Q6. A 27 yo female presents with an eruption of red irregular plaques and nodules on her leg of 10 days duration. She had a previous episode a year ago which the dermatologist said was due to shaving her legs. You at once make a diagnosis of?
Q5. In general, tinea corporis and the causative organism are usually confined to what layer of skin?
A
B
C
D
E
Q4. If you suspect this is tinea corporis, what is the most likely organism?
Q3. The KOH wet mount is shown. If this test showed a ‘spaghetti and meatball’ appearance, what organism would you think of?
Q1. A 19 yo presents with several lesions on his hand and trunk after returning from a summer job at a camp for underprivileged and poor children. The individual interacted closely with the children including supervising swimming classes and many outdoor activities. Exam reveals several distinctive circular lesions with well demarcated raised edges that are red and scaly. The lesions appeared 2 weeks ago and are extremely itchy. Your initial diagnosis is?
Q4. You have decided to treat the patient with the drug with the mode of action shown below. What blood work will you order prior to administration of this agent?
Q3. After a few days the patient’s lesion changes and is shown below. What does the term loxoscelism mean to you?
Q2. You show an image of the creature to the patient and he recalls seeing such an insect at the camp site. This is the?
Q1. A 32 yo presents with a 2 day history of a very painful lesion on his arm. He reports that he had gone camping and while sleeping on the floor felt an insect bite. He immediately developed pruritus and mild pain. The next day, the site had developed into a large blister with redness and significant pain. Over the past 24 hours, the blister has ruptured and developed into a red painful area. Now he has developed a fever, diaphoresis and nausea. The exam reveals a 3 x 3 cm necrotic ulcer that is painful to touch. The surrounding area is inflamed. You suspect a bite from?
Q3. You select the medication with the mode of action shown below to treat the symptomatic child with the congenital heart disorder in the previous slide. How does this drug relieve the cyanosis?
Q2. Which medication can you use to relieve severe cyanotic episodes in these children?
Q1. A 2 year old with a congenital heart disorder presents with failure to thrive. While waiting for the child to undress, you note that the child has developed profound cyanosis of his lips and nail bed. The mother quickly places him in the position shown below. How does this position help the patient?
A 67 yo is admitted with an anterior wall MI. Two hours after admission he develops the rhythm shown below. Because of hemodynamic instability, he undergoes successful defibrillation and is back in normal sinus rhythm. What will you tell the patient regarding his prognosis?
Q5. What does the arrow in the figure of the carotid tracing denote?
Q4. What does this extra sound represent in this patient?
Q3. From the previous question, the patient’s murmur at site A is drawn. What is the extra heart sound?
Q2. In the previous patient, you hear a murmur along site A which radiates to site B. As you move your stethoscope to site B, you hear a musical murmur. This phenomenon is known as?
Q1. A 49 yo patient with a family history of sudden death among males, presents for a work evaluation. He denies any complaints and does not smoke or drink alcohol. On physical examination a midsystolic ejection murmur is heard along the left sternal border and at the apex you hear a presystolic gallop. An image of his carotid pulse tracing is shown in the image. What is the most likely diagnosis?
Q2. On physical examination of a 55 yo patient, you note the following heart sound. Which of the following is unlikely to be the cause of this finding?
Q1. During your cardiology rotation, you are learning the basics of auscultation. On examination, what is false about the sound depicted by the arrow?
