Table 2.
Examples of vignettes with diagnostic and treatment questions used in the script concordance test in rheumatology
| • Mrs. Pervenche, 52 years old, consults for pain and inflammation in both wrists and in the two second MCPs for the past 2 months. You find synovitis in these four joints. | ||
| If you were thinking of… |
And then if you were to find… |
This hypothesis would become: |
| Making a diagnosis of rheumatoid arthritis |
Negative for rheumatoid factor and anti-CCP antibodies |
     |
| Making a diagnosis of rheumatoid arthritis |
A line of chondrocalcinosis on radiographs of the hand at the level of the triangular carpal ligament |
     |
| • Mr Xavier, 68 years old, comes in for his first viscosupplementation injection in the left knee. He is on oral anticoagulants for atrial fibrillation. | ||
| If you were thinking of… |
And then if you were to find… |
This hypothesis would become: |
| Administering the injection | Previous day’s INR of 2.9 |
    
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