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Question 54 If an elderly patient with rheumatoid arthritis who has been taking myocrisin (injectable gold) for several years presents with pancytopenia, should the gold treatment be stopped? If so, what treatment should replace it?

Question 55 In a patient with dermatomyositis, what laboratory tests should be ordered to exclude systemic lupus erythematosus (SLE)?

Question 56 What treatment is recommended for tarsal tunnel syndrome?

Question 57 In a patient with documented antiphospholipid syndrome, should lupus anticoagulant be investigated for? If it is found to be present, will this necessitate the use of anticoagulants?

Question 58 What are the findings to be looked for during routine fundus examination in patients on long-term chloroquine or any other antimalarial therapy for the treatment of systemic lupus erythematosus (SLE)?

Question 59 What is the sensitivity of plain X-ray in detecting ankylosing spondylitisrelated spine lesions in both early and late disease, and is there a specific diagnostic test for this?

Question 60 It is reported by the Oxford Handbook of Clinical Medicine that glucosamine and chondroitin sulphate have failed an NEJM trial for the treatment of osteoarthritis? Is there still a valid use for these compounds?

Question 61 Can high serum titres of C-reactive protein (CRP) with normal erythrocyte sedimentation rate (ESR) indicate relapse of rheumatoid arthritis in established rheumatoid arthritis which is in remission?

Question 62 What is the positive predictive value of hyperuricaemia in the diagnosis of gout?

Question 63 What is Scheuermann's disease? And is this a specific clinical or radiological or haematological disease? What is the treatment for this disease?