USMLE Forum Archives - USMLE Step 3 - IM: 23-year-old registered nurse
IM: 23-year-old registered nurse
meduploader - 06-04-09 06:44
A 23-year-old registered nurse comes to the employee health clinic because she says, "I'm too tired to work." She has had increasing fatigue, malaise and anorexia during the past several days. Her serum bilirubin concentration is 1.8 mg/dL ,prothrombin time is 13 sec, serum alanine aminotransferase(ALT) concentration is 1160 U/L and a screening test for hepatitis B surface antigen is positive. She is instructed to rest at home and return in 3 days if no new symptoms develop. Two days after the visit she calls to say that she has now developed an urticarial rash and swelling of the joints of her fingers. At this time the most correct statement about her condition is:
meduploader - 06-04-09 06:44
A 23-year-old registered nurse comes to the employee health clinic because she says, "I'm too tired to work." She has had increasing fatigue, malaise and anorexia during the past several days. Her serum bilirubin concentration is 1.8 mg/dL ,prothrombin time is 13 sec, serum alanine aminotransferase(ALT) concentration is 1160 U/L and a screening test for hepatitis B surface antigen is positive. She is instructed to rest at home and return in 3 days if no new symptoms develop. Two days after the visit she calls to say that she has now developed an urticarial rash and swelling of the joints of her fingers. At this time the most correct statement about her condition is:
The correct answer and explanation will be available after you answer.
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#17
Re: IM: 23-year-old registered nurse usmlefever3 - 01-24-10 02:04 My answer is: a.
polyarteritis nodosa(PAN) a mmune complex disorder is associated with hepatitis B
#25
Re: IM: 23-year-old registered nurse ayebazibwe - 02-25-10 04:57 My answer is: a.
seem to be most correct
#28
Re: IM: 23-year-old registered nurse conym5 - 04-14-10 13:26 The disease was thought to occur primarily in young women and demonstrated many auto immune characteristics, including a positive lupusery thematosus (LE) cell phenomenon.
#35
Re: IM: 23-year-old registered nurse babbu5508 - 08-31-10 00:16 My answer is: a.
The arthritis and rash are the result of an associated immune complex disorder...most likely answer.....
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