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Orthopaedics · Inflammatory arthritis
Sample itemWhat pattern favors rheumatoid arthritis over osteoarthritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Symmetric small-joint swelling
Rheumatoid arthritis commonly causes symmetric inflammatory synovitis of small joints, with swelling and prolonged morning stiffness rather than purely mechanical pain.
Option by option
A. Single acute trauma
A single trauma does not explain systemic inflammatory arthritis.
B. Pain only after running
Pain only after running is more mechanical or overuse related.
C. Bony enlargement only
Bony enlargement alone is more typical of osteoarthritis.
D. Symmetric small-joint swelling (correct)
Correct: symmetric small-joint synovitis is characteristic of rheumatoid arthritis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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