babli
Forum Guru
Topics: 40
Posts: 425
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A 47-year-old man comes in for evaluation of arthritis of his second and third metacarpophalangeal (MCP) joints. He also has some swelling of the right knee. As you go through the review of systems, you learn that he has known cardiomyopathy and diabetes. He and his wife of 15 years have tried unsuccessfully to have children. Radiographs of the hands reveal hook-like deformities of the second and third MCP joint bilaterally. What is the best test to confirm his diagnosis?
A. Endocardial biopsy
B. HLA B27 screening
C. Liver biopsy
D. Magnetic resonance imaging of the hands
E. Rheumatoid factor
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| mesh
Forum Guru
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c
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| srf
Forum Guru
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c
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| aimhigh
Forum Elite
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c
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| babli
Forum Guru
Topics: 40
Posts: 425
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correct answer is C.. He has hemachromatosis and has the classic associated arthritis along with infertility, diabetes, and cardiomyopathy. The gold standard for diagnosis is liver biopsy and iron staining.
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