Block 6- Endocrine

A five-month-old boy presents to your ED with a rash. He has always had dry skin but the parents note that this rash seems worse. He has had no fevers but has been scratching his face. There is a strong family history of asthma and allergies. He is well appearing on exam with normal vital signs for his age. The blanching rash is located over his face, neck, and extensor surfaces. His diaper area is relatively spared. Which of the following is the most likely diagnosis?

A 52-year-old male has a skin lesion removed from his arm with appropriate sterile precautions. Which one of the following would be most appropriate to use on this surgical wound?

A 53-year-old white female with chronic hepatitis C is concerned about ulcers in her mouth. She is not currently receiving therapy. Your examination reveals several ulcers involving the buccal mucosa. The patient also points out a number of pruritic, reddish-purple plaques on her wrists, ankles, and back. Laboratory studies are within normal limits except for mildly elevated transaminases. Which one of the following is the most likely diagnosis?

A 21-year-old male comes to your office for a follow-up visit to discuss pharmacologic treatment for his acne. He has moderate inflammatory acne lesions with comedones and several papules and pustules, but few nodules. Multiple topical antibiotic therapies, in combination with benzoyl peroxide, have been minimally effective. He is currently using just topical benzoyl peroxide. You would like to prescribe an oral agent to add to his regimen. Which one of the following would be the most effective oral medication to start at this time?

A 33-year-old female presents with highly pruritic raised wheals on her extremities and torso. They only last for a few hours but have recurred over the last several days. There has been no oral swelling or respiratory symptoms. Which one of the following is the best first-line treatment for this condition?

A 15-year-old boy presents with sore throat, pain with swallowing, fatigue, and cervical lymphadenopathy for the past week. He developed a rash two days ago after beginning amoxicillin. Physical exam reveals a diffuse, morbilliform rash. What is the most likely diagnosis?

A 72-year-old man presents with concerns about a skin lesion on the side of his neck that has progressively enlarged over the last six months. Physical exam reveals the lesion seen above. A skin biopsy is completed. Which of the following findings is most consistent with the diagnosis?

A 7-year-old Hispanic female has a 3-day history of a fever of 104.0°F (40.0°C), muscle aches, vomiting, anorexia, and headache. Over the past 12 hours she has developed a painless maculopapular rash that includes her palms and soles but spares her face, lips, and mouth. She has recently returned from a week at summer camp in Texas. Her pulse rate is 140 beats/min, and her blood pressure is 70/40 mm Hg. Which one of the following is the most likely diagnosis?

A 6-year-old girl presents to her pediatrician with skin bumps that started 3 days ago. On exam, the child appears well and has multiple dome-shaped, waxy, umbilicated papules on her face and arms. Which of the following is the most likely etiology of her condition?

A 17-year-old girl presents with one week of worsening swelling, redness, and pain of her right index finger. She had a manicure last week before her prom. Physical exam reveals a small, fluctuant abscess along her lateral cuticle margin. Which of the following interventions is most effective in treating this condition?