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Kaplan Qbank USMLE



Author7 Posts
  #1

Each of the following is characteristic of polymyalgia rheumatica, except

A) Mild joint inflammation
B) Stiffness of the shoulder and hip girdles
C) Weakness of the shoulder and hip girdles
D) Elevated erythrocyte sedimentation rate
E) Normochromic normocytic anemia


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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #2

d

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mediocricity aint my style

  #3

shaking head Try Again

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #4

I think there is everything present!!!
ya D is +nt as often associated with giant cell arteritis

I am guessing C.

confusedconfused

  #5

Polymyalgia rheumatica is associated with giant cell arteritis

So it will have all the features ( increased ESR) plus

systemic features like fever

inflamation of multiple joints (A)

also increased Normo Normo anaemia( dt anaemia of chronic disease)

Now there is only to chose from C and D

i will go for stiffness of shouldr and hip



Therefore the answer is "C"



Please correct me if i am wrong


  #6

nod

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #7

Answer: C
Explanation: Polymyalgia rheumatica is a common clinical syndrome in patients older than 55 years and is characterized by stiffness and soreness in the shoulder and hip girdle areas. It is sometimes associated with mild joint swelling. Laboratory findings include normocytic/normochromic anemia and elevated sedimentation rate. Weakness of the proximal upper and lower extremity muscles is distinctly unusual and suggests a proximal myopathy such as polymyositis.


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."







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