Approach to a fever Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
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A 26-year-old woman presents to the clinic for evaluation of fevers and joint pain over the past several days. Two days ago, she developed pain in the joints that first involved the left wrist that resolved, then pain in the left elbow that resolved, and then pain in the right knee. Following this, she developed pain and swelling along her left posterior ankle and the top of her right wrist. She is sexually active with two male partners and does not use barrier protection. The patient recently went hiking in New Hampshire two weeks ago. She takes a combined oral contraceptive. Temperature is 38°C (100.4°F), pulse is 94/min, respiratory rate is 12/min, and blood pressure is 126/84 mmHg. There is significant swelling, erythema, and tenderness to palpation along the dorsal aspect of the right wrist and the achilles tendon of the left ankle. There is no swelling, warmth, or tenderness of the joints. Skin examination reveals tender vesiculopustular lesions on the arms and legs. Which of the following studies is most likely to reveal the underlying diagnosis?
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