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 36-year-old woman is being evaluated for episodes of “hand discoloration”. The patient reports that these episodes are triggered by cold temperatures and resolve after 15 minutes. Past medical history is notable for hypertension, for which she is currently taking lisinopril. Her temperature is 36.8°C (98.2°F) and blood pressure is 137/83. The patient’s symptoms are similar to those found in the image below:
A human hand with fingers of differing colors. The middle finger is pale white, while other fingers and the palm are pink to red.
Image reproduced from Wikimedia Commons

Physical examination is notable for skin tightening over the face and hands. Calcium deposits are present at the elbows. If left untreated this patient is at risk of developing which of the following complications? 

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