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Author Archives: Anonymous

A 6-year-old child presents with patchy scalp alopecia, scal…

A 6-year-old child presents with patchy scalp alopecia, scale, and posterior cervical lymphadenopathy. Which statement about management is most appropriate?

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A 24-year-old patient presents to a primary care clinic with…

A 24-year-old patient presents to a primary care clinic with a 1-week history of a mildly pruritic rash on the trunk. The patient reports that the rash began with a single large oval lesion on the chest followed several days later by the appearance of multiple smaller, pink, scaly lesions distributed across the trunk in a “Christmas tree” pattern. The patient denies fever, medication changes, or recent illness. Which of the following is the most appropriate management by the provider?

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A 3-month-old infant is brought to a primary care clinic for…

A 3-month-old infant is brought to a primary care clinic for evaluation of a scalp rash present for several weeks. The parent reports thick, yellow, greasy scales on the scalp that are not bothersome to the infant. Physical examination reveals diffuse scaling on the scalp with mild involvement of the eyebrows. There is no significant erythema, excoriation, or hair loss. Which of the following is the most likely diagnosis?

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A 24-year-old patient presents to a primary care clinic with…

A 24-year-old patient presents to a primary care clinic with recurrent episodes of burning and tingling around the upper lip followed by the development of multiple painful grouped vesicles on an erythematous base. The lesions began approximately 24 hours after the onset of tingling symptoms. Which of the following is the most likely diagnosis?

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A provider is evaluating a suspicious lesion on the sole of…

A provider is evaluating a suspicious lesion on the sole of the foot in a patient with dark skin. Which statement best reflects appropriate clinical reasoning?

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A 3-year-old child is brought to a primary care clinic with…

A 3-year-old child is brought to a primary care clinic with a 3-day history of facial lesions that began as small red papules and progressed to superficial erosions with crusting. The lesions are located around the nose and mouth. The child is afebrile and otherwise well. Physical examination reveals multiple crusted lesions with a golden-yellow appearance. Which of the following is the most likely diagnosis?

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A 42-year-old patient presents with a pruritic, well-demarca…

A 42-year-old patient presents with a pruritic, well-demarcated erythematous rash confined to the dorsal hands and wrists after starting a new cleaning job. Which subtype of eczema is most likely?

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A 46-year-old woman has recurrent moist erythema and macerat…

A 46-year-old woman has recurrent moist erythema and maceration beneath the breasts. There is no coral-red fluorescence under Wood lamp. Which diagnosis is most likely?

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A 52-year-old patient with chronic nonmalignant back pain is…

A 52-year-old patient with chronic nonmalignant back pain is being considered for opioid therapy after multiple non-opioid treatments have failed. Which of the following is the most appropriate next step prior to initiating therapy?

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A 72-year-old patient with advanced heart failure continues…

A 72-year-old patient with advanced heart failure continues to receive disease-directed therapy but has worsening dyspnea, fatigue, and anxiety related to disease progression. The family asks whether palliative care means “giving up.” Which response by the provider is most appropriate?

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