Front

A 2-year-old male is brought to the emergency department after a generalized seizure that lasted for 3 minutes and was witnessed by his parent. An examination is significant for a temporal temperature of 38.8 °C (101.8 °F), runny nose, and cough. He does not have any previous history of seizure. A neurologic examination is benign. What is the most appropriate management regarding this patient’s seizure?

Back

Reassurance and return precautions

Front

A 30-year-old male presents with a nonpainful lump in his genitalia, described as a nontender “bag of worms” mass in the left scrotum. His condition is concerning for which reason?

Back

It may be contributing to his infertility.

Front

A 50-year-old male with hypertension has a platelet count of 110,000/mm3 (N 150,000–450,000) and a repeat count of 115,000/mm3. What is the most appropriate initial test? Options: A. A prothrombin time and partial thromboplastin time, B. A peripheral blood smear, C. A serum haptoglobin level, D. Serum protein electrophoresis, E. Bone marrow aspiration

Back

A peripheral blood smear

Front

A 55-year-old female sees you because of weakness in the left leg. She has a history of hypertension, type 2 diabetes, osteoarthritis of the knees, and degenerative disk disease of the cervical and lumbar spines. An examination is notable for focal weakness on dorsiflexion of her left foot and extension of her toes, and a neurologic examination is otherwise normal. Which one of the following is the most likely explanation for these findings? Options: A. Cervical myelopathy, B. Diabetic neuropathy, C. L4 nerve root impingement, D. Peroneal nerve compression, E. Tarsal tunnel syndrome

Back

Peroneal nerve compression

Front

A 12-year-old has an itchy scalp with annular lesions and tender lymphadenopathy. What is the most appropriate next step?

Back

Initiating oral terbinafine.

Front

A 55-year-old female presents with lateral hip pain. You suspect greater trochanteric pain syndrome and prescribe anti-inflammatory medications and physical therapy. If her pain does not respond to these measures, which one of the following alternative diagnoses is most likely? A. Femoroacetabular impingement, B. Gluteus medius tendon tear, C. Ischiofemoral impingement, D. Labral tear, E. Piriformis syndrome

Back

Gluteus medius tendon tear