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A 68-year-old female presents to the outpatient PM&R clinic with progressive right hand pain and stiffness, limiting her ability to perform daily tasks like dressing and writing. She heard about a 'new, highly accurate' screening test for early hand osteoarthritis and is asking if she should undergo it. The advertised test is hypothetical for this teaching case; evaluating her existing symptoms is diagnostic assessment, not asymptomatic screening.
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