Sudden Worsening of Pain in the Left Ankle in Rheumatoid Arthritis, Diabetes


Case quiz study - 24/08/2022

  • A case quiz study exposes you to a step-by-step analysis of the case discussed.
  • The MCQs poser is placed in critical junctures where the reader can exercise his thoughts in diagnosis by answering them.
  • It’s designed to help the reader to learn about the clinical features, investigations to be performed, any clinical interventions, and how to conclude the diagnosis
  • Take the quiz to enhance your ability to diagnose the case.

Note Correct answers and a Discussion of the case from an expert are available after completing all the Questions.

Physical examination

1 / 5

What are the probable diagnosis to be considered except

Clinical and lab investigations

X-ray of left ankle

2 / 5

X-ray of left ankle indicate the following

3 / 5

What is the specific test recommended

Physical examination

4 / 5

The case is finally diagnosed as

5 / 5

Based on the following features, the case is diagnosed as septic arthritis


The 45-year-old female diagnosed with rheumatoid arthritis and diabetes was on regular DMARD and oral
hypoglycemic agent therapy with stable disease. She presented to the clinic with acute monoarthritis. Can you find out what the case’s final diagnosis is?