Bumps, IBD, and Spots......

August 8, 2013

An asymptomatic bump; IBD and celiac disease; a gradually expanding spot .... test your clinical skills on a range of disorders in this week's quiz.

Question 1:
A 63-year-old man complained about an asymptomatic “bump” on one finger. Physical examination disclosed a solitary, minimally tender, 3.5-mm translucent dark pink nodule located just behind the nail on the left third digit-the classic presentation of a digital myxoid cyst.

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Question 2:
According to a recent study, patients with inflammatory bowel disease (IBD) were at relatively low risk for coexisting celiac disease and patients with celiac disease were at low risk for IBD.

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Question 3:
A 72-year-old man complained about an asymptomatic, gradually expanding “spot” on his forehead.

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Question 4:
Older persons who are concurrently taking warfarin and a specific antibiotic for a urinary tract infection are at a significantly increased risk of upper GI hemorrhage.

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Question 5:
A 52-year-old obese woman presented to the emergency department for severe diffuse abdominal pain, nausea, and vomiting of 12 hours’ duration. She reported undergoing screening colonoscopy the day before.

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ANSWER KEY:



Question 1. Answer: d

Question 2. Answer: b

Question 3. Answer: d

Question 4. Answer: b

Question 5. Answer: e