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Inflammatory arthritis and gout

A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.

A 22-year-old sexually active woman has migratory joint pains, then a swollen wrist with tenosynovitis and small pustules on her hands. What is the most likely cause?

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The answer is B: Gonococcal infection.

Gonococcal arthritis causes tenosynovitis, pustular skin lesions and migratory arthritis. Treat with ceftriaxone and test partners.

This question comes from Week 10 of MCC Vault: Bones and joints. That week has 124 more exam-style questions like it, 5 short lessons and 150 flashcards. The course starts free with Week 1 and reaches this topic in week 10, as part of a five-month plan with full mock exams along the way.

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