MSK

aol1903 A 65-year-old woman comes to the physician because of sharp hip pain. She has a history of hypertension, diabetes mellitus, and hypercholesterolemia. She is compliant with her medications, but occasionally "cheats on her diet." Her BMI is 35 kg/m2. Her temperature is 37.1°C (98.7°F), pulse is 76/min, respirations are 18/min, and blood pressure is 125/73 mm Hg. Physical examination reveals pain and tenderness in the left hip, with limited range of motion. A radiograph is shown. Which of the following best describes the likely findings from synovial fluid if joint aspiration is performed in this patient?

African

aol1729m A 52-year-old man comes to the physician because of reddening and itching of his skin. He also has pain in his hands and knees. Physical examination shows a temperature of 36.9°C (98.5°F), pulse of 76/min, and blood pressure of 126/76 mm Hg. Skin examination shows erythematous plaques with silvery, scaly appearance on the extensor surfaces of his elbows and knees. A photograph of his right hand is shown. The histology of the joint abnormalities in this patient is most similar to those in which of the following conditions?

Presumed Caucasian hand in picture inset; unidentifiable race