Go For The Glory Quiz: Tender Arm Lesion; Neck Stiffness and Painful Swallowing; Malignant Melanoma; Sinusitis and Myalgias?; Persistent Facial Sore

April 25, 2013

Seborrheic keratosis; retropharyngeal abscess; in situ malignant melanoma; statin-induced myalgias; basal cell carcinoma

QUESTION 1:



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A 61-year-old obese, man with type 2 diabetes presented with the gradual onset of a mildly tender lesion on the dorsum of the right arm. He had a well-known history of actinic keratoses and multiple nonmelanoma skin cancers.

QUESTION 2:



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A woman in her 20s had 9 days of sore throat and subjective fevers followed by neck stiffness with symmetric limited range of motion in all planes and in all directions. The pain was exacerbated by swallowing and any neck motion. Radiographs demonstrate widening of the prevertebral soft tissues.

QUESTION 3:



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A 32-year-old woman sought medical attention after noticing a change in the appearance of an asymptomatic mole on her leg. Her family history was negative for melanoma. Histology revealed an in situ malignant melanoma.

QUESTION 4:

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A 55-year-old man presents with myalgias of approximately 1 week’s duration. Two weeks earlier, he had sinusitis and was treated with clarithromycin, nasal corticosteroids, and decongestants. A month earlier, he and his wife had been camping in North Carolina. He does not remember any tick or other insect bites. He now has diffuse mild muscle tenderness. The patient takes hydrochlorothiazide and simvastatin.

QUESTION 5:



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An 82-year-old woman presents with a persistent “face sore,” which she ascribes to repeatedly and frequently blowing her nose during a recent upper respiratory tract infection.

ANSWER KEY:



Question 1. Answer: a

Question 2. Answer: c

Question 3. Answer: a

Question 4. Answer: b

Question 5. Answer: d