All of the following are the features of Reiter's syndrome, EXCEPT:

Appeared in: DSSSB October 2024

Explanation

Pleuritis is the inflammation of the pleura, the membranes that line the lungs and chest cavity.
This condition is not part of the classic triad of symptoms used to diagnose Reiter's syndrome (Reactive Arthritis).
While other autoimmune diseases like Lupus (SLE) can cause pleuritis, it is not a characteristic finding in reactive arthritis.

Option A: Urethritis, inflammation of the urethra, is a core component of the classic triad of Reiter's syndrome.
Option B: Conjunctivitis, inflammation of the eye's conjunctiva, is a defining feature of the classic triad for Reiter's syndrome.
Option D: Arthritis, or joint inflammation, is the third key component of the classic triad associated with Reiter's syndrome.

Clinical Relevance

Nursing practice connection: Knowing Characteristic features of Reiter's Syndrome (Reactive Arthritis) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Recognizing the triad of conjunctivitis, urethritis, and arthritis is crucial for nurses in identifying potential cases of reactive arthritis.
A key nursing action is to inquire about recent gastrointestinal or genitourinary infections when a patient presents with acute arthritis, as this can be the trigger.
Patient education is vital, explaining that the condition is a 'reaction' to an infection and not a contagious joint disease itself.

How to Approach the Question

First, identify the core subject of the question, which is 'Reiter's syndrome'.
Note the keyword 'EXCEPT'. This means you are looking for the option that does NOT belong or is false.
Recall the classic features of Reiter's syndrome. A useful mnemonic is 'Can't see, can't pee, can't climb a tree'.
Match the options to the mnemonic: 'Can't see' (Conjunctivitis), 'Can't pee' (Urethritis), 'Can't climb a tree' (Arthritis).
The option that does not fit this pattern is 'Pleuritis'. Therefore, it is the correct answer to the 'EXCEPT' question.

Concept Tested & Keywords

Concept Tested: Characteristic features of Reiter's Syndrome (Reactive Arthritis)
Stem keywords: Reiter's syndrome, features
Lead-in keywords: EXCEPT
Negative lead-in flag: The question asks to identify the feature that is NOT associated with Reiter's syndrome.

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E6 Medicine Davidson Principles Practice 24e p. 1051-1053

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 1501-1503

E6 Pathology- ROBBINS & COTRAN PATHOLOGIC BASIS OF DISEASE 10TH Ed p. 1202-1204

Practise the full DSSSB October 2024

Attempt every question from this paper in a timed mock, then review the full solution for each one.