Take The Clinical Challenge

July 3, 2013

Go for the Glory Quiz - Does this rash suggest something more than skin deep? Diabetes and CKD? Scrotal lesions? See if you can answer all 5 quiz questions.

QUESTION 1:



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An 18-month-old boy presented with a fever and a widespread, presumably itchy eruption. He was a recent immigrant from Nigeria. Both of his parents remained in Nigeria, ill with AIDS.

QUESTION 2:

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QUESTION 3:



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These lesions on the scrotum of an otherwise healthy 42-year-old man had gradually increased in size and quantity over the past 3 to 4 years. The firm, skin-colored papules and nodules ranged in size from 0.8 to 2 cm.

QUESTION 4:



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Nonarteritic anterior ischemic optic neuropathy (NAION) is an idiopathic ischemic insult that involves the short posterior ciliary vessels, which supply the optic nerve head. It is a leading cause of sudden vision loss and the second most common form of optic neuropathy in white men and women older than 50 years. Although NAION affects more than 6000 Americans each year, it is frequently unrecognized.

QUESTION 5:



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For the past 7 years, a 32-year-old African American man had multiple nonpruritic scalp abscesses. He also reported intermittent fever and joint pain. The abscesses had been drained on many occasions, and he had received several antibiotics, although no organisms had been isolated.

ANSWER KEY:



Question 1. Answer: d

Question 2. Answer: c

Question 3. Answer: b

Question 4. Answer: f

Question 5. Answer: d