🏥 USMLE Exam Prep

A 35-year-old woman presents with symmetrical polyarthritis affecting her metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints, morning stiffness lasting over an hour, and fatigue for the past 6 months. Physical exam reveals swollen and tender MCP and PIP joints bilaterally. Which of the following laboratory findings would most strongly support a diagnosis of rheumatoid arthritis?

A Elevated uric acid level
B Positive anti-nuclear antibody (ANA)
C Positive anti-cyclic citrullinated peptide (anti-CCP) antibody
D Elevated erythrocyte sedimentation rate (ESR) alone

✓ Correct Answer: Option C

Positive anti-cyclic citrullinated peptide (anti-CCP) antibody is highly specific for rheumatoid arthritis and can be detected early in the disease course, making it a strong diagnostic marker.

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