Notespaedia Updates

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. Kawasaki disease B. Impetigo C. Molluscum contagiosum D. Rat Bite fever

Ques. Patient w/chronic swollen L thumb. No injury. What is the likely diagnosis? A. Rheumatoid Arthritis (RA) B. Septic Arthritis C. Psoriatic Arthritis D. Osteoarthritis

Ques A 54-year-old male w/HIV (non compliant w/HAART) and prior hx of syphilis presented with fever, chills, fatigue w/associated ulcerated & scabbed nodules on the face, trunk, & extremities. Labs w/⬆️ESR. What is the likely diagnosis? A. Granuloma Inguinale (Donovanosis) B. Urinary Tract Infection (UTI) and Cystitis (Bladder Infection) in Females C. Lues Maligna D. Condyloma Acuminatum

Ques. A patient presented for the evaluation of a painful ulcer in his mouth. The pain is worse with eating spicy & acidic foods. What is the likely diagnosis? A. Aphthous Ulcers B. Neumann bipolar aphthosis C. Crohn disease D. Celiac disease

Ques. Two months after starting DOT for a patient w/ newly diagnosed TB, routine chest X-ray revealed this finding. What is the likely diagnosis? A. Pulmonary Embolism (PE) B. Acute Pericarditis C. Pneumothorax D. Acute Coronary Syndrome

Ques. A teenager presented with worsening intermittent knee pain. What is the likely diagnosis? A. Knee Osteochondritis Dissecans B. Legg-Calve-Perthes Disease C. Pes Anserine Bursitis D. Tibia and Fibula Fracture Management in the ED E. Osgood-Schlatter Disease

Ques. A 1,260 g girl born at 30 weeks’ gestation presented with retractions, grunting, poor air movement and requiring oxygen; she received one dose of surfactant, with some clinical improvement. What do you see on the X-ray/diagnosis? A. Neoplasm B. Adhesive Atelectasis C. Pneumonia D. Pleural Effusion

Ques. A 50 year old woman presented with recurrent episodes of vomiting followed by sharp chest pain. A fluoroscopy xray was obtained. What is the likely diagnosis? A. Myocardial Infarction B. Mallory-Weiss Tear C. Pneumothorax Imaging D. Boerhaave's Syndrome

Ques. A 50-year-old woman with dermatomyositis presented with progressive, diffuse subcutaneous nodules on the arms and legs. What is the likely diagnosis? A. Cutaneous Mycetoma B. Molluscum Contagiosum C. Milia D. Calcinosis Cutis

Ques. A patient presented with nausea, vomiting and diarrhea. He reported eating left over fried rice prior to symptom onset. What is the likely diagnosis? A. Yersinia enterocolitica B. Entamoeba histolytica C. Bacillus Cereus D. Campylobacter E. Staphylococcus aureus