Notespaedia Updates

Ques. An 84-year-old man p/w fever, discoloration & pain in his fingers & toes for 2 weeks. He had no hx of smoking. Pulses were intact. Biopsy of the finger lesions showed fibrinoid necrosis, inflammation & medial thickening in a medium-sized artery. What is the likely diagnosis? A. Polyarteritis Nodosa B. Granulomatosis with Polyangiitis (GPA, formerly Wegener Granulomatosis) C. Genetics of Ehlers-Danlos Syndrome D. Microscopic Polyangiitis

Ques. A patient presented with worsening shortness of breath. She was previously treated for presumed asthma with steroids with some improvement. She reports sleeping with her pet parrot every night. What is the likely diagnosis? A. Psittacosis B. Mycoplasma Infections (Mycoplasma pneumoniae) C. Infective Endocarditis D. Q Fever

Ques. A 46-year-old woman presented with increasing fatigue, arthralgias, rash, and hematuria. Labs w/pancytopenia and positive anti-double-stranded DNA, and anti-Smith antibodies. What is the likely diagnosis? A. Systemic Lupus Erythematosus (SLE) B. Mixed Connective-Tissue Disease (MCTD) C. Epstein-Barr Virus (EBV) Infectious Mononucleosis (Mono) D. Undifferentiated Connective-Tissue Disease

Ques. A patient in Bangladesh presented with nausea, vomiting, abdominal pain, tingling & numbness of her legs. She reported drinking water from a nearby well most of the time. What is the likely diagnosis? A. Atopic Dermatitis in Emergency Medicine B. Hemolytic Uremic Syndrome in Emergency Medicine C. Iron Toxicity D. Arsenic Poisoning E. Atopic Dermatitis in Emergency Medicine

Ques. Finding on the back of a young patient with cervical lymph nodes, enlarged spleen, blurred vision and behavioural changes. What’s the diagnosis? A. Cat Scratch Disease (Cat Scratch Fever) B. Bartonella C. Bacillary Angiomatosis D. Infective Endocarditis

Ques. A 23-day-old male infant was brought to the hospital after 5 days of increasing vomiting. Exam w/mild dehydration and an olive-sized abdominal mass. Upper gastrointestinal radiography showed a distended, air-filled stomach. What is the diagnosis? A. Pediatric Gastroesophageal Reflux B. Emergent Treatment of Gastroenteritis C. Hypertrophic Pyloric Stenosis D. Pediatric Metabolic Alkalosis E. Pediatric Duodenal Atresia

Ques. A previously healthy 1-year-old girl was admitted to the hospital with a 4-day history of high fever accompanied by erythema and swelling of the left third finger, gingival inflammation, and tongue ulcerations. What’s the likely diagnosis? A. Cellulitis B. Felon C. Herpetic Whitlow D. Paronychia

Ques. Young lady on colestyramine for post cholecystectomy diarrhoea presents with weight loss, low folate and blurred vision. What’s the diagnosis? A. Bitot's Spot B. Deficiency of Vitamin D C. Deficiency of Vitamin C D. Deficiency of vitamin E