A 54-yo man with mild HTN on no meds c/o of dysarthria, trouble with swallowing and moving his tongue. Neuro exam was normal except for left-side tongue deviation. Blood work excluded infection or immune disorders. An MRI was performed. What is it?
Carotid artery dissection
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Subarachnoid hemorrhage
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Multiple sclerosis
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Complicated migraine
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Acute cerebral vascular occlusion
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(BMJ) - A 19-yo man with no PMHx had a chest tube placed for a large spontaneous pneumothorax. Symptoms initially improved, but soon he began coughing up frothy, clear, yellow, sputum and developed respiratory distress. X-ray was repeated. What is the diagnosis?
Pulmonary hemorrhage
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Lung abscess
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Atypical pneumonia
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Chest tube malfunction
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Reexpansion pulmonary edema
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(BMJ) - A 74-yo man with no past medical Hx c/o pain and blisters on his right hand several hours after playing hockey. There was no trauma to his hands. He had no fever or other symptoms. What is the diagnosis?
Frostbite
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Flexor tenosynovitis
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Allergic reaction
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Blistering distal dactylitis
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Herpes zoster
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(BMJ) - A 40-yo man c/o nasal blockage x 11 yrs, anosmia, and “something coming out of my nose.” Hx includes hay fever and aspirin intolerance. Exam revealed bilateral glistening fleshy structures in his nose, left worse than right. What is the diagnosis?
Gross nasal polyps
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Rhabdomyosarcoma
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Septal hematoma
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Nasal foreign body
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Deviated septum
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A healthy 84-yo woman had 3 mo of double vision, droopy eyelids (worse on the right and in evening), and progressive bilateral arm weakness that was worse on exertion and better after rest. Cognition, reflexes, and sensation were normal. Diagnosis?
Cavernous sinus thrombosis
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Botulism
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Guillain-Barre syndrome
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Posterior circulation stroke
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Myasthenia gravis
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(BMJ) - A healthy 22-yo woman presented with painful genital ulcers for 1 year, unresponsive to various treatments. Exam revealed labia majora and cervix lesions, aphthous-like oral lesions, and leg folliculitis. ESR was elevated. What is the diagnosis?
Ulcerative colitis
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Systemic lupus erythematosus
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Herpes zoster
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Disseminated gonorrhea
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Behcet disease
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A 45-yo man presented with a 6-mo hx of diarrhea, abdominal pain, weight loss, and iron-deficiency anemia. Extensive work-up including stool studies, UGI, and limited colonoscopy was negative. Abdominal US and capsule endoscopy were performed. Diagnosis?
Whipworms (Trichuris trichiura)
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Yersinia enterocolitica
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H pylori infection
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Meckel diverticulum
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Cecal malignancy
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A 6-yo boy presents with 1 mo of itchy 1- to 3-mm pearly, dome-shaped papules in a red, scaly, and slightly edematous area on the thighs. He is healthy with no history of atopy. What is it?
Impetigo
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Scabies
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Herpes zoster
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Lichen planus
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Molluscum-associated dermatitis
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