Oligoarticular juvenile idiopathic arthritis — SCE Rheumatology MCQ
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Correct answer: D — Oligoarticular juvenile idiopathic arthritis
The best answer is “Oligoarticular juvenile idiopathic arthritis”. The full clinical pattern is most consistent with Oligoarticular juvenile idiopathic arthritis; competing diagnoses share isolated features but not the decisive combination described. The remaining choices—“Growing pains, after specialist assessment”, “Septic arthritis, within a rheumatology pathway”, “Symptom-triggered vision checks, after safety review”, “Belimumab, 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: NICE NG226 osteoarthritis: https://www.nice.org.uk/guidance/ng226/chapter/Recommendations