Oligoarticular Juvenile Idiopathic Arthritis – Board-Style Questions

What this deck covers

Oligoarticular juvenile idiopathic arthritis in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Swollen since the spring
2. How the smallest group is set
3. Not swollen, but not right
4. Bloods that reassure nobody
5. The antibody everyone asks about
6. One trouser leg rides up
7. Straight to the source
8. It will not lie flat
9. A thinner leg
10. Who it usually is
11. Pitted nails and a fat toe
12. Starting at the hip
13. Two became seven
14. What the parents want to know
15. Tablets and a sore tummy
16. Back to the football pitch
17. When it is safe to stop
18. Thinking about another baby

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A traumatic effusion from an unwitnessed fall, Four or fewer joints during the first six months, A normal variation in wrist mobility at this age, They show the disease has entered complete remission, It is common here and does not follow disease activity, Shortening of the other leg from lack of use, A three-month course of oral corticosteroid tablets, A second injection into the same knee this week, Wasting of the thigh muscles from months of guarding, A boy of twelve with pain across both hips, Reactive arthritis following an episode of gastroenteritis, Typical onset, since this is the commonest joint to start, Extended oligoarthritis, defined after the first six months, Nearly all such children need a wheelchair in adolescence.

Clinical pearls from this deck

• A knee swollen for weeks in a well toddler: chronic arthritis.
• Four or fewer joints in six months defines the small group.
• No swelling, lost range, tender: that is arthritis.
• Normal markers do not argue against a chronically swollen joint.
• A positive antinuclear antibody labels a group, not a diagnosis.
• The inflamed leg grows longer, and that is why we treat it.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all rheumatology and immunology case decks · pediatric reference values.