If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

Web ydr.org.uk acesforpaces.com medicalrevision.org

BOF: 4

A 48-year female presents with a rash, joint pains and weakness of her right lower limb.

On examination she has palpable purpura, no definite arthritis but examination of the lower limb reveals common peroneal nerve palsy.

Investigations reveal:

Haematology normocytic normochromic anaemia

White cell count normal

ESR 120 mm in 1^st hour

Rheumatoid factor strongly positive

ANA negative

ANCA negative

C3 90 mg /dL (65-190)

C 45 mg/dL (15-50)

Echocardiogram normal

In this patient the likely diagnosis is:

a)      Rheumatoid arthritis

b)      Systemic lupus erythematosus

c)      Churg-Strauss syndrome

d)      Subacute infective endocarditis

e)      Mixed cryoglobulinaemia

 

Back
Up
Next

[ Up ] [ Answer BOF 4 ]