Approach to joint pain and swelling 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 33-year-old woman presents to the emergency department with three months of fatigue and severe wrist and hand pain that started two months ago but has worsened in the past few days. She has also been experiencing hair loss and ulcers in her mouth. The patient has no known past medical history. Temperature is 37.4 ºC (99.3 ºF), pulse is 102/min, respiratory rate is 18/min, blood pressure is 146/91 mmHg, and SpO2 is 99% on room air. On physical examination, there are several areas of alopecia and multiple aphthous ulcers in the mouth. The lungs are clear to auscultation, cardiac exam is within normal limits. Multiple proximal interphalangeal and metacarpophalangeal joints of both hands are tender to palpation with evidence of effusions. Serum white blood cell count is 1,800/mm3 and platelet count is 96,000/mm3. Which of the following clinical or diagnostic findings is most likely to be present?  

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