(BMJ) - A 72-yo woman presented with an erythematous rash on her abdomen with induration and nodules. A biopsy confirmed the diagnosis. What is it?
Caput medusae
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Contact dermatitis
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Herpes zoster
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Lymphangitis carcinomatosa
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Erysipelas
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(BMJ) - A 36-yo man with HIV, Pneumocystis jirovecii pneumonia, and a CD4 count of 23 presented with an itchy rash on his hands, ears, and scalp. Other family members also had itchy rashes for months. What is the diagnosis?
Contact dermatitis
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Bed bug bites
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Lichen planus
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Darier disease
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Crusted scabies
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(BMJ) – A 25-yo man w/ short bowel syndrome received several IV abx and antifungals for Hickman line sepsis. Within 48 h, he developed a well-demarcated, exfoliative rash on his buttocks. No other inciting factors were present. What is it?
Tinea corporis
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Erythroderma
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Thermal burn
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Contact dermatitis
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Baboon syndrome
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(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?
Aphthous ulcers
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Behcet syndrome
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Oropharyngeal cancer
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Uvular hematoma
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Strep pharyngitis
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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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Spider bite
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Tinea pedis
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Prurigo nodularis
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Acral lentiginous melanoma
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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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Eczema
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Paget disease
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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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Necrotizing ulcerative gingivitis
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Oral melanoma
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Giant cell arteritis
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Methamphetamine abuse
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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?
Erythema chronicum migrans
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Tinea corporis
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Frostbite
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Equestrian perniosis
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Lichen planus
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