USMLE Forum - Largest USMLE Community

A 46-year-old man presents with complaints of fever, fatigue, arthralgias, and 25-pound weight loss over 3 months. Physical examination is notable for palpable nodules on the lower legs as seen in the figure. Laboratory evaluation reveals a normocytic anemia, thrombocytosis, erythrocyte sedimentation rate 45, alanine aspartate 110, and alanine transaminase 128. What is the most appropriate diagnostic test?



A. Bone marrow biopsy
B. C-reactive protein
C. Creatinine phosphokinase (CPK)
D. Hepatitis C antibody
E. Visceral angiography

i hope this link works
http://i270.photobucket.com/albums/jj94/...age002.jpg
or
http://s270.photobucket.com/albums/jj94/...ction=view¤t=clip_image002.jpg

DDD


Hepatitis C

there is no picture

D. Hepatitis C antibody

cryoglobulenemia

sorry, thats not right....

C. Creatinine phosphokinase (CPK)

dermatomyosiyis??

if thats not correct...than I dont know the answer..

sorry thats not the answer any other guess.

...dont know..I have to give up