Go For The Glory Quiz: Foreign Body Aspiration; Persistent Snoring; Daily Dark Chocolate; Suspicious Pigmented Macule; Diabetic Ketoacidosis

May 16, 2013

Test your clinical skills in this week’s 5-question quiz.

QUESTION 1:



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QUESTION 2:



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A 62-year-old man with a persistent snoring problem presented for an oral medicine consultation. He had no history of complaints related to jaw function, and he was not in pain. There was no history of jaw trauma or jaw fracture. Examination revealed very slight facial asymmetry. There was audible crepitus in the left temporomandibular joint (TMJ) when the patient opened his jaw. The panoramic radiograph revealed a large irregularly shaped opacity associated with the left mandibular condyle.

QUESTION 3:

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Research has linked chocolate consumption to improved blood pressure, insulin sensitivity, and cholesterol levels. Flavinoids in dark chocolate exert their positive effect on vascular and platelet function. Chocolate consumption frequency has also been associated with lower body mass index.

QUESTION 4:



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A 47-year-old woman with a history of non-melanoma skin cancer had a 5 × 3-mm pigmented macule was noted on the anteromedial aspect of the right foreleg.

QUESTION 5:



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A 67-year-old woman with type 2 diabetes mellitus (DM) presented to the emergency department (ED) with delirium resulting from diabetic ketoacidosis. She also complained of headache, facial pain, nasal congestion, left eye pain, and blurry vision of 2 weeks’ duration. She noted recent bloody nasal discharge and confusion. A CT scan of the patient’s sinus showed ethmoidal sinus congestion with air-fluid levels in the sphenoidal sinuses. Maxillary sinuses and turbinates appeared thickened, and there was left supraorbital soft tissue swelling. Histopathology using Gomori methenamine-silver nitrate stain is shown here.

ANSWER KEY:



Question 1. Answer: b

Question 2. Answer: a

Question 3. Answer: c

Question 4. Answer: b

Question 5. Answer: c