#august2020mccqe1
A 73-year-old woman complains of pain mainly in the limb girdles, associated with marked stiffness. Her symptoms are worse in the early hours of the morning and on waking. There no abnormality on examination apart from mild generalised stiffness of the shoulder and hip joints. Your provisional diagnosis should most likely be confirmed by which of the following?
(A) X-ray of the pelvis and shoulder girdle
(B) serum calcium and phosphorus levels
(C) serum alkaline phosphatase level
(D) erythrocyte sedimentation rate of 110 mm/h
(E) latex rheumatoid factor
A 73-year-old woman complains of pain mainly in the limb girdles, associated with marked stiffness. Her symptoms are worse in the early hours of the morning and on waking. There no abnormality on examination apart from mild generalised stiffness of the shoulder and hip joints. Your provisional diagnosis should most likely be confirmed by which of the following?
(A) X-ray of the pelvis and shoulder girdle
(B) serum calcium and phosphorus levels
(C) serum alkaline phosphatase level
(D) erythrocyte sedimentation rate of 110 mm/h
(E) latex rheumatoid factor
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