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General Medicine General be7f698a

A 48-year-old man complains of joint pain and stiffness for the past three months. All of the following are evidence of the diagnosis of rheumatoid ahritis (RA), EXCEPT:

A
Early morning stiffness lasting one hour
B
Numbness and blanching of fingers on exposure to cold
C
Symmetrica linvolvement of the metacarpophalangeal joints
D
Synol fluid with high viscosity and 30,000 lymphocytes/mm3

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