Nice Q - nilkanth

[ArchivalUser]

A 60-year-old woman complains of
increasing weakness and fatigue over
the past several months. She reports
that any physical activity leads to
fatigue, and he is unable to find any
comfortable position at rest. She has
lost 5 pounds over the past 3 months.
Prior to this, she has always been
healthy and is not on any
medications. Physical examination is
unremarkable. Which of the following
is the most likely diagnosis?


A. Depression

B. Hypokalemia

C. Polymyalgia rheumatica (PMR)

D. Polymyositis

E. Temporal arteritis

[ArchivalUser]

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[ArchivalUser]

ccc

[ArchivalUser]

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[ArchivalUser]

dddd

[ArchivalUser]

AAA

[ArchivalUser]

aaa

[ArchivalUser]

aa

[ArchivalUser]

The correct answer is C. Polymyalgia
rheumatica (PMR) is characterized by
muscle discomfort and patients often
have vague symptoms. The
neuromuscular examination is normal.

Depression (choice A) can cause
fatigue and diminished activity but
discomfort is less frequently a
complaint.

Hypokalemia (choice B) can cause
muscle weakness but discomfort is
not a typical feature.

Polymyositis (choice D) can cause
muscle discomfort but there should
be accompanying weakness on
examination. The serum creatine
kinase (CK) is often elevated.

Temporal arteritis (choice E) can
occur with PMR, but this patient is
not complaining of headache or
vision change.

[ArchivalUser]

what abt wt loss....

pmr is painful....