IM_Quiz_3_answered - Points Awarded 3.00 Points Missed 2.00...

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Unformatted text preview: Points Awarded 3.00 Points Missed 2.00 Percentage 60.0% 1. A 36-year-old plumber presents with low grade fever, skin rash over his both arms for 2 weeks as shown above. He also complains of abdominal pain and L foot drop and a weight loss of 4.5 lbs. Past medical history is notable that he was told that he had a protracted neonatal jaundice. Physical examination shows blood pressure is 148/92 mmHG, pulse rate is 80 bpm, temperature is 99.5°F. Skin as shown in the picture. Examination of heart, lungs and abdomen is normal. He has mild light touch sensory loss of both feet. Laboratory studies show: Normal CBC, except 6 % eosinophils, erythrocyte sedimentation rate of 70 mm/Hr, creatinine of 3 mg/dL, urine has 1+ protein and few dysmorphic RBCs. ANA test is negative . ALT and AST are normal. Hepatitis C antibody and hepatitis B surface antigen are positive. Which of the following is most likely? A) Systemic lupus B) Cryoglobulinemia C) Henoch-Schonlein purpura D) Polyarteritis nodosa E) Lead poisoning Points Earned: 1.0/1.0 Correct Answer(s): D 2. A 44-year-old man is taken to an ER due to sudden onset of chest pain of one hour duration. The chest pain is located substernally and associated with mild shortness of breath. Other than his regular cigarette cough, he has no other symptoms. His substernally and associated with mild shortness of breath....
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This note was uploaded on 10/13/2010 for the course USMLE na taught by Professor Na during the Spring '10 term at St. Matthew's University.

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IM_Quiz_3_answered - Points Awarded 3.00 Points Missed 2.00...

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