Seronegative and septic arthritis 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 45-year-old woman presents to her primary care PA’s office for evaluation of pain and stiffness in fingers and low back for six months. The pain is worse early in the morning and gradually improves over the course of the day. She also has soreness of the heels bilaterally. The patient has been taking acetaminophen with only partial relief. Past medical history includes myocardial infarction with stent placement one year ago. Physical examination shows point tenderness over the bilateral Achilles tendons, as well as effusion and joint line tenderness of 3rd and 4th distal interphalangeal joints of the bilateral hands. The patient’s left thumb is demonstrated below.  

A close-up shot of a human thumb shows an uneven fingernail with horizontal ridges and small, raised bumps near the cuticle, suggesting a nail disorder or damage.
Retrieved fromWikimedia Commons  

Which of the following clinical findings is associated with this patient’s condition?  

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