Papules – Friday Pop Quiz 5/26/2023
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A 38-year-old woman presents with multiple bothersome papules on her nose, as shown. She had previously been seen for these lesions and was treated with benzoyl peroxide wash and oral clindamycin with minimal improvement. Which of the following is the most likely diagnosis?
A. Acne excoriee
B. Atypical mycobacterial infection
C. Foreign body granuloma
D. Hodgkin lymphoma
E. Lup …
A 38-year-old woman presents with multiple bothersome papules on her nose, as shown. She had previously been seen for these lesions and was treated with benzoyl peroxide wash and oral clindamycin with minimal improvement. Which of the following is the most likely diagnosis?
A. Acne excoriee
B. Atypical mycobacterial infection
C. Foreign body granuloma
D. Hodgkin lymphoma
E. Lup … 
A branch of which of the following nerves is most crucial to anesthetize prior to the excision of this squamous cell carcinoma?
A. Auriculotemporal nerve
B. Buccal nerve
C. Greater auricular nerve
D. Inferior alveolar nerve
E. Lingual nerve
To find out the correct answer and read the explanation, click here.
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A 13-year-old girl is brought to the office because she has had the pruritic rash shown for the past 11 months. Her parents say none of the small tubes of moisturizers provided relief, including hydrocortisone 1%, which they applied for 4 days with minimal improvement. Daily bathing and petrolatum application are performed at home. Her medical history is unremarkable except for a peanut allergy, … 
A 6-year-old girl is taken to the emergency department by her parents for a fever, which the patient has had for a 5 day duration. She has bilateral bulbar conjunctival injection without exudate, edema of the feet, and no lymphadenopathy. Her skin exam reveals scattered, dusky erythematous macules and patches, many of which were targetoid, on the torso and extremities. She also has the picture … 
You are asked to evaluate this 44 year old man with a history of diabetes and housing insecurity who is currently in the emergency room. He is also on metformin. The area is exquisitely tender. What is the best first step in your work-up?
A. Deep punch biopsy (double-punch) to evaluate subcutaneous tissue
B. Bacterial and fungal swab
C. Imaging and surgical consult
D. Oral doxycycl … 