USMLE Forum Archives - USMLE Step 3 - infection
infection
ysemak - 01-21-10 11:49
A 32 year-old man has come to your clinic for the evaluation of a recent development of thick, red, scaly, plaques on his elbows, palms, eyebrows and periauricular skin. The lesions do not itch. He states he has never had similar rashes in the past. He has no known health problems. He was last seen in the clinic 6 months ago and prior to that 2 years previously (both for episodes of urethritis). His weight has decreased 8 Kg from the last clinic visit. He has also had occasional night sweats in the past few months which began after a flu-like illness in July. His physical examination is notable for widespread, thick, indurated plaques with silvery scales overlying them in the areas described as well as in the groin and palmar creases. He has a few pustules across his shoulders and has shallow dimples in several of his nails.
ysemak - 01-21-10 11:49
A 32 year-old man has come to your clinic for the evaluation of a recent development of thick, red, scaly, plaques on his elbows, palms, eyebrows and periauricular skin. The lesions do not itch. He states he has never had similar rashes in the past. He has no known health problems. He was last seen in the clinic 6 months ago and prior to that 2 years previously (both for episodes of urethritis). His weight has decreased 8 Kg from the last clinic visit. He has also had occasional night sweats in the past few months which began after a flu-like illness in July. His physical examination is notable for widespread, thick, indurated plaques with silvery scales overlying them in the areas described as well as in the groin and palmar creases. He has a few pustules across his shoulders and has shallow dimples in several of his nails.
The correct answer and explanation will be available after you answer.
Page 1
#1
Re: infection conym5 - 01-21-10 23:14 My answer is: d.
A portion of people who have three or more affected joints may have a higher risk of joint destruction and disability. When it is not relieved by anti-inflammatory drugs, more potent medications may be required. Some cases may require surgery and rehabilitation.
#22
Re: infection babbu5508 - 08-29-10 23:56 My answer is: d.
systemic diseases are well treated by corticosteroids or immunosuppressants...steroids to be given systemically for better effect on other organ systems which may be involved..
Page 1