A 65-year-old woman has proximal muscle stiffness and aching in the shoulders and hips for 2 months. Symptoms are worse in the morning and improve

Question

A 65-year-old woman has proximal muscle stiffness and aching in the shoulders and hips for 2 months. Symptoms are worse in the morning and improve during the day. ESR is 78 mm/h, creatine kinase is normal, and there is no objective weakness. Which of the following is the most likely diagnosis?

Accepted Answer

Polymyalgia rheumatica

Answer

Polymyositis

Answer

Lambert-Eaton syndrome

Answer

Osteoarthritis

Answer

Fibromyalgia

Polymyalgia rheumatica — USMLE Step 3 MCQ

A 65-year-old woman has proximal muscle stiffness and aching in the shoulders and hips for 2 months. Symptoms are worse in the morning and improve during the day. ESR is 78 mm/h, creatine kinase is normal, and there is no objective weakness. Which of the following is the most likely diagnosis?