Distressing Facial Lesions

August 27, 2014

Scarring from mildly tender facial lesions; medications implicated in many emergency hospitalizations of older adults; sugar-sweetened beverages and risk of coronary heart disease . . . questions on these and other topics to challenge you.

Question 1:

A 26-year-old African American woman had gradual onset of mildly tender, but severely distressing facial lesions.

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Question 2:

Four common medications or medication classes are most frequently implicated alone or in combination in many emergency hospitalizations of older adults.

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Question 3:

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Question 4:

A skeletal survey in a 92-year-old woman with a 6-month history of progressively worsening fatigue, weight loss, generalized bone pain, dyspnea on exertion, and increasing lower extremity edema found lytic lesions in the pelvis, sacrum, and calvarium. The diagnosis was IgA/lambda multiple myeloma.

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Question 5:

 

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ANSWER KEY:

Question 1. C

Question 2. C

Question 3. A

Question 4. E

Question 5. F