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Author Archives: Anonymous

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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A 34-year-old patient presents with persistent facial erythe…

A 34-year-old patient presents with persistent facial erythema, flushing, and inflammatory papules on the cheeks and nose. No comedones are present. Which diagnosis is most likely?

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A primary care practice is revising its emergency operations…

A primary care practice is revising its emergency operations plan to improve disaster preparedness and continuity of patient care. Which of the following additions would most appropriately strengthen preparedness at the practice level?

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A 52-year-old patient with dark brown skin presents with a p…

A 52-year-old patient with dark brown skin presents with a painful lower-leg rash and mild swelling. The provider notes that the area does not appear bright red, but instead has a violaceous-gray hue. Which interpretation is most appropriate?

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A 29-year-old patient presents to a primary care clinic with…

A 29-year-old patient presents to a primary care clinic with several painless, flesh-colored papules with central umbilication located in the suprapubic and genital region. The provider diagnoses molluscum contagiosum. Which of the following is the most appropriate additional management consideration?

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A 37-year-old patient presents with patchy scalp hair loss….

A 37-year-old patient presents with patchy scalp hair loss. On examination, the provider notes several short hairs that are normal distally but thinned proximally near the scalp surface. Which condition is most strongly suggested by this finding?

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A 29-year-old woman presents with persistent acne localized…

A 29-year-old woman presents with persistent acne localized to the jawline and chin that worsens premenstrually. She has failed topical therapy. Which is the most appropriate next step?

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