Lots of skin lesions in this week's Go for the Glory quiz

July 12, 2013

Read carefully this week: you'll find helpful clues in at least 3 of the descriptions . . .

QUESTION 1:



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A 45-year-old man presents with a 4- to 5-year history of an intermittent, asymptomatic, red, circular rash on his trunk. Trials of antifungal creams have not been successful.

QUESTION 2:



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A 66-year-old woman presented with pruritic, burning skin “lesions” at the corners of her mouth. Recent complete blood cell count, biochemistry panel, urinalysis, chest film, and Pap smear were negative or normal, with the exception of an elevated fasting blood glucose level (200 mg/dL).

QUESTION 3:

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Screening for hepatitis C virus (HCV) infection in persons at high risk for infection has been recommended by the United States Preventive Services Task Force.

QUESTION 4:



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A 5-year-old boy presented with a runny nose, cough, and fever that was diagnosed as an upper respiratory tract infection. He was treated symptomatically. Four days later, he complained of pain and weakness in both legs. His creatine phosphokinase level was elevated to 1252 U/L. Two months erythematous papules developed over his proximal and distal interphalangeal and metacarpophalangeal joints and an erythematous rash developed around the eyelids. These suggested Gottron papules and heliotrope rash, respectively. Electromyography showed high-frequency repetitive discharges, spontaneous fibrillations, and positive sharp waves.

QUESTION 5:



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A 38-year-old man presented with multiple painful penile ulcerations, as well as tender, bilateral inguinal adenopathy. He had returned from a trip to Africa a week before presentation.

ANSWER KEY:



Question 1. Answer: d

Question 2. Answer: a

Question 3. Answer: f

Question 4. Answer: b

Question 5. Answer: c