Rheumatoid arthritis and osteoarthritis 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 52-year-old woman comes to her primary care physician because of joint pain and stiffness. Her symptoms are worse in the morning and subsequently improve after two-hours of physical activity. Past medical history is notable for type 2 diabetes mellitus, for which she is currently taking metformin. She has a 40-pack-year smoking history and currently smokes half-a-pack of cigarettes daily. The patient lives in rural Maryland and recalls several insect bites while hiking a few weeks ago. Vitals are within normal limits. Physical examination is notable for swelling and pain on passive motion in the bilateral metacarpophalangeal, wrist, and metatarsophalangeal joints. Which of the following best describes the cause of this patient’s condition?  

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