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USMLE · Question #441
USMLE Question #441: Real Exam Question with Answer & Explanation
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Question
A 57-year-old woman with a history of hypertension and arthritis is referred to a rheumatologist for evaluation. A complete blood count (CBC) is normal, and a mini-chem panel shows no electrolyte abnormalities. Her erythrocyte sedimentation rate (ESR) is elevated, and an antinuclear antibody test (ANA) is positive. Further antibody studies are performed, and the results are shown below. Anti-histones high titer Anti-double stranded DNA not detected Anti-single stranded DNA not detected Anti-SSAnot detected Anti-SSB not detected Anti-SCI-70not detected Anti-Smith not detected Anti-centromere not detected Anti-RNP not detected. Which of the following diseases is suggested by these results?
Options
- ACREST syndrome
- BDiffuse form of scleroderma
- CDrug-induced lupus
- DSj
- ESystemic lupus erythematosus (SLE)
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