Audio Qbank – HY USMLE Q #449 – Pathology

A 19-year-old woman comes to the physician because of a 4-month history of joint pain of her knees and hips. A violaceous rash is seen on her nose and cheeks. Laboratory studies show:

Hemoglobin                                              10 g/dL
ESR                                                                 25 mm/hr
Blood urea nitrogen                             35 mg/dL
Creatinine                                                  1.7 mg/dL

Which of the following is most likely to be seen in this patient?

Anti-histone antibodies
Anti-microsomal antibodies
Anti-smooth muscle antibodies
Elevated serum kappa
Hilar adenopathy
Thrombocytopenia