A 48-Year-Old Previously Healthy Woman Visits the Office Because She

question 662

Multiple Choice

A 48-year-old previously healthy woman visits the office because she has been experiencing progressively worsening muscle weakness for the past two months. Climbing stairs, getting up from chairs, and putting dishes in overhead cabinets are all difficult for the patient. She also reports an unintentional weight loss of 4.5 kg (10 lb) and occasional abdominal discomfort during the same time period. Physical examination reveals shoulder and hip girdle muscle weakness. The image below depicts additional examination findings. Further evaluation of this patient is most likely to reveal which of the following associated conditions?

• A)Chronic hepatitis C infection
• B)Ovarian adenocarcinoma
• C)Primary biliary cholangitis
• D)Tropheryma whippelii infection
• E)Type 2 diabetes mellitus

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Definitions:

Job Performance

The extent to which an individual executes their job duties and responsibilities effectively.

Positive Emotions

Feelings that are generally considered beneficial for well-being and happiness, such as joy, gratitude, and contentment.

Tolerate Pain

The ability or capacity to endure discomfort or suffering.

Organizational Commitment

The psychological attachment or loyalty of an employee towards their employer or organization.