General Medicine

20 learning units • 100 chapter sections • 200 explained questions. Assess the patient, choose investigations and build a monitored management plan across adult medical specialties.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 20 / 20

Rheumatology, Multimorbidity & Integrated Care

Recognise inflammatory and multisystem disease, then build a coherent plan around the person rather than isolated diagnoses.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. A patient has a newly hot swollen knee with fever. What must be considered urgently? A. Simple osteoarthritis onlyB. A benign autoantibody resultC. Isolated fibromyalgiaD. Septic arthritis

Question 02. Does finding crystals in joint fluid absolutely exclude infection? A. Yes, alwaysB. Only when the joint is a kneeC. NoD. Yes, if gout occurred before

Question 03. Which pattern suggests inflammatory arthritis? A. Brief pain only after a new injuryB. Persistent symmetrical small-joint swelling with prolonged morning stiffnessC. Isolated painless clickingD. One resolved bruise

Question 04. What does a positive autoantibody establish on its own? A. A definitive autoimmune diagnosis in every patientB. The exact treatment doseC. Exclusion of infectionD. A finding needing clinical interpretation

Question 05. Haemoptysis with acute kidney injury raises concern for what? A. Uncomplicated rhinitis onlyB. Isolated mechanical joint painC. Stable myopiaD. A pulmonary-renal syndrome

Question 06. New jaw claudication and visual symptoms in an older adult require what? A. Waiting months for routine reviewB. Urgent assessment for giant cell arteritisC. Reassurance because headache is commonD. Treating only with spectacles

Question 07. What pattern particularly suggests delirium? A. Years of unchanged memory symptoms aloneB. Lifelong stable learning difficulty aloneC. Acute fluctuating inattentionD. A normal sleep pattern without change

Question 08. Why reconcile medicines in multimorbidity? A. Each diagnosis can always be treated independentlyB. More medicines always improve outcomesC. Over-the-counter products never matterD. Interactions and conflicting treatment goals can cause harm

Question 09. An older patient has congestion and rising creatinine. What is preferable to automatic fluids? A. Give repeated fluids regardless of lungsB. Stop all treatment indefinitelyC. Treat only the laboratory numberD. Assess perfusion and volume status, then monitor a coherent plan

Question 10. What makes a discharge handover complete? A. Only the final diagnosis labelB. Only the admission dateC. Medicine changes, monitoring, pending results and named follow-upD. A list of tests without responsibility

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References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 27 September 2026. Consult current local protocols for prescribing, procedures and escalation.