A healthy 84-yo woman had 3 mo of double vision, droopy eyelids (worse on the right and in evening), and progressive bilateral arm weakness that was worse on exertion and better after rest. Cognition, reflexes, and sensation were normal. Diagnosis?
Posterior circulation stroke
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Myasthenia gravis
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Botulism
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Cavernous sinus thrombosis
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Guillain-Barre syndrome
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(BMJ) - A healthy 22-yo woman presented with painful genital ulcers for 1 year, unresponsive to various treatments. Exam revealed labia majora and cervix lesions, aphthous-like oral lesions, and leg folliculitis. ESR was elevated. What is the diagnosis?
Herpes zoster
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Systemic lupus erythematosus
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Behcet disease
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Disseminated gonorrhea
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Ulcerative colitis
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A 45-yo man presented with a 6-mo hx of diarrhea, abdominal pain, weight loss, and iron-deficiency anemia. Extensive work-up including stool studies, UGI, and limited colonoscopy was negative. Abdominal US and capsule endoscopy were performed. Diagnosis?
Yersinia enterocolitica
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Cecal malignancy
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Whipworms (Trichuris trichiura)
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Meckel diverticulum
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H pylori infection
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A 6-yo boy presents with 1 mo of itchy 1- to 3-mm pearly, dome-shaped papules in a red, scaly, and slightly edematous area on the thighs. He is healthy with no history of atopy. What is it?
Molluscum-associated dermatitis
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Scabies
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Lichen planus
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Herpes zoster
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Impetigo
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