Erosive hand osteoarthritis — SCE Rheumatology MCQ

Instant feedback + full explanation. One question, done properly.

EasyOsteoarthritis and soft tissue rheumatologyErosive hand osteoarthritisSCE Rheumatology

A 59-year-old woman has painful DIP and PIP joints with intermittent flares. Examination shows Heberden nodes and central erosions are seen. Investigations show RF and anti-CCP are negative. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Erosive hand osteoarthritis

The pain pattern, examination and investigations are most consistent with Erosive hand osteoarthritis. Inflammatory or septic causes would usually show more synovitis, systemic features or a different distribution. Soft-tissue rheumatology diagnoses rely on reproducing symptoms with targeted examination.

Reference: NICE NG226; NICE CKS; BNF