Inflammatory myopathies 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 45-year-old woman presents to the primary care clinic for generalized weakness and a new rash. Over the past month, the patient has become fatigued much more easily when walking, gardening, and brushing her hair. The patient has also developed pink-purple discoloration over both eyelids and in a V-shape over the anterior neck and chest. She has no fever, chills, dysphagia, chest pain, shortness of breath, or orthopnea. She has no significant past medical history and takes no medications. Vital signs are unremarkable. A physical examination is performed, showing 3/5 muscle strength in the proximal upper and lower extremities bilaterally. Laboratory studies reveal an elevated creatine kinase of 2800 U/L and the presence of anti-Mi-2 antibodies. Which of the following physical examination findings, if present, would be a specific indication of the most likely diagnosis?

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Pink-Violaceous papules on the dorsal aspects of the fingers

Fine inspiratory crackles

Swollen tender joints

Hyperkeratosis and fissuring of the palms and lateral fingers

Thin tight skin on the fingers