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A 24-year-old nursing student presents your office with dryness and cracking her hands with significant erythema and edema. The patient has extreme pruritus in both of her hands and you note a glove pattern distribution. She states this began about four months ago shortly after she started clinical rotations. She has no history of prior eruption or rash and has no past medical history. Which of the following is the most sensitive method for detecting and confirming your diagnosis?
For several days a child has been sick with high fever, vomiting and a sore throat. Today, the parents bring the child to the ER because of the development of a rash. The rash is a discrete, fine, erythematous, maculopapular eruption with a texture like sandpaper. The throat and tonsils are inflamed. The lingual papillae are swollen and red with a white coating. Which of the following is the most likely diagnosis?
A patient presents with concerned about a rash on his leg after getting a tattoo. He states it began three days ago and has been enlarging. Exam finds the patient with a errythematous ill defined area surrounding the tattoo on his calf, it is warm and tender to the touch. The patient is febrile with a temperature of 102°F. Which of the following is the most likely diagnosis?
Target lesions appearing after exposure to a drug are most likely representative of which of the following?
A 34-year-old woman presents concerned about a darkening in the skin which is occurring at the back of her neck and her axilla. She states that the hyperpigmentation began about eight months ago and is slowly worsening. Exam finds hyperpigmented areas with a velvety feel. Which of the following is the most likely associated disease process?
A 74-year-old patient with diabetes and peripheral vascular disease presents with pain and erythema of her right lower extremity. The patient states that the redness and pain have slowly progressed in the last two days to involve the entire lower half of her leg. Exam finds a brightly erythematous lower extremity which is warm and painful to the touch. You note the overlying skin to have a tight, glossy appearance. The patient is febrile with a temperature of 101°F. Which of the following is the most likely diagnosis?
A 30-year-old male has a three month history of an erythematous, oily yellowish rash which has occurred on the nasolabial folds, around his eye brows and his hairline. Which of the following is the most likely diagnosis?
A 64-year-old obese female presents with multiple pruritic, tense blisters across both thighs. The blisters are large and fluid filled, range from 1 to 4 cm in size, and have an erythematous base. The patient states the rash has erupted over the last week. Upon examination of the open blisters, you note a negative Nikolsky’s sign. Which of the following is the most likely underlying disorder?
A 34-year-old male presents concerned about a worsening infection on his lower leg. He noticed a small lesion on his leg the morning after get cleaned out his shed. He states that over the past few days the area became reddened and painful with a dark black area in the center. The center is painless. On exam you note a necrotic lesion with erythematous pustular margins on his lower extremity. His temperature is 100°F and he otherwise is well appearing. Which of the following is the most likely cause?
A 43-year-old female presents to the emergency department with burns sustained during a house fire. As you examine the patient you notice that her head, and the anterior surface of her body trunk have extensive burns. What percent of total body area is burned?
A six-year-old boy is brought to the emergency room for evaluation by her mother who is concerned about an area on her face with an erythematous base and weeping lesions with a golden honey crust. The child is well appearing, afebrile and has no complaint other than localized pruritus. Which of the following statements about this disorder is correct?
A patient visiting Florida from Connecticut, spent the entire day on the beach, and presents in the evening to the emergency room with diffuse pain and redness due to severe sunburn. Careful inspection finds the patient to have no blistering and finds diffuse erythema and pain with palpation. Which of the following is the best classification for this patient’s burn?
The presence of which of the following differentiates acne vulgaris from acne rosacea?
Two children, ages 4 and 6, have intense itching, especially at night. They present with multiple linear, reddened, raised lesions between their fingers, wrists and at the beltline, with punctate, dark red spots. Which of the following is the most likely organism responsible for their symptoms?
A 32 year old surfer presents concerned about a spreading rash which now is present on most of his back. The rash is only occasionally pruritic and primarily consists of hypopigmented areas. Exam finds a diffuse rash with no specific pattern. He notes it get worse with more sun exposure. Which of the following is the most likely diagnosis?
An 18 year old male patient presents concerned about lesions on his lower legs which have slowly arisen over the last 2 weeks. The lesions are tender and are confined to his lower legs. His only past medical history is Crohn’s disease for which he sees his gastroenterologist on a regular basis. Which of the following is the most likely diagnosis?
A 36-year-old woman has lentigines on her upper back and dorsum of the hands. Which of the following is the preferred therapy?
Oral isotretinoin therapy is initiated in an 18-year-old man in treatment of acne vulgaris. He should be counseled that which of the following is most likely to be noted?
Which of the following is the most appropriate initial management for an unknown marine bite?
In which type of burn exposure do patients exhibit an increased creatine kinase (CK-MB) due to extensive muscle injury?
A 25-year-old male presents to the emergency department after being stranded on the ski slope for 2 days. He complains of having no feeling in his toes. On physical exam, you note full-thickness hemorrhagic blisters and marked swelling with areas of necrosis on the left toes. Your treatment plan includes which of the following?
Which of the following is a characteristic of third-degree frostbite?
All of the following are a typical finding after a lightning injury except?
Which of the following is the most appropriate initial management for a black widow spider bite?
Which of the following is the most common sequel from a bite of the Brown Recluse spider?
Which of the following is the appropriate next step of management for the patient above?
Which of the following is contraindicated for the treatment of a venomous reptile bite?
Which of the following is appropriate treatment for a patient with grossly contaminated soft tissue injury from marine fauna trauma?
A 60-year-old woman complains of painful enlargement of her right breast. She denies any family history of breast cancer. Her right breast is warm to touch with an erythematous with a fluctuant induration. You note nontender adenopathy in her right axilla. What is the diagnosis?
Genital herpes is caused by the herpes simplex virus type 1 or type 2, and causes outbreaks of painful, red blisters on the genitals. Transmission of genital herpes: