(BMJ) – An 82-yo man presented w/ acute onset throat pain and dysphagia upon wakening. His wife recalled him suddenly beginning to snore the night before. PMHx: A-fib. Meds: warfarin. Labs: INR 3.4. What is the diagnosis?
Strep pharyngitis
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Oropharyngeal cancer
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Uvular hematoma
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Behcet syndrome
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Aphthous ulcers
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(BMJ) – A 48-yo woman presented with a presumed verruca on the underside of her second toe. The lesion had not responded to topical or oral antibiotics and was acutely tender, macerated, and hyperkeratotic. What is it?
Squamous cell carcinoma
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Tinea pedis
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Acral lentiginous melanoma
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Spider bite
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Prurigo nodularis
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(BMJ) - A 91-yo woman w/ a family hx of breast cancer presents w/ redness of left breast and nipple x 1 yr. Exam: red, crusty nipple-areolar complex w/ nipple destruction. A 4-wk trial of steroid cream did not lead to improvement. What is the diagnosis?
Actinic keratosis
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Impetigo
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Paget disease
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Eczema
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Malignant melanoma
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(BMJ) - An 82-yo man c/o 10 days of pain and color change in his tongue associated w/ a headache. Exam: grey-black discoloration of distal tongue and scalp tenderness. Labs: elevated inflammatory markers. What is the diagnosis?
Syphilis
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Methamphetamine abuse
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Oral melanoma
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Necrotizing ulcerative gingivitis
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Giant cell arteritis
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(BMJ) - A 20-yo female horse rider presented w/ painful lesions on her outer thighs during winter for 5 yrs. Exam: red, indurated, tender plaques on lateral thighs. Labs: vasculitis screen, serum cryoglobulins, and cold agglutinins all normal. What is the diagnosis?
Frostbite
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Lichen planus
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Tinea corporis
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Erythema chronicum migrans
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Equestrian perniosis
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(BMJ) - A 7-yo boy presented w/ a rash on his chin, cheeks, and nose x 2 mos. Thinking it was eczema, his mother applied triamcinolone cream. The rash improved initially, but then returned and spread. Exam: monomorphic erythematous papules. What is it?
Impetigo
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Periorificial dermatitis
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Folliculitis
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Prepubertal acne
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Candidiasis
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