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Pathology · Immunopathology
Sample itemWhat is the pathologic hallmark of rheumatoid arthritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Chronic synovitis with pannus
Rheumatoid arthritis causes persistent autoimmune synovitis that forms pannus, which erodes cartilage and bone and leads to progressive joint damage.
Option by option
A. Chronic synovitis with pannus (correct)
Correct: pannus from chronic synovitis erodes joints in rheumatoid arthritis.
B. Amyloid only
Amyloid is not the defining joint lesion.
C. Acute neutrophilic abscess
Acute abscess is a suppurative infection pattern.
D. Caseous necrosis
Caseous necrosis is classically associated with tuberculosis.
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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