USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 55-year-old woman comes to the emergency department because of right-sided hip pain for the past month. She says that the pain is aggravated by walking and lying on her side. She has a history of asthma and diabetes. She does not smoke or drink alcohol. Her temperature is 37.5°C (99.5°F), pulse is 70/min, respirations are 14/min, and blood pressure is 130/79 mmHg. Physical examination shows severe tenderness to palpation over the right thigh near the greater trochanter. The skin is non-erythematous. There is full active and passive range of motion in her hips. There is only some pain on adduction in the right hip. Which of the following synovial fluid analyses is the most likely explanation for this patient’s symptoms?