A 78-Year-Old Woman Is Brought to the Physician by Her

question 42

Multiple Choice

A 78-year-old woman is brought to the physician by her daughter for evaluation of pain and swelling of the left shoulder for the past 6 weeks.  The swelling has progressively worsened in the past 2 weeks, with severe pain and impairment of her activities of daily living.  She has a remote history of falls onto the shoulder but no recent trauma.  The patient has no fever or pains in her other joints.
Her past medical history is significant for pacemaker implantation for complete heart block.
Vital signs are stable and the patient is afebrile.  The left shoulder is tender with anterior swelling and a palpable fluid collection.  Attempted movement at the shoulder is limited and elicits severe pain.  An x-ray of the left shoulder is ordered.  Laboratory results are as follows:

Which of the following is the most likely diagnosis in this patient?

• A)Advanced osteoarthritis
• B)Basic calcium phosphate deposition disease
• C)Osteosarcoma
• D)Pseudogout
• E)Seronegative rheumatoid arthritis

Understand how to insert and manipulate objects and shapes in Word documents.

Comprehend Word's capabilities for hyperlink formatting and application.

Know the formatting options for borders in Word documents.

Understand conditions and criteria for companies issuing unsecured and secured debt.

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Definitions:

Financial Accounting

The branch of accounting focused on the summary, analysis, and reporting of financial transactions pertaining to a business, resulting in the preparation of financial statements.