Notespaedia Updates

Ques. A man in his 30s came with fever, cough, dyspnea after returning from Ohio. No improvement despite being on broad spectrum antibiotics. BAL showed broad based budding yeast. What is the diagnosis? A. Blastomycosis B. Atypical mycobacterial infection C. Pyoderma gangrenosum D. Chromoblastomycosis

Ques. A young girl p/w a L sided preauricular mass & submandibular adenopathy for 2 months. Exam w/excoriation below L eye & fluctuant preauricular mass. She frequently played w/her pet cat. The mass was aspirated & bacilli were seen on Warthin–Starry staining. What is the diagnosis? A. Cat Scratch Disease B. Coccidioidomycosis and Valley Fever C. Lymphogranuloma Venereum (LGV) D. Sporotrichosis

Ques. A 60 year old man with hx of pancreatitis, presented with abdominal pain and vomiting. What is the likely diagnosis? A. Pancreatic Necrosis and Pancreatic Abscess B. Pancreatic Pseudocyst C. von Hippel-Lindau Disease D. Chronic Pancreatitis

Ques. Diagnosis? A. Muscular Dystrophies B. Motor Neuron Disease C. Inherited Metabolic Myopathies D. Dermatomyositis

Ques. A patient with HIV (CD4 80 cells/mm3) presented with nausea, vomiting, headache & confusion. CT head was normal. Lumbar puncture with increased opening pressure. What is the likely diagnosis? A. Pneumocystis jiroveci Pneumonia (PJP) B. Toxoplasmosis C. Cryptococcosis D. Molluscum Contagiosum E. Toxoplasmosis

Ques. 34,♀️, referred for thrombocytopenia! Nadir platelet 32k Hb:11.8gm/dL WBC: 5,600 She's day 5 post-op, mitral valve replacement (RHD). On warfarin, INR 2.1 Received heparin & still is (catheter flush) Diagnosis? A. Disseminated Intravascular Coagulation (DIC) B. Immune Thrombocytopenia (ITP) C. Thrombotic Thrombocytopenic Purpura (TTP) D. Heparin induced Thrombocytopenia Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/FgubbaLaKLe7G6kJkH8AhH

Acute Myeloid Leukemia Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/FgubbaLaKLe7G6kJkH8AhH

Ques. 33,♂️, p/w bleeding gums x 3days No previous comorbidities ! CBC: 8.8/123k/82k Smear 👇🏻 S. Creatinine: 1.8 Uric acid: 11.6 Potassium: 5.6 What's the diagnosis? A. Acute Myeloid Leukemia B. Acute Promyelocytic Leukemia (APL) C. Acute lymphoblastic leukemia (ALL) D. Chronic myeloid leukemia (CML) E. Chronic lymphocytic leukemia (CLL). Join our discord channel for focused learning : https://discord.gg/w4v33QSjk3 Join our WhatsApp group: https://chat.whatsapp.com/FgubbaLaKLe7G6kJkH8AhH

35 year old patient with: fever generalized pain malaise splenomegaly 🩸Hb 10, PLT 100, WBC 3 Blood cultures et al. not there yet. You call heme friend in meantime. Suggests doing marrow. You're hyped and doing it🤘. You see👇 Diagnosis? A. Paroxysmal Nocturnal Hemoglobinuria B. Aplastic Anemia C. Myelodysplastic Syndromes (MDS) D. Bone Marrow Necrosis

Ques. Patient admitted with congestive heart failure with chronic severe aortic insufficiency. Diagnosis? A. Marfan Syndrome B. Loeys-Dietz syndrome (LDS) C. Shprintzen-Goldberg syndrome D. Mitral valve prolapse syndrome.

Ques. 39 year old with confusion, hypersomnia and memory loss. When asked, admitted to feel "quite weak" for several years now with pain in joints and eyes here and there. Whats your Diagnosis? A. Tropical Sprue B. Whipple’s Disease C. Celiac Disease (Sprue) D. Abdominal Angina