USMLE step 2 Mcq 157: A 50 year old farmer complains of pain in his left arm

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Question:
A 50 year old farmer complains of pain in his left arm. On examination he appears to have a neuropathy affecting isolated nerves in multiple, random areas of his left arm. He also has a palpable purpura and tender nodules on both of his upper and lower limbs. A likely diagnosis is

a) Angina Pectoris
b) Polyarteritis nodosa
c) gout
d) cellulitis
e) fascitis


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