Jeopardy

Question 1

rapidly worsening swelling of the lips that began 3 hours earlier. you suspect this diagnosis

Answer 1

angioedema

Question 2

You note this red lesion on one of your pediatric patients. Parents want to know what to call it:
Big red mark on buttocks

Answer 2

hemangioma

Question 3

66 year old man notes a 20 year history of this slowly- enlarging growth on his hard palate. History is otherwise unremarkable. You give him this diagnosis:

Answer 3

What is torus palatinus (benign)

Question 4

21 yo female presents with rash, high fever & arthralgias. Rash appeared on lower extremities following pharyngitis. Throat
culture is positive for streptococcus pyogenes. You suspect this:

Rash - feet, near edges

Answer 4

What is erythema marginatum

Question 5

16 year old patient presents for high school sports physical. He just started dating. You note this purpuritic finding on exam:

Answer 5

What is suction bruise or “hickey”

Question 6

Approximately 3 out of every 4 patients who die from skin cancer, have this type of skin cancer:

Answer 6

melanoma

Question 7

An emerging treatment strategy involves injecting candida antigen into the lesion, which activates this type of immune system response:

Answer 7

What is cell- mediated immunity

Question 8

55-yo male presents to ER with impaired visual acuity. BP is 200/120. A cerebral venous sinus thrombosis is found. Fundoscopic exam reveals this abnormality:

choked disc

Answer 8

papilledema

Question 9

89-yo female with non-painful lesion on left labia majora for past 1-2 years. No history of sexual activity for 20 years. You suspect this diagnosis:

Answer 9

squamous cell carcinoma

Question 10

You are evaluating this 16 year old female for sore throat. You describe the bilateral small, red dots seen on examination of the soft palate using this word:

Answer 10

petechiae

Question 11

Insecticide treated nets (ITNs), at the cost of $3.00, are most helpful in the prevention of this RBC disease:

Answer 11

Malaria

Question 12

61-yo male has painless plaque on right side of scrotum. Presented 1.5 years ago & slowly enlarging. History, remaining exam & CBC with differential are unremarkable.

Answer 12

basal cell carcinoma

Question 13

26 year old woman started on amoxicillin three days ago for an ear infection. She developed this abnormality

Answer 13

hives

Question 14

You notice this lesion on the face of one of your 6- year old patients on a routine visit: (red mark with red ;lines to it)

Answer 14

spider nevus

Question 15

63-year old male reports 2 months of progressive weakness, fatigue and night sweats. HGB: 14.6 g/dL, WBC: 24.1, 69% lymphocytes. Peripheral smear is consistent with this diagnosis:

small mature lymphocytes

Answer 15

cll

Question 16

Healthy 69-year old female with new onset iron deficiency anemia. You should consider a malignancy within this organ system:

Answer 16

GI

Question 17

41 year old man with history of allogenic hematopoietic stem cell transplant 4 years ago. This condition has now caused a rash on his face, trunk and extremities.

Answer 17

Chronic Graft vs Host Disease

Question 18

39 year old woman: New onset of multiple red papules on tongue. History is notable for many prior episodes of epistaxis since childhood, and possible pulmonary AV malformation. You suspect this:

Answer 18

Rendu-Osler-Weber Syndrome, or Hereditary Hemorrhagic telangiectasia (HHT)

Question 19

40 year old female notes a 4 year history of gradually enlarging nodule near nail fold above nail matrix. Lesion is painful with light to moderate pressure & immersion in cold water

Answer 19

Glomus Tumor or glomangioma (benign)

Question 20

Serious malady, typically diagnosed at age 3-6 months of age, with many genetic causes. Opportunity for normally harmless pathogens, leaving doctors thinking “Not Jirovecii! WBC please!”

Answer 20

Severe Combined Immunodeficiency (SCID)

Question 21

11 year old male has severe diet restrictions due to food allergies. Corkscrew leg hairs and petechial rash develop due to this condition:

Answer 21

Scurvy (Vitamin C Deficiency)

Question 22

This diesease is endemic in Central Africa and associated with the same virus as mononucleosis:

Answer 22

Burkitt Lymphoma

Question 23

Thymic hypoplasia characterized by deletion or mutation of TBX1 transcription factor gene. Results in variable loss of T cell-mediated immunity & congential defects

Answer 23

DiGeorge Syndrome

Question 24

You note this chronic lesion on the lower lip of one of your elderly patients

purple lump

Answer 24

venous lake

Question 25

24 year old Floridian graduate student presents with these skin changes on anterior thighs for 1-2 years.

Answer 25

erythema ab Igne (benign)

Question 26

20 year old healthy male presents with pruritc, progressive rash. Basement membrane immunofluoresces on skin biopsy.

Answer 26

Linear IgA Bullous Dermatosis (LABD)

Question 27

60 year old male started on Septra DS (Sulfa Derivative) for a urinary tract infection, then developed this abnormality:

Answer 27

erythema multiforme

Question 28

Though lesions in this disorder could be mistaken for eczema or psoriasis, this disorder involves abnormality of the immune cells

Answer 28

Mycosis Fungoides, or Cutaneous T-Cell Lymphoma

Question 29

The transcription factor that goes to work after a naïve CD4+ T cell receives instructions in form of IL-2 and TGF-beta.

Answer 29

foxp3