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MMLU-Pro / 6181 / A 44-year-old woman with a 10-year history of arthritis comes to the office…

Problem

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question

A 44-year-old woman with a 10-year history of arthritis comes to the office because she has had increasing pain and stiffness in her hands, wrists, and knees during the past several months. She also has had increasing fatigue for the past month, along with a weight loss of 1.8 to 2.2 kg (4 to 5 lb). She has seen numerous physicians for her arthritis in the past and has tried various medications and devices, including copper bracelets from Mexico given to her by friends. Review of her medical records confirms that the initial diagnosis of rheumatoid arthritis is correct. She says, "I had several drop attacks during the past 3 months." She characterizes these attacks as episodes of weakness and loss of feeling in her legs for several minutes. During one of these episodes, she became incontinent. She currently takes aspirin approximately four times daily and ibuprofen occasionally. Physical examination shows facial plethora and swollen and painful metacarpophalangeal and knee joints, bilaterally. There is moderate ulnar deviation of the fingers. The remainder of the examination discloses no abnormalities. Which of the following is the most likely cause of her "drop attacks?"

category

health

options

  1. Side effect of the copper bracelets
  2. Spinal stenosis
  3. Reaction to aspirin or ibuprofen
  4. Cardiac arrhythmia
  5. Anxiety
  6. Transient ischemic attack
  7. Adrenal insufficiency
  8. Hypoglycemia
  9. Atlanto-axial instability

src

ori_mmlu-professional_medicine

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Source and history

upstream_id / Original problem ID
6181
task_id
198ef924-4f86-527b-89b3-d8db3795fb78
task_key
default--test--6181
task_revision_id
1
config / split
default / test

Official source

initial import