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 Best of Five 22

 

   

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BOF: 22

A 28-year-old male presents with a painful swollen knee. He feels generally unwell and has fever. He has a psoriasiform rash on his glans penis   and he also complains of low backache.

Six weeks previously he has had a self-limiting episode of diarrhoea.

In this patient

a)             Prompt treatment will reduce the chance of recurrence

b)            High dose steroids should be used without delay

c)             Prolonged antibiotic treatment will prevent the disease becoming chronic

d)            If the disease becomes chronic sulphasalazine and methotrexate are useful second line agents

e)             He has a greater than 50 % chance of developing erosive disease or spondylitis

 

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