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Subject: Tommy's Concepts

Subject: Tommy's Concepts
Tommy's Concepts for the USMLE Step 1

Question

Pathology<br />
<br />
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q) A 15-year-old girl named Iris Chang (named after an author who represented horrible acts in World War II) presents to the emergency department with a 3-day history of a painful and swollen <b>right big toe</b>. She also has had a fever, with temperatures up to 103F, at home for 3 days. On physical examination, her temperature is 102F.   Her first metatarsal joint of the right foot is markedly swollen and very painful to touch. An aspirated fluid from the joint reveals a white blood count of 40,000/ mm3. Which of the following is the most likely diagnosis?<br />
1-Gout<br />
2-Rheumatoid arthritis<br />
3-Pseudogout<br />
4-Septic arthritis<br />
5-Lyme Disease

Answer