Myalgias and myositis 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 53-year-old man comes to the primary care physician’s office for evaluation of fatigue and muscle weakness for the past 6 months. The patient is a construction worker and reports having difficulty lifting as much as he previously could. Past medical history is notable for asthma managed with albuterol and budesonide inhalers. He consumes 3-4 glasses of beer per week and is sexually active with his spouse. Physical examination reveals 4/5 strength in the shoulders and hips and 5/5 in the rest of the body. The deltoids and quadriceps are tender to palpation. Examination of the patient’s hands reveals the following:  


Reproduced from: Wikimedia Commons  

Which of the following additional cutaneous findings would most likely be observed on the patient’s physical exam?  

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