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This is Audio Qbank Q #649
https://mehlmanmedical.com/hy-usmle-q-649-msk-rheumatology
Extra non-tag description stuff (just ignore):
mehlman, mehlman medical, mike mehlman, michael mehlman, usmle, usmle preparation, usmle prep, comp, cbse, nbme, mehlman audio qbank, rheumatoid arthritis
