Oh! Medical School..
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Image Challenge

Source: The New England Journal of Medicine

                 

Which one of the following drugs of abuse is most typically associated with the illustrated complication?

A- Ketamine

B- Heroin

C- Cocaine

D- Phencyclidine

E- Mescaline

Chose your answer?

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Image Challenge

Source: New England Journal of Medicine

                         

This 9-year-old boy presented with a two-day history of right shoulder pain after an upper respiratory tract infection. What is the cause of the abnormality demonstrated?

A- Palsy of the long thoracic nerve

B- Subcutaneous emphysema

C- Neuralgic amyotrophy

D- Pleural prolapse

E- Scapular subluxation

Chose your answer?

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Image Challenge

Source: New England Journal of Medicine

            

What endocrine diagnosis is affecting the identical twin on the right side of the image?

A- Acromegaly

B- Addison’s disease

C- Cushing’s syndrome

D- Hypogonadism

E- Hypothyroidism

Chose your answer?

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Answer of the image challenge

Answer of the image challenge D - Turner syndrome

Why?

Redundant nuchal skin is a typical finding in neonates with Turner syndrome and trisomies such as Down syndrome.

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Image Challenge

Source: New England Journal of Medicine

                    

What is the most likely diagnosis?

A- Alport syndrome

B- Angelman syndrome

C- Fragile X syndrome

D- Turner syndrome

E- Williams syndrome

Chose your answer?

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Answer of the image challenge

The correct answer is letter E- Right sixth cranial nerve palsy.

Why?

The neurologic examination reveals an inability to abduct the right eye with horizontal gaze to the right, a finding that is consistent with an isolated right abducens nerve palsy.

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Answer of the image challenge

The correct answer is letter C- Caput Medusae

Why?

These enlarged veins on his abdomen are consistent with caput medusae.

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Image Challenge

            

What is the diagnosis?

A- Subcutaneous Metastases

B- Filariasis

C- Caput Medusae

D- Neurofibromatosis

E- Hepatocellular Carcinoma

Chose your answer?

Source: New England Journal of Medicine

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Answer of the image challenge

The correct answer is letter C - Pituitary tumor.

Why?

The sinus radiograph reveals an enlarged sella turcica. Magnetic resonance imaging confirmed a pituitary macroadenoma that had caused cerebrospinal fluid rhinorrhea.

Source: New England Journal of Medicine

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Image Challenge

           

This patient presented with unilateral rhinorrhea. What is the diagnosis?

A- Nasal foreign body

B- Osteoma

C- Pituitary tumor

D- Skull fracture

E- Sinusitis

Chose your answer?

Source: New England Journal of Medicine

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Image Chalenge

Every day I’m going to choose a image challenge for you guys… You will have one day to answer, so then I’ll put the correct answer and an article about the topic of the challenge…
And all the credits go to NEJM - New England journal of medicine.
So here comes the first…

                            

Which one of the following conditions is the most likely to be responsible for this clinical picture?

A- Excessive fluoride supplementation

B- Hyperbilirubinemia

C- Treatment with tetracycline

D- Trichophyton rubrum infection

E- Pseudomonas aeruginosa infection

Chose your answer?