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Ques. A 26-year-old woman, post recent vaginal delivery, presented to her child's pediatrician with a complaint that she is unable to breast feed her child. History reveals a vaginal delivery complicated by postpartum hemorrhage. What is the likely diagnosis? A. Kallmann Syndrome and Idiopathic Hypogonadotropic Hypogonadism B. Type I Polyglandular Autoimmune Syndrome C. Sheehan Syndrome D. Pituitary Macroadenomas

Ques. A patient p/w fatigue & leg pain. 2 days ago, he reported cleaning his attic & later noticed a sore on his leg. Labs w/WBC 13, increased bands, Hb 7.2, Plt 90, LDH 450, bili 3, Direct Coombs positive. What is the likely diagnosis? A. Loxoscelism B. Community-acquired MRSA skin infection C. Toxic Epidermal Necrolysis (TEN) D. Stevens-Johnson Syndrome Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Dt5WPrSWPzmHqkYTu1npHm

Ques. A patient p/w persistent fever, rash & polyarthritis. She recalled being bitten by a rat on her finger 5 days before presentation. Gram stain w/pleomorphic gram-negative bacilli in chains. What is the likely diagnosis? A. Brucellosis B. Rocky Mountain spotted fever C. Leptospirosis D. Rat-bite fever (RBF)

Ques. A 29 year old woman presented for evaluation of new hypertension. BP was 180/120 mmHg on 2 separate occasions & was equal in both arms. Imaging showed “string of beads” sign in the renal arteries. What is the likely diagnosis? A. Pediatric Takayasu Arteritis B. Vasculitic Neuropathy C. Fibromuscular Dysplasia D. Moyamoya Disease

Ques. A patient with rheumatoid arthritis presented for evaluation of fatigue and dyspnea on exertion. Exam w/pallor and splenomegaly. Labs w/anemia, neutropenia. What is the likely diagnosis? A. Felty Syndrome B. Non-Hodgkin Lymphoma (NHL) C. Systemic Lupus Erythematosus (SLE) D. Myeloproliferative Disease

Ques. A 26-year-old man p/w 3-day hx of fever, dry cough, & nonpruritic rash. Exam w/targetoid rash on his hands & feet. Chest X-ray w/infiltrates in the left lower lung. Over the next 3 days, severe mucositis developed involving the lips, buccal mucosa. What is the likely diagnosis? A. Erythema Multiforme Major B. Stevens-Johnsons Syndrome C. Drug reaction with eosinophilia and systemic symptoms (DRESS) D. Mycoplasma pneumoniae associatiated mucositis (MPAM)

Ques. A patient in Mexico presented with tingling and numbness in his hands & feet. He reported consuming armadillo meat on a regular basis. Basic labs were normal. Exam w/hand deformity as shown below. What is the likely diagnosis? A. Irritant Contact Dermatitis B. Dermatologic Manifestations of Sarcoidosis C. Leishmaniasis D. Hansen’s disease

Ques. A young man p/w sensitivity to sunlight & recurrent blisters throughout areas of his body exposed to the sun. He noticed that drinking alcohol worsened the blisters & sunburns. He also noted his urine became a red-brown tint. What is the likely diagnosis? A. Epidermolysis Bullosa Acquisita (EBA) B. Bullous Lupus Erythematosus C. Porphyria Cutanea Tarda(PCT) D. Pseudoporphyria

Ques. A 55-year-old man came with acute left-sided weakness and slurred speach. Hx of multiple episodes of epistaxis & gastrointestinal telangiectasias +. A non-contrast head CT demonstrated a right-sided hemorrhagic stroke. What is the likely diagnosis? A. CREST Syndrome B. Bloom syndrome C. Osler Weber Rendu Syndrome D. Rothmund Syndrome E. Spider Angiomas