Notespaedia Updates

Ques. A 30 year old woman presented for evaluation of right upper quadrant pain. What is the most likely diagnosis? A. Focal Nodular Hyperplasia B. Cystadenocarcinoma C. Hepatic hydatid cyst D. Echinococcal cyst

Ques. A 51 year old woman with hx of ALL post bone marrow transplant & GVHD on cyclosporine & steroids presented with pleuritic chest pain. Labs w/A1c of 9.6. BAL was done & exam w/lactophenol cotton-blue staining showed the below findings. What is the likely diagnosis? A. Ecthyma Gangrenosum B. Pulmonary Mucormycosis C. Pseudallescheriasis D. Anthrax

Ques. A 38-year-old man in Ohio came for a 3-week cough, fevers & chills. He recently went on a hiking trip to waterfalls, freshwater lakes & caves. Sputum sample shows macrophages w/intracellular yeast cells. What is the likely diagnosis A Tuberculosis B. Coccidioidomycosis C. Histoplasmosis D. Blastomycosis

Ques. A 30-year-old woman p/w blurry vision & difficulty swallowing. She recently visited a farm, where she bought & consumed pickles, jams & cheeses. Exam w/symmetric facial weakness, drooping eyelids, bilateral arm weakness & loss of deep tendon reflexes. What’s the likely diagnosis? A. Botulism B.Guillain-Barre syndrome C. Eaton-Lambert syndrome D. Myasthenia Gravis

Ques. A 48 yo man p/w left hand cellulitis which was treated w/ minocycline. By day 7, he had multiple painful, circular, raised lesions w/ central erosion & crusting. Biopsy showed neutrophilic inflammatory infiltrate. What is the diagnosis? A. Dermatologic Manifestations of Herpes Simplex B. Dermatologic Manifestations of Herpes Simplex C. Pyoderma Gangrenosum D. Sweet Syndrome

Ques A 3-year-old boy w/hx of multiple infections p/w an intensely itchy rash. His skin is covered with a crusty, scaly rash. His face has thickened skin & a wide-set nose. He has several abscesses without any pus over his arms. Labs w/IgE levels > 3000 IU/m. What is the diagnosis? A. Pediatric Chronic Granulomatous Disease B. Pediatric Atopic Dermatitis C. Hyperimmunoglobulin E syndrome D. Omenn Syndrome E. Wiskott-Aldrich Syndrome

Ques. A 3-year-old boy came w/scraped knees after an injury that are severely infected, w/visible pus. He has a hx of bleeding gums,  easy bruisability & recurrent bacterial infections. On exam, his retina is pale, and his hair is silver. What is the likely diagnosis? A. Griscelli Syndrome B. Chediak Higashi syndrome C. Hermansky-Pudlak Syndrome D. Cutaneous T-Cell Lymphoma

Ques. A patient presented for evaluation of recurrent fractures. What is the likely diagnosis? A. Multiple Myeloma B. Osteomalacia C. Homocysteinuria D. Osteogenesis Imperfecta

Ques. A middle aged male presented with sudden onset of right sided headache along with double vision & jaw pain. Labs w/⬆️ESR. What is the likely diagnosis? A. Retinal Artery Occlusion (RAO) B. Polymyalgia Rheumatica C. Granulomatosis with Polyangiitis (GPA, formerly Wegener Granulomatosis) D. Giant Cell Arteritis

Ques. A patient w/glucocorticoid-dependent ulcerative colitis p/w painful, rapidly progressive lesions in the leg. Exam w/purulent base & an irregular edge. Histopath w/epidermal & superficial dermal necrosis w/a mixed inflammatory-cell infiltrate. What is the likely diagnosis? A. Acute Febrile Neutrophilic Dermatosis (Sweet Syndrome) B. Pyoderma Gangrenosum C. Dermatologic Manifestations of Eosinophilic Granulomatosis With Polyangiitis (Churg-Strauss Syndrome) D. Dermatologic Manifestations of Granulomatosis With Polyangiitis