Med Quiz 1

Vulvar lichen planus is an autoimmune condition that presents with:

• pruritic purple plaques

• darkening of the dermal layer

• thick mucous secretion

• no visual changes to the vulva

This patient has been repeatedly scratching. This has resulted in what?

• Atopic dermatitus

• Lichen simplex chronicus

• Vulvar lichen planus

• Hyperpigmented areas

Lichen simplex chronicus occurs secondary to ________.

• exposure to treatments that the patient is allergic to

• exposure of UV rays including outdoor exposure to sun

• repetitive scratching.

• a sedentary lifestyle.

Which are clinical features of: Vulvar lichen sclerosus

• Thin, white, wrinkled skin over the labia that may extend to the perineum and anus.

• fissures from severe pruitus.

• Dysuria

• painful defecation

True or False: Disc herniation worsens with lumbar flexion.

• True

• False

SIBO

• Small Ingested Bacteria

  Overgrowth

• Small Intestinal Bacterial Overgrowth

• Strong Internal Bowell Obstruction

• Small Infected Bowell Opening

What might lead to suggest SIBO?

• abdominal pain

• solid stools

• positive glucose breath test

• bloating

• a dry cough

SIBO can develop in patients with altered small bowel motility such as:

• diabetes mellituss

• chronic tobacco use

• surgery involving ileocecal valve

• chronic opiate use

Why would a patient with SIBO be Vitamin B12 deficient?

• poor diet

• bacterial consumption

• high levels of folate due to bacterial production

• bacteria are not producing enough B12

EoE

• eosinophillic esophagitis

• elongated esophagitis

• eosinophillic estrogen