carina
Forum Elite
Topics: 92
Posts: 191
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A 51-year-old man has pain in the right knee, lower
back, right distal fifth finger, and neck. He notices that the
joints feel stiff in the morning. Some joint crepitus is
audible on moving the knee. Serum calcium, phosphorus,
alkaline phosphatase, and uric acid levels are normal. The
most likely diagnosis for this constellation of findings is
0 (A) Paget disease of bone
O (B) Osteoarthritis
O (C) Gout
O (D) Multiple myeloma
O (E) Rheumatoid arthritis
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| match2010
Forum Senior
Topics: 4
Posts: 482
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E ....rheumatoid arthritis
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| brainstem
Forum Guru
Topics: 9
Posts: 675
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B 4 sure
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| carina
Forum Elite
Topics: 92
Posts: 191
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14. (B) Osteoarthritis is a common problem of aging, and
a variety of joints, from large, weight-bearing joints to
small joints, can be involved. Joint stiffness in the morning
is also a common feature. Paget disease does not cause
arthritis and is marked by an increase in the alkaline phos-
phatase concentration. Gouty arthritis occurs in patients
with elevated serum levels of uric acid. Multiple myeloma
can produce lytic lesions in bone but does not typically
involve joints. Rheumatoid arthritis can involve large or
small joints. It is typically associated with symmetric in-
volvement of small joints of hands and feet.
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