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Polymyalgia rheumatica — RACP Written MCQ

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ModerateRheumatologyPolymyalgia rheumaticaRACP Written

A 62-year-old woman has bilateral shoulder and hip girdle pain with morning stiffness lasting 90 minutes. ESR is 78 mm/hour, CK is normal and she has no weakness. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Polymyalgia rheumatica

Age over 50, proximal girdle pain and stiffness, high inflammatory markers and normal CK support polymyalgia rheumatica.

Reference: Therapeutic Guidelines: Rheumatology; Australian rheumatology practice principles