Case-based MCQ

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⏳ Case-based MCQ | #Case_341 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ E Keratoacanthoma grows rapidly and may heal within 6 months to a year. Squamous cell carcinoma may appear grossly and histologically similar to keratoacanthoma but does not heal spontaneously. The other lesions do not resemble keratoacanthoma

⏳ Case-based MCQ | #Case_341 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 A 65‐year‐old white male comes to your office with a 0.5‐cm nodule that has developed on his right forearm over the past 4 weeks. The lesion is dome shaped and has a central plug. You schedule a biopsy but he does not return to your office for 1 year. At that time the lesion appears to have healed spontaneously. 

⏳ Case-based MCQ | #Case_340 | #answer 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 ✅ C Most of these children are healthy infants with a clubfoot of unknown cause and will crawl, stand, and walk. Untreated, this condition may result in severe disability and deformity. ⚠ Rigid clubfoot may respond to manipulation and casting. However, if these interventions fail, surgery will be required (choice A). ⚠ The male‐to‐female ratio is 2:1 (choice B). Bilateral involvement is found in 30‐50% of cases. There is a 10% chance of a subsequent child being affected if the parents already have a child with a clubfoot. ⚠ Very early intervention may produce a shorter treatment period, but if conservative treatment fails (casting), surgery may be required followed by casting and bracing. Patients must then be followed for any evidence of recurrence (choice D). ⚠ Even with successful treatment, the foot may be smaller and possibly less mobile than the normal foot; however, most children will still be able to participate fully in normal activities (choice E).

⏳ Case-based MCQ | #Case_340 〰〰〰〰〰〰〰〰〰〰〰〰〰〰 You are called to the newborn nursery to see a baby with a deformed foot. The affected foot is shorter and smaller than the other. The heel is turned downward and inward, while the front of the foot is curved inwardly. The medial crease of the foot is accentuated. The foot has almost no flexibility. You diagnose a unilateral rigid club foot deformity.

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