#may2020mccqe1
A 45-year-old woman is evaluated in the office for a 3-month history of pain, stiffness, and swelling of the small joints of the hands and feet. She also has increasing fatigue that has caused her to miss work at least 1 day per week. She has no other medical problems. On physical examination, the vital signs and general physical examination, including skin examination, are normal. A photograph of one of her hands is shown. Complete blood count, serum chemistries, and urinalysis are all normal. Erythrocyte sedimentation rate is 44 mm/h.
Which of the following is the most likely diagnosis?
(A) Osteoarthritis
(B) Psoriatic arthritis
(C) Rheumatoid arthritis
(D) Systemic lupus erythematosus
A 45-year-old woman is evaluated in the office for a 3-month history of pain, stiffness, and swelling of the small joints of the hands and feet. She also has increasing fatigue that has caused her to miss work at least 1 day per week. She has no other medical problems. On physical examination, the vital signs and general physical examination, including skin examination, are normal. A photograph of one of her hands is shown. Complete blood count, serum chemistries, and urinalysis are all normal. Erythrocyte sedimentation rate is 44 mm/h.
Which of the following is the most likely diagnosis?
(A) Osteoarthritis
(B) Psoriatic arthritis
(C) Rheumatoid arthritis
(D) Systemic lupus erythematosus
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