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An 80 year old lady presented to your office with a 6 month history of stiffness in her hand, bilaterally. This stiffness gets worse in the morning and quickly subsides as the patient begins daily activities. She has no other significant medical problems. On examination the patient has bilateral bony swellings at the margins of the distal interphalangeal joints on the (2nd-5th) digits. No other abnormalities were found on the physical examination. These swellings represent :

a) Heberden’s nodes

b) Bouchar’s nodes

 c) Synovial thickenings

d) Subcutaneous nodules
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Best answer
a) Heberden’s nodes
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