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PA Recertifying Exam PANRE Practice Exam

Category - PANRE Practice Test

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A male patient demonstrates difficulty getting up from a seated position without using his arms. Muscle pain and proximal muscle weakness are reported by the patient, as well. No rashes are observed. Testing reveals elevated CPK and aldose with abnormal electromyogram. The patient is mostly likely diagnosed with:
  1. Dermatomyositis
  2. Polymyositis
  3. Crest syndrome
  4. Eosinophilic fasciitis
Explanation
Answer - B - Polymyositis and dermatomyosit have similar manifestations. In both conditions, patients find it hard to get up from a seated position without using the arms. Patients can also have muscle pain and tenderness in both conditions. However, patients with dermatomyositis present with different types of rashes like Gottron’s papules, heliotrope rash, and Shawl sign. Elevated CPK and aldose with an abnormal electromyogram verify polymyositis.
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