Rheumatoid arthritis Quiz: Ace Your Exams
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A 40-year-old woman comes to her outpatient provider for evaluation of joint pain and stiffness. Her symptoms began 7 months ago. She reports that the symptoms are worse in the morning and improve after about two-hours of physical activity. In addition, the patient describes feeling tired in the morning despite getting over eight hours of sleep each night. She has had no sensation of dry eyes. Temperature is 37.6°C (99.7°F), blood pressure is 140/83 mmHg, and BMI is 29 kg/m2. Physical examination is notable for swelling and pain on passive motion of the bilateral proximal interphalangeal and metacarpophalangeal joints. No rash is observed on the patient’s body. The remainder of the examination is noncontributory. Which of the following antibodies is most specific to her condition?
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