A 70-year-old smoker presents with a four-week history of dyspnea, cough, and facial swelling that is exacerbated by bending forward. A physical examination reveals venous collaterals on the chest wall, and imaging is ordered. What ... Read more
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Updated February 27, 2019 by Figure 1
A 14-year-old boy is brought to the pediatrician by his mother over concerns of difficulty walking and worsening clumsiness. He reports a gradual loss of night vision, and a long history of chronic diarrhea which ... Read more
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Updated February 27, 2019 by Figure 1
A 60-year-old man who is HIV positive presents with fever, dyspnea, and inflammatory lesions on the skin. A biopsy reveals a diagnosis of histoplasmosis. At what threshold should antiretroviral therapy (ART) be initiated in adults ... Read more
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Updated February 27, 2019 by Figure 1
A 58-year-old male with a history of rosacea presents with blue-black discoloration on his neck and face that worsens after sun exposure. What drug is the most likely cause of this reaction?
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Updated February 27, 2019 by Figure 1
A 21-year-old female presents with a six-month history of irregular menses, decreased libido, impaired vision, and galactorrhea. An MRI is completed.Based on this imaging and the patient’s clinical findings, which of the following should be recommended ... Read more
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Updated February 27, 2019 by Figure 1
A 4-year-old boy with known G6PD deficiency is brought to the pediatrician by his mother with a blistering pruritic rash. On examination, numerous tense vesicles and bullae are seen on his neck, lower abdomen, and ... Read more
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Updated February 27, 2019 by Figure 1
A 67-year-old woman presents to the emergency room with acute chest pain and dyspnea after the death of her husband. She is hypotensive, tachycardic, and diaphoretic. A diagnosis of takotsubo cardiomyopathy is suspected. Which of the ... Read more
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Updated February 27, 2019 by Figure 1
A 56-year-old man presents with a three-month history of erectile dysfunction and bilateral buttock pain on exertion, but not at rest. His past medical history is significant for type 2 diabetes, dyslipidemia, and hypertension. Examination reveals ... Read more
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Updated February 27, 2019 by Figure 1
A 40-year-old male presents to his family physician with a pruritic, erythematous lesion on his foot after returning from vacation in coastal Brazil a week earlier. On examination, a serpiginous, slightly elevated tunnel can be ... Read more
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Updated February 27, 2019 by Figure 1
A 55-year-old female presents with a low-grade fever, a new heart murmur, and Janeway lesions one week following a dental cleaning, and a preliminary diagnosis of infective endocarditis is made. Prophylactic antibiotics are administered prior ... Read more
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Updated February 27, 2019 by Figure 1
A 31-year-old female presents to the emergency department with a two-day history of pain on urination and discomfort in her left knee and heel. She also complains of right eye pain, which is exacerbated by ... Read more
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Updated March 10, 2025 by Figure 1