Enthesitis-Related Arthritis – Board-Style Questions

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What this deck covers

Enthesitis-related 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

A heel, a knee and a bad night
Where it hurts to press
The tissue type
Worse when she arches backwards
Better once he is moving
Measuring what the spine can do
A foot that swells all over
A question about the bowel
Both heels, and he still plays
How the tablet is taken
A second drug, not for the back
The drug that does not reach the spine
When the spine is the problem
Something to do every day
Taking a deep breath
Who this usually is
What the family history adds
What happens after eighteen

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: A mechanical back strain, Tenderness at tendon insertions, which is enthesitis, It proves the diagnosis when it is positive, A tumour within the vertebral body at that level, Mechanical pain from poor posture at a desk, A test of hamstring length and flexibility, Inflammation across the midfoot, known as tarsitis, Thyroid function, which often falls at this age, Enthesitis at the Achilles insertion on both sides, It should be stopped, as it cannot help this illness, A long course of oral corticosteroid tablets every day, It does not control axial disease, whatever the dose, Six more months of the same, Avoid all bending and lifting from now on.

Clinical pearls from this deck

Older boy, sore heels, night back pain: think this category.
Tender exactly where tendon meets bone: enthesitis.
A common tissue type supports, but never proves, the diagnosis.
Back pain worse on arching and cured by rest: a pars injury.
Worse at rest, better on the move: inflammatory back pain.
Two marks and a forward bend: lumbar flexion measured.

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.