A 60-year-old woman is evaluated for bilateral joint pain and swelling in her hands. She has 2 hours of morning stiffness that improves slightly with

Subject
Medicine
System
Rheumatology/Orthopedics & Sports

Kathryn

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Jul 29, 2020
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A 60-year-old woman is evaluated for bilateral joint pain and swelling in her hands. She has 2 hours of morning stiffness that improves slightly with activity. Acetaminophen and nonsteroidal anti-inflammatory drugs provide only minimal symptom relief. She has no other medical problems and takes no additional medications. On physical exam, vital signs are normal. She has symmetric joint swelling and tenderness the second and third metacarpophalangeal joints and tenderness over the left fifth metatarsophalangeal joint. Which of the following test results would most likely support a diagnosis of rheumatoid arthritis in this patient?
(A) Elevated erythrocyte sedimentation rate
(B) Normocytic, normochromic anemia
(C) Positive rheumatoid factor
(D) Radiographs showing marginal joint erosions
 
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