Question

degenerative joint disease in the hands begins with the initial formation of: haygarth nodes bouchard nodes ranvier nodes heberden nodes

Explanation:

Degenerative joint disease in hands often starts with the formation of Heberden nodes at the distal inter - phalangeal joints. Haygarth nodes are not a standard term for this context. Bouchard nodes are at proximal inter - phalangeal joints but are not the initial formation in most cases. Ranvier nodes are related to nerve function, not joint disease.

Answer:

D. Heberden nodes