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Polymyalgia rheumatica — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CarePolymyalgia rheumaticaUSMLE Step 3

A 73-year-old woman has 1 month of bilateral shoulder and hip girdle aching with morning stiffness. ESR is 78 mm/h. She has no true weakness and creatine kinase is normal. Which of the following is the most likely diagnosis?

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Correct answer: APolymyalgia rheumatica

Older age, proximal girdle pain and stiffness, elevated inflammatory markers, and normal muscle enzymes support polymyalgia rheumatica.

Reference: American College of Rheumatology polymyalgia rheumatica guidance