WBR0775

Author	[[PageAuthor::Rim Halaby, M.D. [1]]]
Exam Type	ExamType::USMLE Step 1
Main Category
Sub Category
Prompt	[[Prompt::A 48 year old woman presents to the clinic for 3 weeks of difficulty swallowing associated with severe chest pain. The woman explains that she doesn’t remember when her symptoms started, but they have been gradually increasing. Initially she had minor difficulty swallowing liquids that progressed to solid and liquid dysphagia. She explains that she sometimes has associated chest pain that resembles a heart attack and comes on every time she swallows. She has lost 11 pounds in the last 2 weeks because she has stopped eating. Physical exam is mostly unremarkable except for the findings on both her hands shown below. What antibody is most likely to be positive in this patient?]]
Answer A	AnswerA::Anti-ribonucleoprotein antibody
Answer A Explanation	AnswerAExp::
Answer B	AnswerB::Anti-Jo1 antibody
Answer B Explanation	AnswerBExp::
Answer C	AnswerC::Anticentromere antibody
Answer C Explanation	AnswerCExp::
Answer D	AnswerD::Anti-double stranded DNA antibody
Answer D Explanation	AnswerDExp::
Answer E	AnswerE::Anti-histone antibody
Answer E Explanation	AnswerEExp::
Right Answer	RightAnswer::
Explanation	[[Explanation:: Educational Objective: References: ]]
Approved	Approved::No
Keyword
Linked Question	Linked::
Order in Linked Questions	LinkedOrder::