Solutions
A 12 y/o presents to the clinic w his father for eval of a painful
lump in the left eye. it started this morning. he denies any
trauma or injury. there is no visual disturbance. upon physical
exam, there is a red raised area at the external margin of the
eyelid that is tender to palpation; no tearing occurs w palpation
of the lesion. based on this description, what is the most likely
dx? Correct Answers hordeolum
A 15 y/o high school sophomore comes to the clinic for eval of a
3 week hx of sneezing, clear nasal discharge, and itchy, watery
eyes. he states this happens every spring. which is the most
likely pathologic process? Correct Answers allergic
a 28 year old patient comes to the office for evaluation of a rash.
at first there was only one large patch, but then more lesions
erupted suddenly on the back and torso. the lesions itch. on
physical examination, you note that the pattern of eruption is
like a christmas tree and that there are a variety of erythematous
papules and macules on the cleavage lines of the back. based on
this description, what is the most likely diagnosis? Correct
Answers pityriasis rosea
A 29 y/o physical therapist presents for eval of an eyelid
problem. on observation, the right eyeball appears to be
protruding forward. based on this description, what is the most
likely dx? Correct Answers exophthalmos
, A 50-year-old body builder is upset by a letter of denial from his
life insurance company. He is very lean but has gained 2 pounds
over the past 6 months. You personally performed his health
assessment and found no problems whatsoever. He
says he is classified as "high risk" because of obesity. What
should you do next? Correct Answers measure his waist
a 55-year-old bookkeeper comes to your office for a routine
visit. You note that on a previous visit for treatment of contact
dermatitis, her blood pressure was elevated. she does not have
prior elevated readings and her family history is negative for
hypertension. You measure her blood pressure in your office
today. which of the following factors can result in a false high
reading? Correct Answers blood pressure cuff is tightly fitted
a 67 y/o lawyer come to your clinic for an annual exam. he
denies any hx of eye trauma. he denies any visual changes. you
inspect his eyes and find a triangular thickening of the bulbar
conjunctiva across the outer surface of the cornea. he has a
normal pupillary rx to light and accommodation. based on this
description, what is the most likely dx? Correct Answers
pterygium
a 67-year-old retired janitor comes to the clinic with his wife.
she brought him in because she is concerned about his weight
loss. he has a history of smoking 3 packs of cigarettes a day for
30 years, for a total of 90 pack-years. he has noticed a daily
cough for the past several years, which he states is productive of
sputum. He came into the clinic approximately 1 year ago, and
at that time his weight was 140 pounds. today, his weight is 110
pounds. which one of the following questions would be the most