DrVirgo
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22. 72 year old man complains of fatigue, blood tests show low reticulocyte index, high serum iron, high transferrin saturation, and high ferritin levels, what is the most likely diagnosis?
A. sideroblastic anemia
B. iron deficiency anemia
C. folate deficiency anemia
D. vitamin B12 deficiency anemia
23. 64 year old woman complains of pain in the distal interphalangeal joints that worsens by movement and relieves by rest, what is the most likely diagnosis?
A. pseudogout
B. osteoarthritis
C. psoriatic arthritis
D. rheumatoid arthritis
24. 56 year old woman with giant cell arthritis complains of stiffness and aching of the neck and shoulder muscles, what is the most likely diagnosis?
A. dermatomyositis
B. myasthenia gravis
C. polymyalgia rheumatica
D. chronic fatigue syndrome
25. 66 year old man has ascites, edema of the extremity, weakness, and diastlic murmur and opening snap at the left sternal border and subxiphoid region, ECG shows right atrial enlargement, what is the most likely diagnosis?
A. mitral stenosis
B. aortic stenosis
C. tricuspid stenosis
D. mitral regurgitation
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| Natasa
Forum Elite
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22 A -sideroblastic anemia defect in usage of Fe in synthesis of RBC and Fe overload.
23.B
24.C(goes with the giant cell artheritis)
25.C(tricuspid opening snap best heard at LSB and signs of RHF)
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| Geroo
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why 23 is not RA?
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| Natasa
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Because pseudogout most commonly affects knees,ankles,shoulder.elbow.
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| reet
Forum Fanatic
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22 .A
23.B. gerooo,,, pain in RA arethritis is CONSISTENT and severe..
24 C
25. C.
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| Natasa
Forum Elite
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Sorry,you asked about RA.
Yeah,the pain is consistent and severe.
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| DrVirgo
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Right>
A, B, C, C
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| druas
Forum Elite
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RA does not involve DIP and and spine except C1 and C2
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| ashwinims
Forum Newbie
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rheumatoid arthritis pain is reduced on movment where as osteoarthritis pain aggrevates on movement.
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| msyamp
Forum Fanatic
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ya ashwini. you are right. it gradual decreases pain over usage.
ABCC reminds me of ADCC.
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