Notespaedia Updates

Ques. A young woman p/w sudden onset of weakness that started in her legs & spread to her arms. She stated having a viral illness recently. Exam w/ 3/5 strength & areflexia. LP w/⬆️protein & 2 cells. What is the likely diagnosis? A. Cauda Equina and Conus Medullaris Syndromes B. Chronic Inflammatory Demyelinating Polyradiculoneuropathy C. Heavy Metal Toxicity D. Guillain Barre Syndrome

Ques. A patient presented with pain & irritation of right eyelid. What is the likely diagnosis? A. Sebaceous Gland Carcinoma B. Hordeolum C. Preseptal Cellulitis D. Basal Cell Carcinoma

Ques. A patient was admitted with cellulitis of his right lower extremity. He was started on intravenous vancomycin. Shortly after starting the antibiotic, he developed a rash over his face and chest. What is the likely diagnosis, management? A. Hereditary angioedema B. Foreign body aspiration C. Redman Syndrome D. Monosodium glutamate poisoning

Ques. A 4-year-old girl p/w a new rash. Her mother reports that the rash started on both her cheeks yesterday, but since then she has developed a rash on her trunk. Exam w/a maculopapular rash on her trunk w/some areas having a lacy/reticular appearance. What is the likely diagnosis? A. Dermatologic Manifestations of Rubella B. Hand-Foot-and-Mouth Disease (HFMD) C. Acute Rheumatic Fever D. Erythema infectiosum

Ques . A patient presented for further evaluation of facial rash. What is the likely diagnosis? A. Genetics of Cockayne Syndrome B. Acute Cutaneous Lupus Erythematosus (ACLE) C. Xeroderma Pigmentosum D. Rothmund-Thomson Syndrome

Ques. A newborn baby presents with abdominal distention, vomiting & absence of bowel movement for 3 days. What is the likely diagnosis? A. Acute Colonic Pseudoobstruction (Acute Megacolon, Ogilvie Syndrome) B. Hirschsprung Disease C. Intestinal Motility Disorders D. Irritable Bowel Syndrome (IBS)

Ques. A 21-year-old male college student c/o intense itchy, painful, red streaks between his fingers & in the groin area. The itchiness seems to be worse at night. Several other students have presented with similar problems over the last couple of weeks. What’s the diagnosis? A. Dermatitis Artefacta B. Dermatitis Herpetiformis C. Pediatric Atopic Dermatitis D. Scabies

Ques. A patient who returned from a summer camping trip across South Eastern US states one week ago presented w/high grade fever, lethargy, headache & abdominal pain. Hx of bug bites +. Exam w/petechial lesions on the palms of his hands & feet. What is the likely diagnosis? A. Rocky Mountain spotted Fever B. Mediterranean Spotted Fever (Boutonneuse Fever) C. Epstein-Barr Virus (EBV) Infectious Mononucleosis (Mono) D. Leptospirosis

Ques. A middle aged woman presented for redness in her eyes. She also endorsed diffuse joint pain & pain with urination. What is the most likely diagnosis? A. Balanitis Circumscripta Plasmacellularis B. Reiter's Syndrome C. Juvenile Rheumatoid Arthritis D. Tenosynovitis

Ques. A 55 year old woman came with numbness, tingling, ataxia & mild weakness. She is on aspirin, amlodipine, omeprazole and simvastatin at home. Labs w/⬇️Hb, ⬆️⬆️MCV. What is the likely diagnosis? A. Alcoholic Hepatitis B. Megaloblastic Anemia C. Celiac Disease (Sprue) D. Tropical Sprue