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General Medicine · Rheumatology
Sample itemWhat symptom pattern is typical of an inflammatory arthritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Prolonged morning stiffness
The core Rheumatology principle makes Prolonged morning stiffness the best answer because it directly explains the stated presentation, investigation, or immediate management priority.
Option by option
A. Prolonged morning stiffness (correct)
Correct. Prolonged morning stiffness follows from the crucial clinical clue in the stem.
B. Isolated nosebleed
Isolated nosebleed does not address the underlying finding or indicated action.
C. Painless skin scaling
Painless skin scaling may be relevant in another clinical setting but is not best here.
D. Pain only after trauma
Pain only after trauma does not fit the requested rheumatology conclusion.
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.