More Than Skin Deep

QUESTION 1:

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QUESTION 2:

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QUESTION 3:

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A 41-year-old woman presents with chest pain and dysphagia. Routine laboratory studies reveal profound neutropenia. The patient has a history of hepatitis B, hepatitis C, schizophrenia, and recent keratoplasty. Hemoglobin level is 12.3 g/dL; platelet count is normal. She smokes tobacco (4 or 5 cigarettes a day) and crack cocaine (2 or 3 times a week).

QUESTION 4:

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Skin lesions are noted on the arms and legs of a 54-year-old woman with type 2 diabetes mellitus and hypertension. The lesions are itchy and are aggravated by the patient’s “rubbing” them. Multiple lesions are identified all over her body in no specific pattern; however, they are bilateral and symmetric and in different stage of healing.

QUESTION 5:

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ANSWER KEY:

Question 1. Answer: b

Question 2. Answer: a

Question 3. Answer: e

Question 4. Answer: b

Question 5. Answer: c