Rheumatoid arthritis and osteoarthritis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

Learning videos

Flashcards

Expert reviewed

Spaced Repetition

Mobile app

Custom Quizzes

1 of 15

A 53-year-old woman comes to the emergency department because of abdominal pain and distention. The patient has had several episodes of emesis prior to arrival. Past medical history is notable for rheumatoid arthritis and gallstones treated with laparoscopic cholecystectomy. Temperature is 37.6°C (99.7°F), pulse is 96/min and blood pressure is 140/83 mmHg. Physical examination reveals diffuse tenderness to palpation of the abdomen and high-pitched bowel sounds on auscultation. Laboratory testing reveals the following findings:

 
 Laboratory value  Result 
 Sodium  145 mmol/L 
 Potassium  3.7 mmol/L 
 Chloride  102 mmol/L 
 Bicarbonate  30 mmol/L 

Imaging reveals obstruction of the small intestine. The patient is taken to the operating room, undergoes endotracheal intubation, and surgical adhesiolysis is performed. Three hours later, neurological examination reveals areflexia and impaired sensation in all extremities. Which of the following is the most likely explanation for the neurological defects?  

Elimination tool

Choose an option: