Skin Cancer-or Something Else?

December 2, 2014

Bumps on the face; opioids and alcohol; dysmorphic facial features in 6-month-old boy . . . questions on these and other topics in this quiz.

 

Question 1:

These slowly growing bumps appeared on the face of a 56-year-old man.

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The correct answer is c. Sebaceous hyperplasia.
For a discussion of the case, click here.

 

Question 2:

This CT scan from a 46-year-old African American woman with HIV infection shows bilateral multiple masses in the parotid glands.

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The correct answer is b. Parotid manifestations of HIV infection have a malignant course.
For a discussion of the case, click here.

 

Question 3:

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The correct answer is b. False.
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Question 4:

A 35-year-old man has been treated for hypertension and a slightly elevated creatinine level. A fasting lipid panel 3 years earlier revealed a total cholesterol level of 246 mg/dL, but he declined treatment. His blood pressure has been elevated since he was 23 (then 150/98 mm Hg); he has been taking lisinopril and hydrochlorothiazide. His blood pressure is now 148/100 mm Hg, and his BMI is 24 kg/m2. ECG findings are consistent with LV hypertrophy and “strain pattern.” His estimated GFR is 59 mL/min, which-together with data from 6 months earlier-classifies him as having stage 3 chronic kidney disease. A renal ultrasonogram was obtained.

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The correct answer is d. All of the above.
For a discussion of the case, click here.

 

Question 5:

Mowat-Wilson syndrome was diagnosed in this 6-month-old boy with dysmorphic facial features, ear anomalies, and hypospadias.

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The correct answer is c. Seizures develop in about 25% of affected patients, usually by 2 years of age.
For a discussion of the case, click here.