Systemic lupus erythematosus 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 29-year-old woman presents to the outpatient clinic with fatigue and intermittent joint pain over the past few months. Recently, she has noticed oral ulcers. She takes no regular medications and has no known allergies. Temperature is 36.7°C (98.1°F), blood pressure is 112/70 mmHg, heart rate is 78/min, respiratory rate is 14/min, and oxygen saturation is 99% on room air. Physical examination reveals skin pallor and three oral ulcers. She has tenderness and swelling over multiple metacarpophalangeal and proximal interphalangeal joints of the hands bilaterally. Laboratory evaluation is notable for positive antinuclear antibodies and anti-double-stranded DNA antibodies. Which of the following additional findings is most likely to be present?

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Splinter hemorrhages under the fingernails

Discoid rash on the scalp

Nodules over the extensor surfaces of the elbows

Well-defined, erythematous plaques with silvery scale on the extensor surfaces of the elbows

Tender, erythematous nodules on the shins