A 55-year-old teacher presents to your health center for evaluation of pain in her wrists. She states that the pain has been present intermittently for several months, but over the last 2 weeks, it has been preset daily. She has taken over-the counter analgesics for the pain, which seem to help. She denies fever, chills, or rashes. On physical examination, she has pain and tenderness over the right wrist but not the left. She has a hard dorsolateral nodule on the DIP joint of her right middle finger. The MCP joints are normal. What is the most likely etiology of these signs and symptoms?

A) gouty arthritis
B) rheumatoid arthritis
C) systemic lupus erthyematosis
D) osteoarthritis

D. Osteoarthritis

Explanation:

Osteoarthritis -

It is one of the form of arthritis , which is very commonly seen to have affected most of the people , in this medical condition , the protective cartilages present in the ends of the bone gets hampered .

The most common parts which gets affected are the hands , spine , knees and hips .

The symptoms of Osteoarthritis  are -

The damaged caused to the joints can not be recovered completely , but the symptoms can be controlled.

Maintaining healthy diet , proper exercise and proper medication can help with the condition .

Hence, from the given scenario of the question ,

The correct answer is   D. Osteoarthritis

what are the options that have to match them to?

it hurts at first because " the cherry is broken" which is a thin layer of skin that breaks so the first time girls have sex it hurts and it bleeds but after the first time it does hurt again because the skin that ia torn does not break again/ grow back.