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General Medicine · Rheumatology
Sample itemWhich feature favors rheumatoid arthritis over osteoarthritis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Prolonged morning stiffness with inflammatory small-joint synovitis
Rheumatoid arthritis often causes inflammatory synovitis in small joints with prolonged morning stiffness and may require early disease-modifying therapy.
Option by option
A. Isolated traumatic knee swelling
Traumatic swelling has a different cause.
B. Pain relieved by joint movement in every case
Movement response varies and is not diagnostic alone.
C. Prolonged morning stiffness with inflammatory small-joint synovitis (correct)
Correct: inflammatory stiffness and synovitis are characteristic.
D. Pain only after heavy use with brief stiffness
This mechanical pattern favors osteoarthritis.
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.