started on his back with a multitude of spots and is also on his arms, chest, and neck.
It itches a lot. He does sweat more than before because being outdoors is part of his
job. On , physicals examination, you note dark tan patches with a reddish cast that has
sharp borders and fine scales, scattered more prominently around the upper back,
chest neck and upper arms as well as under the arms. Based on this description, what
is your most likely diagnosis?
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Tinea versicolor
A 8-year-old girl comes with her mother for evaluation of hair loss. She denies pulling
or twisting her hair, and her mother has note noted this behavior at all. She does not
put her hair in braids. On physical examination, you note a clearly demarcated, round
patch of hair loss without visible scaling or inflammation. There are no hair shafts
visible. Based on this description, what is your most likely diagnosis?
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Alopecia areata
A 19-year-old college student presents to the emergency room with fever, headache
and neck pain/stiffness. She is concerned about the possibility of meningococcal
meningitis. Several of her dorm mates have been vaccinated, but she hasn't been.
Which of the following physical examination descriptions is most consistent with
meningitis/
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Head is normocephalic and atraumatic, fundi with blurred disc margins,
neck tender to palpation, unable to perform range of motion
A patient comes to you for the appearance of red patches on his forearms that have
been present for several months. They remain for several weeks. He denies a history
of trauma. Which of the following is likely?
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Actinic purpura
Which of the following changes are expected in vision as part of the normal aging
process?
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