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Polymyalgia, giant cell arteritis and lupus
A practice question in the style of the MCCQE MCQ exam. Choose your answer to see the explanation.
A 70-year-old woman has 6 weeks of bilateral shoulder and hip pain with 2 hours of morning stiffness. Strength and CK are normal; CRP is 45. What is the most likely diagnosis?
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The answer is C: Polymyalgia rheumatica.
Girdle pain and stiffness with high inflammatory markers and normal CK in an older person suggests PMR.
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