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Pass Medic in 2

Pass Medic in 2

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Published by kdwazir

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Published by: kdwazir on Apr 10, 2010
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06/16/2013

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passmedicine.com
Reference ranges End session  Question 13 of 110A 23-year-old man presents with a three day history of general malaise and low-grade temperature. Yesterday he developedextensive painful ulceration of his mouth and gums. On examination his temperature is 37.4ºC, pulse 84 / min and there issubmandibular lymphadenopathy. What is the most likely diagnosis?ia A.AEpstein Barr virusia  B.ALichen planusia  C.AHIV seroconversion illnessia  D.A Herpes simplex virus infectionia  E.AOral
Candida
ia This man has gingivostomatitis, a characteristic feature of primary herpes simplex virus infectionHerpes simplex virussqweqwesf erwrewfsdfs adasd dhe There are two strains of the herpes simplex virus (HSV) in humans: HSV-1 and HSV-2. Whilst it was previously thought HSV-1accounted for oral lesions (cold sores) and HSV-2 for genital herpes it is now known there is considerable overlapFeatures
y
 
primary infection: may present with a severe gingivostomatitis
y
 
cold sores
y
 
painful genital ulcerationQuestion 1 of 110A 62-year-old female is referred to dermatology due to a lesion over her shin. It initially started as a small red papule whichlater became a deep, red, necrotic ulcers with a violaceous border. What is the likely diagnosis?ia 
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 A.ANecrobiosis lipoidica diabeticorumia  B.ASyphilisia  C.AErythema nodosumia  D.APretibial myxoedemaia  E.A Pyoderma gangrenosumia  This is a classic description of pyoderma gangrenosumShin lesionssqweqwesf erwrewfsdfs adasd dhe The differential diagnosis of shin lesions includes the following conditions:
y
 
erythema nodosum
y
 
pretibial myxoedema
y
 
pyoderma gangrenosum
y
 
necrobiosis lipoidica diabeticorumBelow are the characteristic features:Erythema nodosum
y
 
symmetrical, erythematous, tender, nodules which heal without scarring
y
 
most common causes are streptococcal infections, sarcoidosis, inflammatory bowel disease and drugs (penicillins,sulphonamides, oral contraceptive pill)Pretibial myxoedema
y
 
symmetrical, erythematous lesions seen in Graves' disease
y
 
shiny, orange peel skinPyoderma gangrenosum
y
 
initially small red papule
y
 
later deep, red, necrotic ulcers with a violaceous border
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y
 
idiopathic in 50%, may also be seen in inflammatory bowel disease, connective tissue disorders andmyeloproliferative disordersNecrobiosis lipoidica diabeticorum
y
 
shiny, painless areas of yellow/red skin typically on the shin of diabetics
y
 
often associated with telangiectasiaQuestion 2 of 110A 30-year-old female in her third trimester of pregnancy mentions during an antenatal appointment that she has noticed anitchy rash around her umbilicus. This is her second pregnancy and she had no similar problems in her first pregnancy.Examination reveals blistering lesions in the peri-umbilical region and on her arms. What is the likely diagnosis?ia A.ASeborrhoeic dermatitisia  B.APompholyxia  C.A Polymorphic eruption of pregnancyia  D.ALichen planusia  E.A Pemphigoid gestationisia  Polymorphic eruption of pregnancy is not associated with blistering
P
emphigoid gestationis is the correct answer.
P
olymorphic eruption of pregnancy is not associated with blistering
Skin disorders associated with pregnancy
sqweqwesf erwrewfsdfs adasd dhe 
P
olymorphic eruption of pregnancy
y
 
pruritic condition associated with last trimester
y
 
lesions often first appear in abdominal striae
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