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Ankylosing spondylitis — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Ankylosing spondylitisUSMLE Step 3

A 29-year-old man has 8 months of low back pain that improves with exercise and worsens with rest. Morning stiffness lasts 90 minutes. Sacroiliac joint tenderness is present. Which of the following is the most likely diagnosis?

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Correct answer: BAxial spondyloarthritis

Inflammatory back pain in a young adult with sacroiliac symptoms suggests axial spondyloarthritis.

Reference: American College of Rheumatology spondyloarthritis guidance