyroidism

B.

Pseudogout

C.

Haemochromatosis

D.

Familial hypocalciuric hypercalcaemia

A 56 year old man presents with fatigue, muscle weakness, Raynaud’s phenomenon and shortness of breath.  He is found to have moderate interstitial lung disease.  Anti Jo-1 antibodies are strongly positive.  What is the diagnosis?

A.

Dermatomyositis

B.

Systemic lupus erythematosis

C.

Polymyosistis (antisynthetase syndrome)

D.

Scleroderma

E.

Mixed connective tissue disease

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