Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy? Which one is speedy?
Gold Fish
Turtle
Shark
None off the Above
I don't know
You are correct. You are correct. Congratulations?
(BMJ) - A 54-yo man w/alcoholism, neuropathy, vocal cord cancer s/p recent radiotherapy on prednisolone, fentanyl, antidepressants was given amoxicillin for sore throat. Five days later he had fever, rash; multiple organ failure ensued. Skin exfoliated upon touch.
Acute graft vs. host disease
Acute cutaneous radiation injury
Alcohol-induced porphyria (PCT)
Stevens-Johnson/Toxic epidermal necrolysis
Erythema multiforme major
You are correct. Nikolsky’s sign (epidermis separation on touch) affects <10% of body surface in SJS, >30% in TEN. This patient had about 20%, qualifying as SJS-TEN overlap. He recovered from a 26-day ICU stay; 6 months later, he had dry eyes and torso dyspigmentation.
(BMJ) - A 9-yo girl w/ painful scalp lesion noted a small, erythematous, scaly, pruritic eruption that increased over 6 wks despite antibiotics. Exam: Afebrile, well-appearing, boggy inflammatory mass on her crown, localized alopecia, + cervical LN. What is it?
Tinea capitis (ringworm) kerion
Folliculitis decalvans
Acne keloidalis nuchae
Alopecia areata incognita
Plaque psoriasis
You are correct. A fungal kerion is an inflammatory reaction to tinea capitis. She was treated with oral griseofulvin and ketoconazole shampoo x 2 months and made an excellent recovery.