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Jack L., 37yo, complains of general
tiredness, confusion, and weight gain. Upon exam, you note delayed relaxation of deep
tendon reflexes. His vitals are within normal limits, however, his heart rate is 62. You
would suspect: |
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Gonnorhea |
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Hypothyroidism |
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Hyperparathyroidism |
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Diabetes, type II |
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| 2 |
Jason, a 19 yo, complains of mild
dysuria and an occasional penile discharge. He reports that he has had several
heterosexual partners in the last few months. What STD might you supect. |
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TB |
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Syphilis |
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Chlamydial infection |
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PID |
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| 3 |
Steven, a 7 yo, is brought to the
clinic by his mother. During the past 3 years he has grown 8 inches. He was a full-term
healthy baby with a normal delivery. Upon exam, his height is average for a 11 year old
and his weight is average for a 10 year old. He is tall, and well-proportioned and
muscular. He has some facial acne. His penis is large for his age, but his testes are
small. You also note pubic hair growth. What endocrine disorder might you suspect? |
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Hyperparathyroidism |
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Myxedema coma |
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Excessive androgen production |
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Cushings Disease |
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| 4 |
Sharon F., a 36 yo, complains of
frequent headaches, tingling in her fingers and nocturia. She reports that her menstural
periods have gotten progressively irregular and basically stopped about 3 months ago. Upon
exam, you find a obese, well developed female. Her facial features are course, with an
enlarged forehead and jaw. She has a positive Tinel's sign. Her skin is oily. She reports
that her skin used to be dry, but now she has a terrible time with pimples on her face,
back, and chest. You suspect: |
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Acromegaly |
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Hypopituitarism |
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Addison's Disease |
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Herpes Zoster |
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| 5 |
Vicky J., a 27 yo, presents with
fever, muscle aches, vaginal discharge, and a two blister-like "sores" on her
vulva. She has been in a monogamous heterosexual relationship with her husband for the
past 4 years. She's not sure if her husband has ever had any similar blisters. Upon exam
you note another lesion is in her vagina. What STD do you suspect? |
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NGU |
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HIV |
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Genital Herpes |
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Gonorrhea |
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| 6 |
Grace S., a 54 yo, complains of
chest pain and palpitations. This has been progressively getting worse for the past 3
months. She complains that she is nervous, irritable, and is having difficulty sleeping.
She has been having trouble controlling her emotions. Her chest pain is non-radiating and
is not related to movement. She has experienced a 10 pound weight gain and is "hot
all the time". You suspect: |
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Hypercortisolism |
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Hyperthroidism |
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Syphilis |
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Diabetes, type I |
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| 7 |
Virginia T., 47 yo, is a well
developed obese woman with a rounded face. She complains of back pain, fatigue, muscle
weakness. She has several bruises on her arms and legs that she reports "happens all
the time when I just barely hit something". She reports that she has had a gradual 20
pound weight gain over the past 2 years - mostly evident in her stomach and face. Her face
is rounded with rosey cheeks. There is an abundance of facial hair present on the chin,
upper lip, and side of her face.What endocrine disorder do you suspect? |
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Hyperthyoidism |
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Addison's Disease |
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Thyrotoxicosis |
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Cushing's Disease |
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| 8 |
Julio P., a 34 yo migrant worker,
presents with a ulcer on his penis. It is eroded and painful. He states that he's had it
for about 5-6 weeks. He also reports a sore throat, "feeling bad all over" with
joint pain, and a rash. The rash is raised and scaly and are primarily on his palms and
the soles of his feet. What STD would you suspect? |
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Gonorrhea |
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Syphilis |
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Chancroid |
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Chyamydia |
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