A 58-year-old female patient presents at the clinic with a painful left index finger tip. The nail appears brittle and crumbly and is slightly separated from the nail bed. It is also dull and discolored. The surrounding tissue does not appear to be affected. Which of the following diagnoses is most likely to be correct?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 58-year-old female patient presents at the clinic with a painful left index finger tip. The nail appears brittle and crumbly and is slightly separated from the nail bed. It is also dull and discolored. The surrounding tissue does not appear to be affected. Which of the following diagnoses is most likely to be correct?