Amyloidosis MCQ Quiz | Rheumatology & Immunology

Welcome to this specialized multiple-choice quiz on Amyloidosis, a key topic within Rheumatology and Immunology for MBBS students. This quiz is designed to test your understanding of the pathophysiology, classification, clinical manifestations, diagnosis, and management of various amyloid diseases. Covering everything from the characteristic apple-green birefringence of Congo red stain to the specifics of AL, AA, and ATTR amyloidosis, these 25 questions will challenge your recall and application of knowledge. This is an excellent opportunity to reinforce your learning and prepare for examinations. After submitting your answers, you will receive your score and a detailed review of each question. You can also download a PDF of all questions with their correct answers for future revision.

1. What is the characteristic staining property of amyloid deposits when viewed under polarized light after staining with Congo red?

2. AL amyloidosis is associated with the deposition of which type of protein?

3. Which of the following conditions is a major cause of secondary (AA) amyloidosis?

4. A patient with long-standing rheumatoid arthritis develops nephrotic syndrome. A renal biopsy is performed. Which type of amyloidosis is most likely?

5. Which organ is most commonly affected and is a major cause of morbidity in AL amyloidosis?

6. “Raccoon eyes” (periorbital purpura) and macroglossia are classic, though uncommon, signs of which type of amyloidosis?

7. The protein precursor in hereditary transthyretin amyloidosis (ATTR) is synthesized primarily in which organ?

8. Congo red staining demonstrates amyloid by binding to which specific protein structure?

9. A patient on long-term hemodialysis develops carpal tunnel syndrome and destructive arthropathy. This is most likely due to the deposition of:

10. The definitive diagnosis of amyloidosis is established by:

11. In a patient with suspected cardiac amyloidosis, which finding on an electrocardiogram (ECG) is characteristic?

12. What is the goal of treatment in AL amyloidosis?

13. Familial Mediterranean Fever (FMF) is a genetic disorder that predisposes individuals to which type of amyloidosis?

14. Fat pad aspiration biopsy is a commonly used, minimally invasive procedure to diagnose which type of amyloidosis?

15. What is the mechanism of action of Tafamidis, a drug used for ATTR amyloidosis?

16. Which of the following is NOT a typical feature of AA amyloidosis?

17. Typing of amyloid deposits (e.g., distinguishing AL from ATTR) is crucial for treatment. What is the gold standard method for this?

18. In cardiac amyloidosis, an echocardiogram often shows:

19. The “shoulder pad sign” is a rare physical finding caused by amyloid infiltration of the synovial tissues and is associated with:

20. The precursor protein for amyloid associated with medullary carcinoma of the thyroid is:

21. Which statement about the pathophysiology of amyloidosis is most accurate?

22. A patient with multiple myeloma is at highest risk for developing which form of systemic amyloidosis?

23. Treatment for AA amyloidosis primarily focuses on:

24. Which of the following tests is most useful for monitoring the response to therapy in AL amyloidosis?

25. Senile Systemic Amyloidosis, which primarily affects the heart in elderly men, is caused by the deposition of: