Articles related to QUIZZES & QUESTIONS

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?

A 68-year-old Caucasian man complained of blurry vision while reading and visited the eye clinic for a thorough eye examination. His best-corrected baseline visual acuity with +1.00/+2.25 glasses was 20/20 OD and 20/25 OS at distance and close-up. External testing revealed normal confrontation fields and no afferent pupillary impairment, which were ordinary. A +2.75D enhancement enhanced near vision. The anterior segment evaluation resulted in a normal reading of 15 mm Hg OD and 14 mm Hg OS on the Goldmann applanation tonometer. What could it be?

A 63-year-old man is seen in the ER for new onset confusion. He has been taking codeine-guaifenesin as directed for a URI. Respirations are shallow and the rate is 10/min. Pupils are miotic and the patient is somnolent. Exam and vitals are otherwise normal. The confusion resolves with administration of naloxone. Why did this patient most likely have the drug reaction?