USMLE step 2 Mcq 76:A 54 year old man presents with a symmetrical distal arthopathy

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Question:
A 54 year old man presents with a symmetrical distal arthopathy. On examination he has finger clubbing and a symmetrical arthropathy. Radiography demonstrates visible periosteal newbone formation over the diaphyses of his metacarpals and phalanges. These features are a recognised complication of
a) juvenile rheumatoid arthritis
b) scleroderma
c) epidermolysis bullosa
d) bronchial carcinoma
e) infectious mononucleosis


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