Lousy Eyelashes

November 26, 2013

Blepharitis caused by lice; lung cancer in former smokers; infection in chronic kidney disease. . . . here: 5 questions on 5 different disorders to challenge you again this week.

Question 1:

A 45-year-old woman had blepharitis caused by lice infestation.

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Question 2:

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Question 3:

A 69-year-old man with stage II chronic kidney disease due to hypertension fell from his bicycle and presented with abrasions, ecchymoses, and a 3-cm laceration on his right leg. Multiple tense hemorrhagic bullae developed in the right leg. Blood cultures grew Morganella morganii.

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Question 4:

This 40-year-old man presented with fever and a generalized, painful, nonpruritic rash that first appeared on his face then spread to his hands, buttocks, and lower extremities. Two weeks earlier, he had severe rhinitis followed by high fevers, chills, muscle aches, and ankle pain. He remained febrile, and acute, painful arthritis developed, accompanied by microscopic hematuria and an elevated IgA level.

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Question 5:

Acute inferior wall MI with right ventricular (RV) involvement was diagnosed in a 32-year-old man.

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ANSWER KEY:

Question 1. E

Question 2. A

Question 3. A

Question 4. C

Question 5. E