Q1. A 50-year-old man presents with the lesion shown on his hand. Except for some mild discomfort he has no symptoms. In general, where are the majority of these lesions located on the hand?
A 55-yo male presents to the ER with two bouts of severe retching and vomiting followed by hematemesis. In both instances he vomited after drinking home made wine. He denies any use of drug or regular alcohol. Except for some mild abdominal he has stable vital signs. While blood work is pending, he undergoes an endoscopy shown below. There is no active bleeding and fibrin was seen overlying the mucosa. In the majority of these patients, what blood vessel is involved in the pathology?
A 55 yo male presents to the ED with complaints of left leg pain. He developed a laceration in the ankle area after he was kicked 3 days ago. He cleaned it with water but the wound has become red and fluctuant. His past medical history reveals arthritis, hypertension and gout. His only prescription medication is clonidine; the arthritis and gout are controlled with Ibuprofen. You start on him on an antibiotic and he presents four days later complaining of a metallic taste. The drug’s mode of action is shown in the image. Prolonged use of this drug is also associated with?
Q1. A patient is sedated for colonoscopy. The drug used affects the neurotransmitter (See circle with ?????) shown in the slide below. If this patient was to overdose, what antidote will you use?
Q1. A patient has had insomnia for many months and would prefer to take a supplement instead of a medication. You decide to treat him with a substance released from the gland shown in the image (see ????). This substance is generally contraindicated in patients with?
A 28 year immigrant presents with several asymptomatic lesions on his skull which are hard and bony. The lesions are fixed, non tender and have been present for at least a year. He is not able to provide much of a history because of the language barrier. What test would you order in him?
