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SDI Damage Scoring — SCE Rheumatology MCQ

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HardSLE & Antiphospholipid SyndromeSDI Damage ScoringSCE Rheumatology

A 40-year-old woman with SLE has been on Prednisolone for 8 years at varying doses. She develops spontaneous vertebral compression fractures. Her SDI score increases. What component of the SDI is this fracture contributing to?

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Correct answer: C — Musculoskeletal damage domain of the SDI

The best answer is “Musculoskeletal damage domain of the SDI”. Musculoskeletal damage domain of the SDI is supported by the cited UK or directly applicable specialist authority and best matches the tested threshold, complication or monitoring principle. The remaining choices—“Disease activity score, after specialist assessment”, “No domain captures fractures”, “Cardiovascular damage domain, after safety review”, “Renal damage domain, after specialist assessment”—are credible in related rheumatology presentations, but each addresses a different diagnosis, investigation, treatment sequence or complication and does not fit the decisive findings in this stem.

Reference: NOGG full clinical guideline: https://www.nogg.org.uk/full-guideline