Ankylosing Spondylitis Diagnosis Quiz

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- I have no known psoriasis or recurring unexplained skin or nail changes.
- I occasionally notice an unexplained flaky patch or mild nail pitting.
- Recurring skin or nail changes have led a clinician to suspect psoriasis.
- A qualified healthcare professional has diagnosed me with psoriasis.
- I do not have recurring unexplained diarrhea, abdominal pain, or blood in my stool.
- I have had brief digestive episodes with a likely temporary cause that resolved.
- I experience recurring unexplained diarrhea or abdominal pain that has not been fully assessed.
- I have diagnosed Crohn's disease or ulcerative colitis, or I currently have persistent bloody diarrhea.
- I straighten normally without lingering stiffness.
- I am briefly stiff after staying in one position for a long time.
- I often need several movements or stretches before I can straighten comfortably.
- I regularly cannot straighten fully or have noticed a persistent stooped posture.
Ankylosing Spondylitis Diagnosis Quiz - Description and methodology of the test
People trying to understand recurring lower-back or buttock symptoms can use this ankylosing spondylitis diagnosis quiz to consider whether their pattern merits medical discussion. It is intended for anyone noticing stiffness, restricted movement, night symptoms, or related inflammatory features. This ankylosing spondylitis pain quiz summarises the symptom patterns reflected in the answers.
What This Assessment Explores
The questions examine patterns of back or buttock pain, stiffness, restricted movement, night disturbance, and gradual onset, while also checking psoriasis, bowel inflammation, eye symptoms, tendon-attachment pain, and family history. They connect symptoms with practical effects such as bending, breathing, turning, walking, sleep, and work.
When completing this ankylosing spondylitis symptoms quiz, answer according to your usual pattern and the timeframe specified in each question, rather than one unusually good or bad day. The result shows three reflective dimensions:
- Associated Inflammatory Features (0-15) shows endorsed related indicators; bands: No associated indicators 0, Some context 1-2, Assessment warranted 3-15.
- Axial Movement and Daily Function (0-15) shows movement or daily-function changes; bands: No changes endorsed 0, Some change 1-2, Assessment warranted 3-15.
- Inflammatory Back-Pain Pattern (0-15) shows the timing and behavior of back or buttock symptoms; bands: No indicators endorsed 0, Some signal 1-2, Assessment warranted 3-15.
Methodology and Evidence Base
Each item offers four ordered answer choices, usually moving from no relevant experience through occasional or uncertain experiences to recurring, clinically recognized, or function-limiting patterns. As self-report prompts, they depend on how symptoms are understood and recalled.
Responses are grouped into thematic scales and shown as totals within the three ranges above. The questionnaire does not specify how individual answers contribute to each scale total; its bands are reflective summaries rather than diagnostic or disease-severity cutoffs, and any concerning experience can matter independently of the total.
This ankylosing spondylitis quiz is conceptually consistent with the Hamilton axSpA questionnaire, a validated self-completed screening questionnaire distinguishing inflammatory from mechanical back pain; this online questionnaire is not an adaptation of that instrument. Its inflammatory back-pain themes also correspond with the inflammatory back-pain study by Rudwaleit and colleagues, including morning stiffness, movement response, night waking, and age at onset. The ASAS criteria described by Rudwaleit and colleagues place clinical features alongside imaging and HLA-B27; this questionnaire does not assess imaging findings or HLA-B27 status.
Recall, current context, and self-awareness can influence self-reported results. A painful red eye, light sensitivity, or vision change warrants same-day eye or medical assessment regardless of the total.
- Hamilton L, MacGregor AJ, Newman DW, Belkhiri A, Toms AP, Gaffney K. Validation of a patient self-reported screening questionnaire for axial spondyloarthropathy in a UK population. Spine (Phila Pa 1976). 2013;38(6):502-506. DOI 10.1097/BRS.0b013e318273aa4f
- Rudwaleit M, Metter A, Listing J, Sieper J, Braun J. Inflammatory back pain in ankylosing spondylitis: a reassessment of the clinical history for application as classification and diagnostic criteria. Arthritis & Rheumatism. 2006;54(2):569-578. DOI 10.1002/art.21619
- Rudwaleit M, van der Heijde D, Landewé R, Listing J, Akkoc N, Brandt J, Braun J, Chou CT, Collantes-Estevez E, Dougados M, Huang F, Gu J, Kirazli Y, Maksymowych WP, Mielants H, Sørensen IJ, Ozgocmen S, Roussou E, Valle-Oñate R, Weber U, Wei J, Sieper J. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Annals of the Rheumatic Diseases. 2009;68(6):777-783. DOI 10.1136/ard.2009.108233
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