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Ques. A 50-year-old woman with Crohn’s disease presented with painful, shallow erosions in “snail track” formations on her dorsal tongue and inner cheek and with peripheral-blood eosinophilia. What’s the diagnosis? A. Mycobacterium Marinum Infection of the Skin B. Pyostomatitis Vegetans C. Pyoderma Gangrenosum D. Cutaneous Squamous Cell Carcinoma

Ques. An infant p/w easy bruising. Exam w/petechiae & purpura in multiple areas over his body. Eczematous patches are also found on his flexural surfaces. Labs w/platelets 30,000/mm3. Hx of recurrent pneumonias & epistaxis +. What is the likely diagnosis? A. Immune Thrombocytopenia (ITP) in Emergency Medicine B. Pediatric Bruton Agammaglobulinemia C. Agammaglobulinemia D. Wiskott Aldrich Syndrome

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Ques. A 26-year-old woman, post recent vaginal delivery, presented to her child's pediatrician with a complaint that she is unable to breast feed her child. History reveals a vaginal delivery complicated by postpartum hemorrhage. What is the likely diagnosis? A. Kallmann Syndrome and Idiopathic Hypogonadotropic Hypogonadism B. Hyponatremia C. Sheehan Syndrome D. Type III Polyglandular Autoimmune Syndrome

Ques. A 71-year-old man with cirrhosis presented to the ED with severe diffuse pruritus 3 months after being treated with oral and topical glucocorticoids for an erythematous, scaly rash. What is the likely diagnosis? A. Dermatitis Herpetiformis B. Dermatitis Artefacta C. Irritant Contact Dermatitis D. Scabies

Ques. 50 year old man with rheumatoid arthritis presented with worsening shortness of breath. What is the likely diagnosis? A. Hypersensitivity Pneumonitis B. Interstitial Pneumonia C. Connective Tissue Disease-Associated Interstitial Lung Disease (CTD-ILD) D. Nitrogen Dioxide Toxicity

Ques. A 74-year-old woman p/w a 3-day hx of lower abdominal pain, nausea & vomiting. She had been unable to pass any stool for 1 wk & stated having small-caliber stool during the past 6 months. Exam w/⬇️bowel sounds & periumbilcal tenderness. What is the radiologic sign? A. Diverticulitis Empiric Therapy B. Chronic Megacolon C. Abdominal Hernias D. Bowel Obstruction

Ques. A young infant presented with seizures, developmental delay, and failure to gain weight. Skin was noted to have a yellow appearance. Labs w/anemia and neutropenia. What is the likely diagnosis? A. Non accidental trauma B. Leigh disease C. Menke’s Disease D. Phenylketonuria (PKU)

Ques. A middle aged woman presented for evaluation of elevated liver function tests. She had hx of fatigue, pruritus, leg swelling & dry skin. Labs w/⬆️AST, ALT, GGT, AMA and alk phosphatase. What is the likely diagnosis? A. Gallstones (Cholelithiasis) B. Acalculous Cholecystitis C. Primary Biliary Cholangitis D. Abdominal Vascular Injuries

Ques. A young unvaccinated patient presented with fever, sore throat, barking cough & hoarseness for 5 days. Gram stain w/gram + pleomorphic bacillus. What is the likely diagnosis? A. Peritonsillar Abscess in Emergency Medicine B. Rheumatic Fever in Emergency Medicine C. Infective Endocarditis D. Diphtheria