Spine: inflammatory spondyloarthropathy: practice question

A Orthopaedics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Orthopaedics · Spine: inflammatory spondyloarthropathy

Sample item

A 22-year-old man has morning back stiffness improving with exercise, and radiographs show bilateral sacroiliitis. Which is the first-line drug treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. NSAIDs

Ankylosing spondylitis responds symptomatically to NSAIDs, together with exercise. TNF inhibitors are used if NSAIDs fail, and methotrexate does little for axial disease.

Option by option

  • A. Oral prednisolone long term

    Long-term steroids carry harm and do not alter the course of axial disease.

  • B. NSAIDs (correct)

    Correct. NSAIDs are first-line for ankylosing spondylitis.

  • C. Methotrexate

    Methotrexate is not effective for the axial disease.

  • D. Opioids

    Opioids do not treat the inflammation and risk dependence.

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.

More Orthopaedics questions

Questions about this Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is B, NSAIDs. Ankylosing spondylitis responds symptomatically to NSAIDs, together with exercise.

Why is "Oral prednisolone long term" not the answer?

Long-term steroids carry harm and do not alter the course of axial disease.

Why is "Methotrexate" not the answer?

Methotrexate is not effective for the axial disease.

Why is "Opioids" not the answer?

Opioids do not treat the inflammation and risk dependence.

What concept does this question test?

It tests Spine: inflammatory spondyloarthropathy in Orthopaedics. TNF inhibitors are used if NSAIDs fail, and methotrexate does little for axial disease.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Spine: inflammatory spondyloarthropathy?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.