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Chapter: 9 / Q: 22
A 32 year old woman presents with malaise fatigue and fever. She complains about weight loss. Exam: malar rash with sparing of nasolabial fold can be seen. What is the most appropriate investigation?
Chapter: 9 / Q: 23
A 22 year old man presents with a red, hot, swollen, metatarsal phalangeal joint, sarcoilitis and onycholysis. What is the single most likely cause of his condition?
Chapter: 9 / Q: 24
An 18 year old girl presents with rash on her trunk, abdominal pain, arthritis, proteinuria and hematuria. What is the most probable diagnosis?
Chapter: 9 / Q: 25
A 78 year old woman presents with unilateral headache and pain on chewing. ESR 70mm/hr. She is on oral steroids. What is the appropriate additional therapy?
Chapter: 9 / Q: 26
A 75yo man presents with ARF (acute renal failure). He has been troubled by recurrent epistaxis but over the last 3wks he reports to have coughed up blood too. What is the single most likely positive antibody?
Chapter: 9 / Q: 27
A 23 year old female presents with paresthesias and loss of distal pulses in her arms. She is noted to be hypertensive. She describes feeling unwell a month prior with fever and night sweats. What is the most probable diagnosis?
Chapter: 9 / Q: 28
A 50 year old woman complains of several months history of weakness and difficulty climbing stairs. Examination: fissuring of the skin of her hands. CXR: pulmonary fibrosis. What is the single most likely positive antibody?
Chapter: 9 / Q: 29
A 65 year old woman complaining of symptoms suggestive of Raynaud’s phenomenon and difficulty in swallowing. Exam: painful lesions on her finger tips and facial telangiectasis. What is the single most likely positive antibody?
Chapter: 9 / Q: 30
A 22 year old man has had an acute, painful, red right eye with blurring of vision for one day. He had a similar episode 1year ago and has had episodic back pain and stiffness relieved by exercise and diclofenac for four years. What is the SINGLE most likely cause of his red eye?
Chapter: 9 / Q: 31
A 32 year old woman has had febrile illness and swelling of the small joints of her hands, feet, wrists and knees for two days. She has a maculopapular rash and a few palpable, small cervical lymph nodes. She was previously well. There is no history of relevant travel outside the UK. She has two y
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