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 Best of Five 201

 

   

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BOF: 201

A 42-year-old female presents with stiffness, pain and swelling of her hands and wrists of several months duration. She feels generally unwell and tired.  On examination she has firm subcutaneous nodules over her elbows, swelling of her wrists, ulnar deviation at the metacarpophalangeal joints and swelling of her proximal interphalangeal joints.

Investigations reveal a normocytic, normochromic anaemia, elevated ESR and CRP. She is sero-positive. The commonly employed test to detect sero-positivity tests:

a)      IgG antibody

b)      IgA antibody

c)      Ig M antibody

d)      IgE antibody

e)      IgD antibody

 

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