Go For The Glory Quiz: Melanoma? Löfgren syndrome; Atrial Fibrillation; Altered Mental Status

QUESTION 1:

For the discussion, click here.

Click here for the next question.

For the answers, click here.

A 69-year-old homosexual man complained about an asymptomatic “dark spot” on his cheek. The lesion had been present at least 6 months. His medical history included rare actinic keratoses.

QUESTION 2:

For the discussion, click here.

Click here for the next question.

For the answers, click here.

Lfgren syndrome is a form of acute sarcoidosis characterized by a triad of symptoms: hilar adenopathy, erythema nodosum, and arthralgias.

QUESTION 3:

For the discussion, click here.

For the Yoga My Heart Study, click here.

Click here for the next question.

For the answers, click here.

QUESTION 4:

For the discussion, click here.Click here for the next question.For the answers, click here.

A 54-year-old woman had altered mental status and confusion of 2 days’ duration. She had been receiving chemotherapy for 5 months for metastatic pancreatic adenocarcinoma. Other relevant medical history included deep venous thrombosis, anemia, chronic hyponatremia, osteoporosis, irritable bowel syndrome, and seasonal allergies. She did not use tobacco, alcohol, or illicit substances. Cranial nerve function was intact but ocular examination revealed bilateral horizontal nystagmus. An MRI study of the brain revealed abnormal signaling in the periaqueductal gray matter.

QUESTION 5:

For the discussion, click here.

For the answers, click here.

A 38-year-old homosexual man presented with cough and multiple asymptomatic lesions on his face. A chest film was positive for nodular parenchymal infiltrates, most consistent with an infection from either acid-fast bacilli or fungi. Laboratory tests revealed a positive HIV serology and gross lymphopenia.

ANSWER KEY:

Question 1. Answer: c

Question 2. Answer: a

Question 3. Answer: b

Question 4. Answer: b

Question 5. Answer: c