Question
What is the diagnosis?
Chronic paronychia
Dermatomyositis
Selenium deficiency
Rheumatoid arthritis
Psoriasis
Question
What is the diagnosis?
Chronic paronychia
Dermatomyositis
Selenium deficiency
Rheumatoid arthritis
Psoriasis
Question A 73-year-old woman was seen in the Neurology Clinic for follow-up of secondary progressive multiple sclerosis. She had had a progressive left hemiparesis for 30 years. She reported mild intermittent pain, joint swelling, and stiffness of her right hand, fingers, and wrist. She had no symptoms of arthritis in her left hand. Physical examination … Continue reading
Question A 47-year-old homeless man presented to the emergency department 1 week after the onset of chest pain. He was hemodynamically stable. The physical examination was unremarkable. A routine complete blood count revealed 27,000 leukocytes per cubic millimeter., What is the diagnosis? Asbestosis Colonic interposition surgery Suppurative mediastinitis Pneumopericardium Thoracic aortic aneurysm
Question A 49-year-old man presented to the emergency room with a 2-day history of decreased vision in his left eye. He described his vision as “looking through branches in a tree.” His visual acuity was 20/200 in the left eye, he had 1+ cells in the anterior chamber, and a dilated-fundus examination revealed linear … Continue reading
Question A 50-year-old woman with history of hypertension reported having difficulty reading , What clinical presentation would be expected in this patient? Asymmetrical mydriasis Ataxic hemiparesis Hypothermia Quadriplegia Upward gaze palsy
Question Serum levels of which one of the following laboratory tests would be expected to be most abnormal in this patient? 17-hydroxyprogesterone Angiotensin-converting enzyme Anti-tissue transglutaminase antibody Prolactin Vitamin B6
Question A 22-year-old man was referred to us for evaluation of an asymptomatic abnormality detected on chest radiography performed during a physical screening before the start of military service. He was a nonsmoker, had no pulmonary symptoms, and was otherwise well. Where is the abnormality on this chest radiograph? Left lower lobe Left upper … Continue reading
A 53-year-old intensive care nurse receiving monotherapy with efalizumab for psoriasis involving her arms, legs, and nails presented with a several-week history of slowly progressive green discoloration of both thumbnails, Which one of the following conditions is the most likely to be responsible for this clinical picture? Excessive fluoride supplementation Hyperbilirubinemia Treatment with tetracycline … Continue reading
A 67-year-old woman presented with a 6-month history of dyspnea and dysphagia, What is the diagnosis? Coarctation of the aorta Lung cancer Pneumothorax Rib fracture Substernal goiter
A 60-year-old man was evaluated for nasal congestion and ocular itchiness that had been ongoing for several years. Examination was unremarkable, showing normal visual acuity, except for symmetric defects in the iris of both eyes . The patient reported no history of eye injury or eye surgery, having had “keyhole” pupils for as long … Continue reading
A 50-year-old woman presented with mild exercise-induced shortness of breath; she reported being otherwise healthy. Her family history was notable for her mother’s having frequent epistaxis What is the diagnosis? Epidermolysis bullosa Hereditary hemorrhagic telangiectasia Neurofibromatosis Peutz-Jeghers syndrome Scleroderma