Question 39
{"accessible":false,"alternatives":[{"id":180,"text":"distal clavicle"},{"id":178,"text":"distal interphalangeal joints "},{"id":181,"text":"metatarsophalangeal joints "},{"id":179,"text":"sustentaculum tali"},{"id":273,"text":"ulnar styloid"}],"archived":false,"correctAlternativeId":273,"explanation":"\u003cp\u003eHand and wrist involvement in RA is extremely common, typically involving the wrists and MCP joints (especially the 2nd and 3rd). Often, the first sign of erosive change is at the ulnar styloid process. The DIP joints are typically spared. The other sites listed may be involved, but are less common.\u0026nbsp;\u003c/p\u003e","id":39,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2982","nextQuestionPath":null,"relatedArticles":[{"id":12370,"title":"Rheumatoid arthritis (musculoskeletal manifestations)","link":"/articles/rheumatoid-arthritis-musculoskeletal-manifestations-2?lang=gb"}],"alsoUsedIn":[],"stem":"\u003cp\u003eWhich of the following locations\u0026nbsp;most commonly demonstrate early erosive changes in rheumatoid arthritis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/39"}],"attemptsPercentages":[{"alternativeId":"273","percentage":42},{"alternativeId":"181","percentage":33},{"alternativeId":"180","percentage":6},{"alternativeId":"179","percentage":1},{"alternativeId":"178","percentage":19}],"promptToLogin":false,"questionManager":false,"articleId":"rheumatoid-arthritis"}