SAEM Exam with Questions and Verified Answers

SAEM Exam with Questions and Verified Answers A 50 year-old male presents with a chief complaint of chronic nasal itching and "a sore that won't go away" over the past few months. Of the following choices, which is the most appropriate management? [image nasty basal/scc looking thing] A. prescription of topical steroid cream and follow-up in 5-7 days B. provision of an antibiotic-soaked dressing and reassessment in the E.D. within 48 hours C. urgent or next-day outpatient follow-up in Dermatology Clinic D. CT scan of the face for signs of nasal or facial trauma E. screening of the eyes for zoster opthalmicus ANSWER C. urgent or next-day outpatient follow-up in Dermatology Clinic The answer is C. The patient's history and presentation are highly suggestive of malignancy. The patient depicted in the figures developed a rash on the face and chest, with subsequent sparse involvement of the extremities. Of the choices below, which is the most likely diagnosis for the patient depicted in the figures? [image shows peeling skin] [image] A. erythema multiforme minor B. meningococcemia C. cellulitis D. Rocky Mountain spotted fever E. Stevens-Johnson syndrome ANSWER E. Stevens-Johnson syndrome