Answer 10

10.  Choice B is the correct answer.  Molluscum Contagiosum is caused by the poxvirus.  Cocksackie Virus causes hand, foot and mouth disease.   Fifth's disease is caused by Parvovirus.  HSV is the virus the causes herpes simplex

Question 10

10.  Which organism has been implicated in the rash listed below in the photograph?

A.  Cocksackie Virus
B.  Poxvirus
C.  Parvovirus
D.  HSV

Answer 9

9.  Choice B is the correct answer.  This patient is hypotensive and exhibiting signs of her airway swelling.  This is one of the major indications for epinephrine.  The alpha antagonist epinephrine will help reduce the swelling and increase the patients blood pressure.  These cytokines that cause this are released from the mast cells.  Diphenhydramine is indicated but will not help the patient immediately.  There is no evidence to suggest that ipatroprium or a Zantac drip will show benefited patient outcomes.

Question 9

9.  Your patient is an 18 year old female recently started on bactrim for a UTI.  She comes in with the rash depicted below and shortness of breath and diffuse wheezing.  She is starting having trouble swallowing.   You have ordered albuterol aerosol, solumedrol, and zantac IV.   Her vitals are as follow:  BP 75/43, Pulse-112, O2 Sat 91% on 100% NRB.  Which of the following is the most important therapeutic intervention?

A.  Diphenhydramine IV
B.  Epinephrine
C.  Ipatroprium Bromide Aerosol
D.  Zantac Drip

Answer 8

8.  Choice D is the correct answer.   Nodular Melanoma has the worse prognosis because it grows deep.  It makes up about 16% of melanomas.  Lentigo Maligna Melanoma has the best prognosis of the melanomas because it grown radially and does not extend deep.  The most common type of melanoma is superficial spreading melanoma and this makes up 70% of all melanomas.  Basal Cell Carcinoma is the slowest growing skin cancer and in general has the best prognosis.

Question 8

8.  Which of the following skin cancers has the worse prognosis?

A.  Lentigo Maligna Melanoma
B.  Superficial Spreading Melanoma
C.  Basal Cell Carcinoma
D.  Nodular Melanoma

Answer 7

7.  Choice B is the correct answer.  This patient has HIV until proven otherwise.  This picture is of a patient with Kaposi Sarcoma.  VDRL is a test for syphillis and this has not been implicated in relation to Kaposi Sarcoma.  Hepatitis C and HSV have not been implicated in this disorder either.  

Question 7

7.  Your patient is a 51 year old male that presents with a lesion in the picture listed below.  He indicates he has not seen a doctor in over 30 years.  Which of the following is the best test to order (other than biopsy) to help look for a potential etiology of this disease?

A.  VDRL
B.  Western Blot Test
C.  Hepatitis C Surface Antigen
D.  Culture patient for HSV

Answer 6

6.  Choice D is the correct answer.  Acne Vulgaris results from as changed in the keratinization pattern in the hair follicle.  The secretion is blocked.  Lesions are a result of interaction between bacteria and hormones.  Cleocin T helps kill this bacteria.  Isotretinoin inhibits sebaceous gland function and keratinization.  The estrogen in the birth control pills help interfere with interaction between the bacteria and the hormones.  The immunosuppressor cyclosporin has no role in treatment of acne.  

Question 6

6.  Which of the following are not considered part of the excepted treatment of acneiform vulgaris?

A.  Cleocin T
B.  Isotretinoin
C.  Birth Control Pills
D.  Cyclosprorin