Polyarticular Juvenile Idiopathic Arthritis – Board-Style Questions

What this deck covers

Polyarticular 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. Both hands, the same on each side
2. One more blood test
3. A question for the anaesthetist
4. A small chin and a stiff bite
5. Falling off the line
6. Sore feet on rough ground
7. Small gaps at the edges
8. Lumps at the elbows
9. Aching, but nothing swollen
10. Two injections and still swollen
11. Unwell every Saturday
12. Why blood at every visit
13. Asked in the room alone
14. When the tablet is not enough
15. Learning to do it at home
16. A temperature on a Sunday
17. The joint that decides the future
18. What happens in twenty years

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Oligoarticular disease that has extended in the last month, Antinuclear antibody, repeated at three-monthly intervals, Flexion and extension views of the neck before anaesthesia, A habit of clenching the teeth during the night, which is common, A normal pattern of growth for a girl of her age, The great toe joints, which are the usual site, Normal variation in the ossification of a hand that is still growing, Rheumatoid nodules, which occur in the seropositive form, Early polyarticular arthritis before swelling has appeared, Daily prednisolone, continued for at least a year, Change to the subcutaneous route, which is better tolerated, Her response to treatment, which they measure directly, The medicine is safe at any point during a pregnancy, A further six months of exactly the same treatment.

Clinical pearls from this deck

• Two positive samples, three months apart: the seropositive form.
• The citrullinated antibody marks the joints that will erode.
• Long-standing arthritis: check the neck before the airway.
• A receding chin in chronic arthritis: the jaw joints.
• Poor growth here: the disease and the steroid, together.
• Feet that hurt on rough ground: move the heel sideways.

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.