Jewels of Clinical Medicine

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A 79-year-old woman presented with a 1-year history of gradual neurological decline involving confusion, memory loss, an...
11/06/2022

A 79-year-old woman presented with a 1-year history of gradual neurological decline involving confusion, memory loss, and imbalance. What is the most likely diagnosis?

Colloid cyst

Glioblastoma multiforme

Thrombosed intracranial aneurysm

Choroid plexus metastases

Intraventricular meningioma

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A 42-year-old man with diabetes presented with a history urinary incontinence and severe dysuria over several days. What...
11/06/2022

A 42-year-old man with diabetes presented with a history urinary incontinence and severe dysuria over several days. What diagnosis does his computed tomographic (CT) scan suggest?

Benign prostatic hypertrophy

Bladder perforation

Urethritis

Emphysematous prostatitis

Colovesical fistula

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A 64-year-old man presented with a two-year history of this asymptomatic skin condition, which was symmetrically distrib...
10/06/2022

A 64-year-old man presented with a two-year history of this asymptomatic skin condition, which was symmetrically distributed over his trunk, arms and legs. Laboratory tests demonstrated a raised fasting blood glucose level. What is the most likely diagnosis?

Chronic urticaria

Pityriasis rosea

Cutaneous sarcoidosis

Systemic lupus erythematosis

Generalized granuloma annulare

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An 88-year-old man with a history of a quadruple coronary-artery bypass grafting procedure and transapical transcatheter...
10/06/2022

An 88-year-old man with a history of a quadruple coronary-artery bypass grafting procedure and transapical transcatheter aortic-valve replacement presented with this skin condition. What is the cause of this appearance?

Warfarin necrosis

Subacute bacterial endocarditis

Cryoglobulinaemia

Cholesterol embolization

Heparin-induced thrombocytopenia

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An Eritrean man presented with 3 years of intermittent fevers; workup revealed anemia, elevated aminotransferase levels,...
10/06/2022

An Eritrean man presented with 3 years of intermittent fevers; workup revealed anemia, elevated aminotransferase levels, and this finding on the blood smear. What organism caused these symptoms?

Wuchereria bancrofti

Onchocerca volvulus

Borrelia recurrentis

Trypanosoma brucei

Plamodium vivax
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A woman presented with this tender lesion on her abdomen; she was previously healthy, did not recall a recent insect bit...
10/06/2022

A woman presented with this tender lesion on her abdomen; she was previously healthy, did not recall a recent insect bite, and otherwise had no symptoms. She improved with antibiotics. What is the diagnosis?

Sporotrichoid lymphocutaneous infection

Streptococcal cellulitis with lymphangitis

Cutaneous lymphangitis carcinomatosa

Early localized lyme disease

Cutaneous lupus erythematosus

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A 38-year-old woman with a history of three cesarean sections was admitted to the hospital in labor at 36 weeks of gesta...
09/06/2022

A 38-year-old woman with a history of three cesarean sections was admitted to the hospital in labor at 36 weeks of gestation. Following an emergency cesarean section, histopathological examination identified invasion of chorionic villi into but not through the myometrium. What is the diagnosis?

Placenta accreta

Placenta increta

Placenta percreta

Decidua

Choriocarcinoma

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A 60-year-old man presented with abdominal pain, hypotension, and deranged renal function. What is the diagnosis?Pseudom...
09/06/2022

A 60-year-old man presented with abdominal pain, hypotension, and deranged renal function. What is the diagnosis?

Pseudomembranous colitis

Acute mesenteric ischemia

Diverticulitis

Ulcerative colitis

Pseudomelanosis coli

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A 28-year-old woman had a painful vesicular lesion that erupted into this erythematous rash, which did not improve with ...
09/06/2022

A 28-year-old woman had a painful vesicular lesion that erupted into this erythematous rash, which did not improve with antibiotics. What is the diagnosis?

Cutaneous lupus

Erysipelas

Dermatomyositis

Rosacea

Fixed drug eruption

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A 51-year-old male with diabetes presented with 2 weeks of general malaise and fever. What is the diagnosis?Small bowel ...
09/06/2022

A 51-year-old male with diabetes presented with 2 weeks of general malaise and fever. What is the diagnosis?

Small bowel obstruction

Emphysematous pyelonephritis

Paralytic ileus

Renocolic fistula

Splenic abscess

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A 53-year-old woman presented with intensely itchy skin lesions and burning in her mouth. The following appearances are ...
08/06/2022

A 53-year-old woman presented with intensely itchy skin lesions and burning in her mouth. The following appearances are noted on examination of her wrist. What is the diagnosis?

Lichen sclerosus

Lichen planus

Psoriasis

Eczema

Tinea cruris
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A 68-year-old man presented with unilateral ptosis with no other symptoms. Application of an ice pack to the left eye im...
08/06/2022

A 68-year-old man presented with unilateral ptosis with no other symptoms. Application of an ice pack to the left eye improved his symptoms. What is the diagnosis?

Bell’s palsy

Myasthenia gravis

Benign essential blepharospasm

Multiple sclerosis

Myotonic dystrophy
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