WBR1032
| Author | PageAuthor::Vendhan Ramanujam |
|---|---|
| Exam Type | ExamType::USMLE Step 3 |
| Main Category | MainCategory::Community Medical Health Center, MainCategory::Primary Care Office |
| Sub Category | SubCategory::Musculoskeletal/Rheumatology |
| Prompt | [[Prompt::A 74 year old woman with complains of weight loss, progressive malaise, jaw claudication and scalp tenderness for the past 1 month. She also complains of one episode of transient complete loss of vision in her right eye and partial loss of vision in her left eye. On examination, she has a right tender, nodular and non-pulsatile temporal artery. Her lab tests revealed an erythrocyte sedimentation rate of 74 mm/hour and C-reactive protein of 52 mg/liter. She is immediately started on intravenous methylprednisolone 250 mg BD and oral prednisolone 80 mg OD. A following temporal artery biopsy is consistent with arteritis. Her symptoms resolved and her inflammatory markers improved over the next 3 days. She is discharged on oral prednisolone. Three months later she presents to the office with complaints of weakness. She has difficulty in standing up from sitting position and in climbing the stairs. Her lab tests revealed erythrocyte sedimentation rate of 10 mm/hour, C-reactive protein of 3 mg/liter and creatinine phosphokinase of 24 U/L. What is the most likely cause for this patient’s complaints?]] |
| Answer A | AnswerA::Polymyalgia rheumatica |
| Answer A Explanation | AnswerAExp::'''Incorrect'''- |
| Answer B | AnswerB::Inflammatory myositis |
| Answer B Explanation | AnswerBExp::'''Incorrect'''- |
| Answer C | AnswerC::Drug induced myopathy |
| Answer C Explanation | AnswerCExp::'''Correct'''- |
| Answer D | AnswerD::Chronic fatigue syndrome |
| Answer D Explanation | AnswerDExp::'''Incorrect'''- |
| Answer E | AnswerE::Fibromyalgia |
| Answer E Explanation | AnswerEExp::'''Incorrect'''- |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::Yes |
| Keyword | WBRKeyword::Drug induced myopathy, WBRKeyword::Steroid induced myopathy |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |