Q:

A 60 year old female has pain and stiffness in her right hip joint. Pain is not severe in the morning but increases as the day progresses. She has noticed some nodules in her hands. Investigations: Hgb low. What is the most probable diagnosis?

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A 60 year old female has pain and stiffness in her right hip joint. Pain is not severe in the morning but increases as the day progresses. She has noticed some nodules in her hands. Investigations: Hgb low. What is the most probable diagnosis?


  1. RA
  2. Osteoarthritis
  3. Gout
  4. Pseudogout
  5. Multiple myeloma

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The key is B. Osteoarthritis. [Stiffness and pain of right hip increasing as the day progresses, nodules in hands (Hebarden or Bouchard’s nodes), anemia (probably secondary to prolonged NSAIDs use) indicates osteoarthritis].

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