Professional and Linguistic Assessments Board (PLAB) Practice Exam

Which therapy is commonly used for managing ankylosing spondylitis?

1. Corticosteroids and physical therapy

2. NSAIDs and exercise

3. Antimalarials and surgery

4. Opioids and heat therapy

The correct answer is: NSAIDs and exercise

The management of ankylosing spondylitis often focuses on controlling inflammation and maintaining mobility, making NSAIDs and exercise the preferred therapy. Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective in reducing pain and stiffness associated with the condition, helping to improve function and quality of life for patients. Exercise plays a crucial role as well; it aids in maintaining spinal flexibility and overall physical fitness. Physical therapy tailored to the patient's specific needs can also enhance the benefits of exercise. In contrast, while corticosteroids and physical therapy can have a role in managing some inflammatory conditions, they are not the first-line treatment for ankylosing spondylitis. Antimalarials are primarily used for other autoimmune conditions like rheumatoid arthritis and lupus, thus not relevant here. Opioids, which are generally reserved for severe pain management, can unfortunately lead to dependence and do not address the underlying inflammatory process of ankylosing spondylitis effectively. Heat therapy may provide temporary relief but does not offer the comprehensive approach required for managing this chronic condition.