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Ques. A young man presents with a WBC of 100k, and you find this 👇 on your evaluation. What is the likely diagnosis ? A. Leukostasis B. Pediatric Polycythemia Vera C. Pertussis D. Pediatric Acute Myelocytic Leukemia

Cutaneous leishmaniasis Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

Ques. 55 year old woman spent one month in Amazon basin of Ecuador. Multiple empiric antibiotics and antifungals did not help. What is the likely diagnosis? A. Group A Streptococcal (GAS) Infections B. Physical Medicine and Rehabilitation for Systemic Lupus Erythematosus C. Cutaneous leishmaniasis D. Pyoderma Gangrenosum E. Basal Cell Carcinoma

Ques. A 55-year-old man came with acute left-sided weakness and slurred speach. Hx of multiple episodes of epistaxis & gastrointestinal telangiectasias +. A non-contrast head CT demonstrated a right-sided hemorrhagic stroke. What is the likely diagnosis? A. Rothmund-Thomson Syndrome B. Osler Weber Rendu Syndrome C. CREST Syndrome D. Ataxia-Telangiectasia

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. Arsenic Toxicity B. Allergic Contact Dermatitis C. CBRNE - Botulism D. Emergent Management of Lead Toxicity Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

Ques. A 20 year old man presented with pleuritic chest pain and shortness of breath. No history of trauma. What is the likely diagnosis? A. Acute Aortic Dissection B. Esophageal Rupture and Tears in Emergency Medicine C. Pneumothorax D. Pulmonary Embolism (PE) E. Acute Pericarditis

Ques. A 37 year old woman presented with worsening ulcers of her lower extremities. She reported injecting about 10 bags of intravenous fentanyl/heroin every day. Ulcers were foul-smelling, had copious purulent drainage, and were present on both the legs. What is the likely diagnosis? A. Necrotizing fasciitis B. Xylazine-Induced Skin Ulcers C. Pyoderma gangrenosum D. Ecthyma

Ques. A 31-year-old man p/w a 2-week hx of left ear swelling. He had similar episodes over the past 2 years, & a 6-month hx of weight loss, fatigue, & generalized aches. Exam showed saddle nose deformity, costochondral joints, and left knee. Labs w/⬆️ESR. What is the likely diagnosis? A. Granulomatosis with Polyangiitis (GPA, formerly Wegener Granulomatosis) B. Systemic Lupus Erythematosus (SLE) C. Behcet Disease D. Relapsing Polychondritis Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

Trichinellosis Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

Ques. A patient in Korea presented with fever, headache, myalgias & diarrhea one week after eating raw, soft-shelled turtle meat. Labs w/eosinophilia. Bachman test was positive. What is the likely diagnosis? A. Acute Glomerulonephritis B. Ascaris Lumbricoides C. Trichinellosis D. Gnathostomiasis Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

MERALGIA PARESTHETICA Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

Ques. A patient presented with localized, acute, sharp pain in the outer thigh accompanied by numbness and tingling. Worsened when wearing jeans. What is the likely diagnosis? A. Lumbosacral radiculopathy B. Femoral mononeuropathy C. MERALGIA PARESTHETICA D. Mononeuritis multiplex Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

Goodpasture’s Syndrome Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

Ques. A 25-year-old man p/w cough, fatigue & hemoptysis for 2 days. Labs w/creatinine 5.8 mg/dL, BUN 80 mg/dL, & Hgb 10.5 g/dL. Urinalysis w/1+ protein, RBC 45/HPF, WBC 5/HPF, & RBC casts. CXR w/diffuse bilateral infiltrates. What is the likely diagnosis? A. Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Syndrome) B. Goodpasture’s Syndrome C. Granulomatosis with Polyangiitis (GPA, formerly Wegener Granulomatosis) D. Pneumocystis jiroveci Pneumonia (PJP) Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK

Dieulafoy Lesion Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/Jcj3IPrZmTHEeU5zES3szK