Slightly Itchy, Scaly “White Spots”

September 8, 2014

Scaling erythema; Epstein-Barr virus infection; one blue, one brown iris . . . test yourself with this 5-question quiz.

Question 1:

A 27-year-old woman has slightly itchy and scaly “white spots” on her face and severe dandruff, which requires shampooing every other day for control.

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Question 2:

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Question 3:

Tinea corporis and granuloma annulare have similar presentations, and subtle differences, and so are often misdiagnosed.

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Question 4:

An 86-year-old woman presented with worsening dyspnea, wheezing, orthopnea, and paroxysmal nocturnal dyspnea. Her past medical history included bioprosthetic aortic and mitral valve replacement for severe mitral stenosis and aortic regurgitation, paroxysmal atrial fibrillation, and rheumatoid arthritis. A CT scan of the chest with contrast was obtained.

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Question 5:

This 20-year-old woman has complete heterochromia iridis.

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ANSWER KEY:

Question 1. A

Question 2. B

Question 3. H

Question 4. B

Question 5. E