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 52-year-old woman comes to her primary care physician for evaluation of a sensation of “dryness and tightness” in the skin. The symptoms began six months ago. She has tried vaseline lotion but reports that it does not improve her symptoms. Past medical history is notable for allergies and asthma, for which she is currently taking loratadine and uses an albuterol inhaler. She smokes half-a-pack of cigarettes per day. Her temperature is 37.3°C (99.1°F) and blood pressure is 125/71 mmHg. Physical examination is notable for thickened skin over the face, hands, and forearms. There is reduced range of motion in the bilateral hands.  Skin on the chest, abdomen, and back appear normal. Inspection of the patient’s hands reveals the following finding:  



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Which of the following additional symptoms would most likely be found on this patient's history and physical examination?  

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