Notespaedia Updates

Ques. 30 year old with sickle cell disease presents with cough, sputum, tachypnoea and pain. 🩸Haptoglobin <0.01 What's your Diagnosis? A. Pneumonia B. COPD C. Pulmonary Vaso-Occlusive disease D. Acute Chest Syndrome

Ques. 21yo f with recurrent unilateral facial paralysis, and swelling of the face and lips. Diagnosis? A. Crohn's disease B. Melkersson Rosenthal syndrome C. Wegener's Vasculitis D. Bell's palsy

Ques. A 41-year-old woman received a diagnosis in of an overlap syndrome, with limited systemic sclerosis and dermatomyositis. Subcutaneous hard lumps developed over her buttocks and elbows a year after and progressed clinically. What is the likely diagnosis? A. Molluscum Contagiosum B. Cutaneous Mycetoma C. Calcinosis Cutis D. Osteoma Cutis

Ques. An infant presented with respiratory distress & cyanosis. Exam w/single S2 and ejection systolic murmur best heard in the pulmonary area. What is the most likely diagnosis? A. Pediatric Foreign Body Ingestion B. Pulmonic Valvular Stenosis C. Tetralogy of Fallot D. Pediatric Acute Respiratory Distress Syndrome

Ques. An 8-month-old infant p/w dry scaly skin that has been unresponsive to topical emollients. The infant’s mother had prolonged labor, resulting in C section. Exam w/dark scales on the extremities, trunk & neck w/sparing of the face, palms, soles & skinfolds. What is the diagnosis? A. Dermatologic Manifestations of Kaposi Sarcoma B. Atopic Dermatitis in Emergency Medicine C. Ophthalmologic Manifestations of Leukemias D. Ichthyosis

Ques. Patient on furosemide presented with this finding. Diagnosis? A. Tophaceous Gout B. Rheumatoid Arthritis (RA) C. Nephrolithiasis D. Septic Arthritis

Ques. A previously healthy 48-year-old man presented to the emergency department with acute onset of pain in both flanks. During the preceding 6 months he had had an unintentional weight loss of approximately 5 kg. What is the finding? A. Lupus erythematosus (SLE) B. Splinter Hemorrhages C. Subacute infective endocarditis D. Psoriatic nails

Ques. A 15-year-old girl p/w fever & sore throat. She had recently gone to an outdoor music festival & shared multiple drinks & cigarettes w/ friends, who had similar symptoms. No hx of cough. Exam w/palatial petechiae. Smear w/atypical lymphocytes. What is the likely diagnosis? A. Roseola Infantum in Emergency Medicine B. Herpes Simplex Virus (HSV) in Emergency Medicine C. Infectious Mononucleosis D. Peritonsillar Abscess in Emergency Medicine

A 35 year old woman at 35 weeks gestation presented with nausea, vomiting & right upper quadrant abdominal pain. Labs showed hemoglobin 7.5, Plt 77, LDH 850, AST 450, ALT 500. What is the likely diagnosis? A. Hemolytic-Uremic Syndrome B. Thrombotic Thrombocytopenic Purpura (TTP) C. Antiphospholipid Syndrome and Pregnancy D. HELLP Syndrome

Ques. 15 yo m with dystonia and dysarthria. Diagnosis? A. Wilson's Disease B. Arthritis as a Manifestation of Systemic Disease C. Hemochromatosis D. Hepatitis B