Juvenile idiopathic arthritis MCQs

By: Prof. Dr. Fazal Rehman | Last updated: September 28, 2024

What is juvenile idiopathic arthritis (JIA)? A) A type of infection B) A chronic autoimmune disorder affecting children C) A common childhood illness that resolves on its own D) A hereditary condition Answer: B) A chronic autoimmune disorder affecting children At what age is juvenile idiopathic arthritis typically diagnosed? A) Birth B) After 10 years C) Between 6 months and 16 years D) Only in adolescence Answer: C) Between 6 months and 16 years Which joint is most commonly affected in juvenile idiopathic arthritis? A) Hip joint B) Knee joint C) Spine D) Ankle Answer: B) Knee joint What are the primary symptoms of juvenile idiopathic arthritis? A) Fever and fatigue B) Joint pain, swelling, and stiffness C) Skin rashes only D) Nausea and vomiting Answer: B) Joint pain, swelling, and stiffness What type of JIA primarily affects large joints and is characterized by fever and rash? A) Oligoarticular JIA B) Polyarticular JIA C) Systemic JIA D) Enthesitis-related JIA Answer: C) Systemic JIA What is the most common subtype of juvenile idiopathic arthritis? A) Polyarticular JIA B) Systemic JIA C) Oligoarticular JIA D) Psoriatic JIA Answer: C) Oligoarticular JIA Which of the following is a potential long-term complication of juvenile idiopathic arthritis? A) Improved joint flexibility B) Growth disturbances and joint damage C) Enhanced muscle strength D) No complications Answer: B) Growth disturbances and joint damage What is a common diagnostic test used to identify juvenile idiopathic arthritis? A) MRI B) Complete blood count (CBC) C) Joint aspiration D) X-ray Answer: D) X-ray Which laboratory finding is often elevated in juvenile idiopathic arthritis? A) Hemoglobin levels B) Erythrocyte sedimentation rate (ESR) C) Liver enzymes D) Platelet count Answer: B) Erythrocyte sedimentation rate (ESR) What is the main goal of treatment for juvenile idiopathic arthritis? A) To cure the disease B) To control pain and inflammation and maintain function C) To encourage complete bed rest D) To promote muscle weakness Answer: B) To control pain and inflammation and maintain function Which class of medications is commonly prescribed for juvenile idiopathic arthritis? A) Antibiotics B) Nonsteroidal anti-inflammatory drugs (NSAIDs) C) Antidepressants D) Antivirals Answer: B) Nonsteroidal anti-inflammatory drugs (NSAIDs) What is the role of disease-modifying antirheumatic drugs (DMARDs) in juvenile idiopathic arthritis? A) They provide immediate pain relief B) They slow disease progression and prevent joint damage C) They are only for adults D) They are not effective Answer: B) They slow disease progression and prevent joint damage Which of the following treatments is often used for severe cases of juvenile idiopathic arthritis? A) Surgery only B) Biologic therapies C) Herbal remedies D) High-dose antibiotics Answer: B) Biologic therapies What is an important aspect of managing juvenile idiopathic arthritis? A) Ignoring joint pain B) Regular monitoring and follow-up C) Avoiding all physical activity D) Only focusing on medication Answer: B) Regular monitoring and follow-up Which symptom may indicate systemic involvement in juvenile idiopathic arthritis? A) Isolated joint pain B) Fever and rash C) Localized swelling only D) Muscle cramps Answer: B) Fever and rash What is the most effective method of assessing joint function in juvenile idiopathic arthritis? A) Physical examination B) Blood tests C) Urinalysis D) X-rays only Answer: A) Physical examination Which type of JIA often involves four or fewer joints? A) Oligoarticular JIA B) Polyarticular JIA C) Systemic JIA D) Enthesitis-related JIA Answer: A) Oligoarticular JIA What is a common non-pharmacological approach to managing juvenile idiopathic arthritis? A) Complete inactivity B) Physical therapy and exercise C) High-impact sports D) Avoiding all forms of therapy Answer: B) Physical therapy and exercise What can be a psychological impact of living with juvenile idiopathic arthritis? A) Increased resilience B) Anxiety and depression C) Complete emotional stability D) Enhanced social interactions Answer: B) Anxiety and depression How does juvenile idiopathic arthritis typically affect a child’s quality of life? A) It has no impact B) It can limit physical activity and affect school performance C) It enhances social engagement D) It only affects physical health Answer: B) It can limit physical activity and affect school performance Which of the following is a common misconception about juvenile idiopathic arthritis? A) It is a serious condition B) It only affects the elderly C) It can lead to permanent joint damage D) It is a lifelong condition Answer: B) It only affects the elderly What role do parents play in the management of juvenile idiopathic arthritis? A) They have no role B) They are critical in supporting treatment adherence and managing symptoms C) They should avoid involvement D) They only need to focus on diet Answer: B) They are critical in supporting treatment adherence and managing symptoms Which of the following can help improve the outcomes for children with juvenile idiopathic arthritis? A) Early diagnosis and treatment B) Avoiding any medical interventions C) Ignoring symptoms D) Complete bed rest Answer: A) Early diagnosis and treatment What is a common feature of polyarticular juvenile idiopathic arthritis? A) Affects only one joint B) Affects five or more joints C) Affects the spine only D) No inflammation present Answer: B) Affects five or more joints What is a potential risk of long-term corticosteroid use in children with juvenile idiopathic arthritis? A) Increased bone density B) Growth suppression C) Improved joint function D) Enhanced immune response Answer: B) Growth suppression What is the significance of an eye examination in children with juvenile idiopathic arthritis? A) It is unnecessary B) To check for uveitis, a potential complication C) It is only for aesthetic reasons D) It has no relation to arthritis Answer: B) To check for uveitis, a potential complication What is the expected outcome for many children with juvenile idiopathic arthritis? A) All will develop severe disabilities B) Many achieve remission or low disease activity C) None will respond to treatment D) All will require surgery Answer: B) Many achieve remission or low disease activity Which dietary component is often recommended for children with juvenile idiopathic arthritis? A) High sugar intake B) Omega-3 fatty acids C) Excessive protein D) Low carbohydrate Answer: B) Omega-3 fatty acids What is a common physical symptom of juvenile idiopathic arthritis? A) Increased energy B) Joint swelling and warmth C) Enhanced mobility D) Complete absence of pain Answer: B) Joint swelling and warmth What is the typical course of treatment for children with severe juvenile idiopathic arthritis? A) Only NSAIDs B) Combination of medications, including DMARDs and biologics C) Solely physical therapy D) No medical treatment is necessary Answer: B) Combination of medications, including DMARDs and biologics What is an essential aspect of living with juvenile idiopathic arthritis? A) Avoiding all physical activity B) Developing coping strategies and a support system C) Ignoring symptoms D) Only focusing on medication Answer: B) Developing coping strategies and a support system Which type of juvenile idiopathic arthritis has a better prognosis? A) Oligoarticular JIA B) Systemic JIA C) Polyarticular JIA D) All types have the same prognosis Answer: A) Oligoarticular JIA What is a critical factor in monitoring juvenile idiopathic arthritis? A) Pain levels only B) Joint function and range of motion C) Dietary habits alone D) Mental health without physical assessment Answer: B) Joint function and range of motion  

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