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Reviewed January 2024 Ankylosing Spondylitis (Radiographic Axial Spondyloarthritis) Sample question: A 51-year-old man presents with low back pain that has been worsening over the past several years. Radiographs of the spine demonstrate fusion of the sacroiliac joints and a “bamboo spine.” Blood tests reveal that he is human leukocyte antigen B27 positive. Which of the following findings read more…

Reviewed January 2024 Von Willebrand disease Sample question: A 27-year-old woman presents to the emergency department with vaginal bleeding. She states that the bleeding is sporadic throughout the month and her periods last up to 8–10 days. She is otherwise healthy and has no other concerns. She notes that her mother and sister have always had long read more…

Reviewed February 2024 Hypothyroidism Sample Question: A 30-year-old woman presents to the clinic with hair loss, fatigue, weight gain, and constipation. She also reports symptoms of arthralgia. Her heart rate is 50 bpm. Physical examination reveals cool, rough, dry skin, periorbital puffiness, and pallor. A beta-hCG test shows a negative result. Which of the following read more…

Reviewed January 2024 Hyphema Sample Question: A 13-year-old boy is brought to the urgent care clinic by his mother. He was struck in the eye with a baseball while playing with classmates during recess. He complains of blurred vision and excruciating eye pain. Examination of the eye reveals decreased visual acuity, miosis, photophobia, and grossly visible read more…

Reviewed February 2024 Ménière Disease Sample Question: A 28-year-old man presents to his primary care physician for evaluation of intermittent episodes of left ear tinnitus, fullness, and hearing loss over the past 6 months. He reports no history of loud noise exposure or recent ear or upper respiratory tract infections. On two occasions without any read more…

Reviewed February 2024 Osgood-Schlatter Disease Sample question: A 15-year-old boy presents to the ED with right knee pain for the last 2 weeks. He is the point guard on his high-school basketball team. The pain is worse after basketball practice or a game. He does not specifically remember injuring his knee. On examination, he is tender read more…

Reviewed February 2024 Myasthenia Gravis Sample Question: A 27-year-old woman presents to the clinic concerned about eye strain. Her vision is sometimes blurry after working at a computer all day. Her boyfriend has noticed that one of her eyelids sometimes droops. Her symptoms are absent in the morning but develop and worsen as the day read more…

Reviewed February 2024 Multiple Myeloma

Reviewed February 2024 Molluscum Contagiosum

Reviewed February 2024 Complex Regional Pain Syndrome

Bacterial Tracheitis Sample Question: A 3-year-old boy presents in severe respiratory distress. His mother informs you that he has been ill for the last five days, initially with a low-grade fever and “barky cough.”  He was seen at an urgent care facility four days ago and given a “breathing treatment” and discharged on steroids. He has become read more…

Reviewed January 2024 Absence Seizures

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Reviewed January 2024 Small Bowel Obstruction

Reviewed January 2024 Appendicitis

Today’s teaching image and Rapid Review covers cardiac tamponade. Pericardial Tamponade Patient will be complaining of dyspnea and chest pain PE will show muffled heart sounds, JVD and hypotension (Beck’s triad), pulsus paradoxus  ECG will show low voltage QRS, electrical alterans Echocardiography will show diastolic collapse of RV Treatment is pericardiocentesis For more teaching images, try read more…

Today’s teaching image and Rapid Review covers tinea versicolor. Tinea Versicolor Malassezia furfur Patches with altered pigmentation Torso Affected skin does not tan Selenium shampoo For more teaching images, try a free trial of our board review qbanks.

Today’s teaching image and Rapid Review covers basilar skull fracture. Basilar Skull Fracture Petrous portion of temporal bone fracture most common Battle’s sign, raccoon eyes, hemotympanum, CSF otorrhea/rhinorrhea CN VII, VIII entrapment CT For more teaching images, try a free trial of our board review qbanks.