10-03-2010, 12:37 PM
A 63-year-old woman with diet-controlled diabetes, hypertension, and a 45-pack-year history of cigarette smoking has intermittent left leg claudication and exercise-induced calf pain, which occurs when she walks three to four blocks. Her ankle brachial index is 0.7.
The patient is most likely to experience which of the following adverse health outcomes in the next 5 years?
❏ A. Myocardial infarction
❏ B. Hypoglycemic event
❏ C. Limb amputation
❏ D. Ischemic limb
❏ E. Lung cancer
A 40-year-old man comes to clinic complaining of an itchy rash on his wrist and hands, which he first noted 3 weeks ago. He has a history of hypertension but has otherwise been healthy. Skin examinationreveals several small, polygonal papules on the dorsa of both hands and on the flexor surface of the left wrist. A few of the wrist lesions appear in a linear distribution. You also notice a papular lesion on the buccal mucosa; a white, lacy pattern appears on the surface of the lesion.
Which of the following is the most likely diagnosis?
❑ A. Psoriasis
❑ B. Lichen planus
❑ C. Tinea versicolor
❑ D. Pityriasis rosea
❑ E. Candidiasis
The patient is most likely to experience which of the following adverse health outcomes in the next 5 years?
❏ A. Myocardial infarction
❏ B. Hypoglycemic event
❏ C. Limb amputation
❏ D. Ischemic limb
❏ E. Lung cancer
A 40-year-old man comes to clinic complaining of an itchy rash on his wrist and hands, which he first noted 3 weeks ago. He has a history of hypertension but has otherwise been healthy. Skin examinationreveals several small, polygonal papules on the dorsa of both hands and on the flexor surface of the left wrist. A few of the wrist lesions appear in a linear distribution. You also notice a papular lesion on the buccal mucosa; a white, lacy pattern appears on the surface of the lesion.
Which of the following is the most likely diagnosis?
❑ A. Psoriasis
❑ B. Lichen planus
❑ C. Tinea versicolor
❑ D. Pityriasis rosea
❑ E. Candidiasis
