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 41-year-old woman comes to her outpatient provider for evaluation of fatigue and dyspnea on exertion that started five months ago. The patient previously enjoyed biking on the weekends, but she has been unable to do so because of her symptoms. Past medical history is notable for seasonal allergies. She is currently not taking any medications. In the office, her temperature is 37.1°C (98.8°F), blood pressure is 128/88 mmHg, and pulse is 73/min. Physical examination is notable for diffuse skin thickening and telangiectasias. On cardiac examination, there is a loud S2 at the left upper sternal border. A chest x-ray is ordered, and the results are as follows:  



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Which of the following findings is most likely to be seen in this patient?  

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