Question

• A 33 yo male presents with a right knee injury associated with pain and swelling. He was running and suddenly stopped, hyperextended his knee, heard a pop and noticed immediate swelling. On exam, the Lachman test and anterior drawer test demonstrates joint laxity. What is your diagnosis?

• A 22 yo female presents with cola colored urine and has not urinated in the last 24 hours. She recently was diagnosed with pharyngitis 2 weeks ago. On exam, she has edema of her face and hands. What is your diagnosis and what would you expect on her urinalysis to confirm your diagnosis?

• A 72 yo farmer presents for examination of a pearly ulcerated papule on his right nostril. The papule has been bleeding on and off for several weeks. What is your diagnosis and how would you describe the bleeding vessels?

• A 3 month old child presents for a routine well child check.   The child is well developed, well nourished and no cyanosis present.   On exam, a 3/6 high pitched, harsh, pansystolic murmur heard best at the 3rd and 4th intercostal spaces with radiation across the precordium. What is your diagnosis and what would be the initial diagnostic study of choice in this patient?

• A 26 yo female presents requesting STD screening after her boyfriend was recently treated for a STD. On exam, you find a painless vulvar ulcer. What is your diagnosis?

• A 55 yo female patient presents with lethargy, fatigue, constipation, and menorrhagia. On exam, you reveal an enlarged thyroid, dry skin, and a heart rate of 50 BPM. Lab results show a decrease in free T4, and an elevation in TSH. What is the most likely diagnosis?

• A 19 yo male presents to the ED with a sudden onset of dyspnea and left sided chest pain. He denies fever, chills, or sore throat. On exam, he is 6’2” and weighs 135 lbs. Vitals BP 86/60, HR 130 BPM, Respiration Rate 28, Temp 98.6 degrees F. What is the likely diagnosis and what would likely find on examination of his thorax?

Answer 1

Question 1

33 years male

Answer: injury on anterior cruciate ligaments.

Question 2

22 years female

Answer: Acute glomerular nephritis

Question 3

72 years old

Answer: Epistaxis

Question 4

3 months baby

Answer: ventricular septal defect.

Question 5

26 female

Answer: syphilis.

Question 6

55 years female

Answer: hypothyroidism.