Articles related to QUIZZES & QUESTIONS

This 23-year-old woman is being seen for a chronic cough. She had repeat episodes of chronic bronchitis as a child and has a persistent, productive cough with thick, purulent sputum. She also has chronic nasal congestion and chronic diarrhea. What’s your suspicion?

This 33-year-old man reports no other symptoms, and he isn’t on any medication. Medical history is unremarkable. CBC and comprehensive profile are normal, as are serum alpha-fetoprotein and beta-HCG. CT scans reveal bulky diffuse adenopathy. A cervical node biopsy showed poorly differentiated carcinoma. What is the appropriate therapy?

This woman’s headache started suddenly three months ago. It begins as a dull, localized pain at the top of the head, starting within 30 minutes of rising, and increases in intensity, becoming a global headache as the day progresses. Bedrest alleviates the symptoms. Review the MRI and choose an appropriate therapy.

On exam, this 19-year-old woman has malar rash characterized by pink-violet papules and plaques with no other physical finding. ANA is positive and urinalysis is remarkable for 3+ blood and protein. What test is the most appropriate next step?

This 62-year-old man had a lung transplant 3 years previously for IPF and is on tacrolimus, mycophenolate, and prednisone. Which therapy is most appropriate for their zoster outbreak? IV acyclovir Oral famciclovir Oral valacyclovir Herpes zoster vaccine

A 61-year-old woman taking methotrexate for RA, which has been stable for several years, has new monoclonal protein discovered on routine follow-up. Physical and routine labs are normal. Electrophoresis displays an IgG κ monoclonal protein spike of 0.8 g/dL. What is the proper follow-up?