Lesions, Markers, Metastases, and Prognosis

QUESTION 1:

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An 8-year-old boy presents with multiple, asymptomatic red to brown, variably sized papules on the face. The diagnosis is adenoma sebaceum, or facial angiofibromas.

QUESTION 2:

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QUESTION 3:

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A CT scan of the abdomen of a 64-year-old man whose colorectal cancer had been diagnosed 4 years earlier revealed a new heterogeneous mass in the inferior pole of the left kidney with new bulky retroperitoneal lymphadenopathy encasing the left renal vein. Chest CT revealed multiple pulmonary nodules. Biopsies confirmed metastatic adenocarcinoma of the colon.

QUESTION 4:

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A 53-year-old woman complained about the sudden onset of a widespread itchy rash. The patient had disseminated granuloma annulare.

QUESTION 5:

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ANSWER KEY:

Question 1. Answer: e

Question 2. Answer: a

Question 3. Answer: b

Question 4. Answer: b

Question 5. Answer: b