Vascular Disease USMLE Step 1 Practice Question
A 28-year-old woman presents with progressive fatigue, low-grade fever (38.2°C), and left arm claudication during exertion. Vital signs show BP 145/92 mmHg right arm versus 118/76 mmHg left arm, HR 88 bpm, RR 18/min. Examination reveals diminished left radial pulse and a systolic bruit over the left subclavian region. ESR is markedly elevated at 68 mm/hr. She denies recent upper respiratory infection. Which diagnosis best explains these findings?
Answer choices
- AMicroscopic polyangiitis
- BBehcet disease
- CBuerger disease
- DGiant cell arteritis
- ETakayasu arteritisCorrect answer
- FGranulomatosis with polyangiitis
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