Notespaedia Updates

Ques. A 47-year-old woman presented with a 2-week history of widespread, painful lesions on her trunk and limbs. What is the likely diagnosis? A. Cutaneous Squamous Cell Carcinoma B. Nummular Dermatitis (Nummular Eczema) C. Seborrheic Dermatitis D. Generalized Ostraceous Psoriasis

Ques. A 52-year-old woman p/w a 24-hour history of severe stabbing pain & blurred vision in the left eye. Left eye exam showed mid-dilated pupil unresponsive to light. VA 20/125 in the left eye. Hardening of left orbit w/palpation. What is the likely diagnosis? A. Senile Cataract (Age-Related Cataract) B. Acute angle closure Glaucoma C. Suprachoroidal hemorrhage D. Viral Conjunctivitis (Pink Eye) E. Allergic Conjunctivitis

CUTANEOUS HORN

Ques. A patient presented for the evaluation of a painful skin outgrowth on the face. What is the likely diagnosis? A. Keratoacanthoma B. Reactive perforating collagenosis C. CUTANEOUS HORN D. Squamous Cell Carcinoma

Ques. A 41 year old male with HIV (CD4 85 cells/uL) p/w enlarging right neck mass. Exam showed right-sided, tender, erythematous cervical neck mass and enlarged lymph nodes. FNAC culture grew AFB bacilli. What is the diagnosis? A. Congenital malformations of the neck B. Malignant nasopharyngeal tumors C. Ranulas and plunging ranulas D. Scrofula

Ques. A patient was referred for further evaluation after noticing a rapid increase in the size of one of her breasts. She also lost 25kgs weight unintentionally recently. What is the clinical sign/diagnosis? A. Breast Abscesses and Masses B. Breast Fibroadenoma Imaging C. Inflammatory Breast Cancer D. Breast Cyst

Ques. A patient with history of seizures and hypertension presented with oral bleeding. He was recently started on a different anti-epileptic drug by his neurologist. He reported having a good dental hygiene. What is the likely diagnosis? A. Monomorphic B-cell post-transplantation B. Lymphoproliferative disease C. Drug-Induced Gingival Hyperplasia D. Warts

Ques. A 47-year-old woman with no medical history presented with swelling, pain, and reddish discoloration of the right arm and hand after strenuous effort. Findings on ultrasonography, CT & MRI were normal. The patient’s symptoms persisted. What is the likely diagnosis? A. Lymphedema of the upper extremity B. Superficial phlebitis C. Spinal stenosis D. Paget Schroetter Syndrome

Ques. A 3-week-old male newborn was brought to the pediatrician with three large scalp lesions, which had appeared in the first week of life. His mother had similar lesions on her upper chest. What is the likely diagnosis? A. Pediatric Syphilis B. Plaque Psoriasis C. Tinea capitis in a newborn D. Trichotillomania

Ques. A 7-year-old girl presented with a 2-week history of fever and with several days of painful blisters on her arms, legs, and face. Two weeks earlier, she had completed a course of penicillin for tonsillitis. Labs w/⬆️WBC, neutrophils. What is the likely diagnosis? A. Erythema multiforme B. Ermatomyositis, C. CANDLE syndrome D. Allergic contact dermatitis, E. Sweet Syndrome