USMLE step 2 Mcq 127:A 56 yr old diabetic complains of pain and stiffness in both her shoulders

 

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Question:
A 56 yr old diabetic complains of pain and stiffness in both her shoulders. The pain is constant and dull in nature. She also complains of fever and an 8 kilo weight loss in the last month. Investigations reveal a mild anemia and a markedly elevated ESR. On inspection the shoulder joints appear normal. Their range of movement is satisfactory. A likely diagnosis is

a) Polymyalgia Rheumatica
b) Reiter's Syndrome
c) Erysipelas
d) Polyarteritis nodosa
e) Angina Pectoris


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