Scleroderma 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 56-year-old woman comes to her primary care physician for evaluation of acid-reflux that began four months ago. The patient has tried ranitidine and pantoprazole; however, her symptoms have remained poorly controlled. Past medical history is notable for asthma, for which she is currently using an albuterol inhaler. Her temperature is 37.5°C (99.5°F) and blood pressure is 118/67 mmHg. Physical examination is notable for skin tightening over the face, hands, and forearms. Several ulcers are observed at the fingertips. Which of the following is the most likely explanation of the patient’s presentation?  

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