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  #1  
Old 12-23-2009
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Star The USMLE-Forums Step 1 Photo Quiz Thread!

Hey guys, I figured it would be both fun and beneficial if we quiz each other on photos, all on a single thread!

Format :

1) State your Photo Quiz Number (which is 1 digit after the previous photo quiz)

2) Put up your photo!

3) Give the answer to your photo after 2-3 days. (give time for people to guess first, before you break the suspense!)
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  #2  
Old 12-23-2009
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Photo Quiz 001

Case : This patient came with red eyes, cough, and rash. What do you see in this photo?



24/12 : Yes guys, this is a photo of Koplik spots. Gratz to all who answer correctly! I have awarded each with a "thanks". Haha.
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  #3  
Old 12-23-2009
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.. and no, the answer is not "a mouth".
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Old 12-23-2009
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koplick spots?
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  #5  
Old 12-23-2009
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Yup, it's the koplik spots seen in measels.

Last edited by HouseWannabe; 12-25-2009 at 03:44 AM.
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  #6  
Old 12-23-2009
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C if you can guess this one.
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  #7  
Old 12-23-2009
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seems like ringworm infection
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Nope it's not ringworm, the hint is to look at the location.
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Old 12-23-2009
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hmmmm allergic dermatitis?
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Old 12-23-2009
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i think erythema marginatum of rheumatic fever. because it is ring type of rash with normal central area.
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Old 12-23-2009
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I am not sure where the location is, but this looks a bit like hives (urticaria).
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  #12  
Old 12-23-2009
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All of you are on the right track, another hint is that pic is of a young infant (if you look closely you can see his diaper), and that the rings are around the knee joint.

I'll post the answer tomorrow just to give other people a chance to try, but keep trying to figure it out, you're almost there.
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  #13  
Old 12-23-2009
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I am with Atopic dermatitis
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Old 12-24-2009
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hmmm diaper rash..i second atopic dermatitis
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  #15  
Old 12-24-2009
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Is it septic arthritis in immunocompromised babies?
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  #16  
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diaper rash in young child ,is it candida??
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candida seems to be a more probable, as diaper rash will follow the area which is in contact with diaper,also will never be in crural fold(though ot show here, where as candida can spread the way in this picture.. candida is characterized by erosions, red plaques and satellite lesions like in here...
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  #18  
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Photo Quiz 003


What is this?

Update :
Case : A 45 year old circus animal trainer came to the ER with severe anaphylactic shock. He has a history of abdominal discomfort. This organism was found to have caused his condition.

Answer : Echinococcus granulosus

Last edited by lemontea88; 12-30-2009 at 01:19 PM.
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  #19  
Old 12-24-2009
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schistosoma mansoni egg with terminal spine
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  #20  
Old 12-24-2009
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Alrite the answer to the second picture is serum sickness caused by type III hypersensitivity.

When there are immune complexes involved, causing joint symptoms, myalgias and fever, it is usually referred to as a serum sickness reaction, as shown in figure 6. As you know serum sickness is also associated with arthirits, so that's why you can see most of rings over the knee and pelvic joint put skips a portion of the thigh.
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  #21  
Old 12-24-2009
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Cool

C'mon, ..I was right, it's urticaria, how on earth can anyone possibly know that serum sickness caused it, ofcourse the arthritis is not obvious, compared to the rest of the leg, the knee is not swollen...
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  #22  
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gud info, thanks
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  #23  
Old 12-24-2009
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Photo Quiz 003 :
Quote:
Originally Posted by Cerebro89 View Post
schistosoma mansoni egg with terminal spine
Good guess, but try again!
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  #24  
Old 12-24-2009
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Hey DrSeddik, i know it's a frusturating pic and hard to tell without patient history; i only came across it because i had to look up serum sickness so i can associate it with a pic. In any case urticaria looks a bit different.
Look at the pic i pasted, and the pattern of spread.

The USMLE-Forums Step 1 Photo Quiz Thread!-wyd3.jpg
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  #25  
Old 12-25-2009
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I think Leishmania.... u shud give hints as well...this is way too difficult..
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  #26  
Old 12-25-2009
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is it a Giardia Lambila cyst?
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  #27  
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Quote:
Originally Posted by lemontea88 View Post
Photo Quiz 003


What is this?

Update :
Case : A 45 year old circus animal trainer came to the ER with severe anaphylactic shock. He has a history of abdominal discomfort. This organism was found to have caused his condition.
Yea I realised that my information was incomplete. Sorry guys! I have inserted another photo of a different angle of the same organism, and included a clinical scenario as well.
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  #28  
Old 12-25-2009
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hydadatid cyst? going with the anaphylaxis here
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  #29  
Old 12-26-2009
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Picture Quiz 003's Answer : Yes, it is indeed a hydatid cyst by Echinococcus granulosus.
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  #30  
Old 12-26-2009
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yayyyyyy
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  #31  
Old 12-27-2009
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Photo Quiz 004

The USMLE-Forums Step 1 Photo Quiz Thread!-asfadfa.jpg

Biopsy of a brain tumor reveals this histologic finding. What is the diagnosis?

Answer : Pilocytic Astrocytoma

Last edited by lemontea88; 12-30-2009 at 01:39 PM.
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  #32  
Old 12-27-2009
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pilocytic astrocytoma......the arrow points to the rosenthal fibers
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  #33  
Old 12-27-2009
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QUIZ # 5

A 46-year-old woman is admitted with congestive heart failure with progressive weakness, shortness of breath, and leg swelling. It is her 3rd hospitalization in 7 months. You're supposed to ID what you see in the ECHO. There is a characteristic finding in it, and it would explain the lady's s/s.

The USMLE-Forums Step 1 Photo Quiz Thread!-u-s.jpg

G'luck
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  #34  
Old 12-27-2009
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Photo Quiz 004's Answer = Pilocytic Astrocytoma's Rosenthal Fibers


Quiz # 5 : Oh lol I got no idea what is there. Could it be dilated cardiomyopathy?
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  #35  
Old 12-27-2009
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Quote:
Originally Posted by HouseWannabe View Post
QUIZ # 5

A 46-year-old woman is admitted with congestive heart failure with progressive weakness, shortness of breath, and leg swelling. It is her 3rd hospitalization in 7 months. You're supposed to ID what you see in the ECHO. There is a characteristic finding in it, and it would explain the lady's s/s.



G'luck
Are you serious, they will never ask such a question in step1, not even in step3, you are not supposed to read echo
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  #36  
Old 12-27-2009
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I apologize if the content is too difficult. The only reason I posted it is because they had made an interesting point. They said that the ECHO had a ground-glass appearance, which apparently is characteristic of Cardiac Amyloidosis.

I'll try to be more selective with the pics next time.
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  #37  
Old 12-27-2009
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Photo Quiz 006

The USMLE-Forums Step 1 Photo Quiz Thread!-1031.jpg

The structures seen in the picture are 20-25nm in size. What is the most likely diagnosis?

Answer : Hepatitis B

Last edited by lemontea88; 12-30-2009 at 01:39 PM.
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  #38  
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This was driving me insane; I knew i saw it before lol. It's Hep B Virus.
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  #39  
Old 12-28-2009
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Default ant ameaba histolytica

i think ant ameaba histolytica
Quote:
Originally Posted by lemontea88 View Post
Photo Quiz 003


What is this?

Update :
Case : A 45 year old circus animal trainer came to the ER with severe anaphylactic shock. He has a history of abdominal discomfort. This organism was found to have caused his condition.
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  #40  
Old 12-29-2009
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Sohni, quiz 3 is answered already.

Quote:
Originally Posted by lemontea88 View Post
Picture Quiz 003's Answer : Yes, it is indeed a hydatid cyst by Echinococcus granulosus.
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  #41  
Old 12-29-2009
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Quiz 007 :

The USMLE-Forums Step 1 Photo Quiz Thread!-necksign.jpg

What is this?

Answer : Steeple sign, seen in croup, most often caused by parainfluenza virus.
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  #42  
Old 12-29-2009
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Default Quiz 7 answer:

Is that Steeple sign seen in acute epiglottitis
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  #43  
Old 12-29-2009
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if it is steeple sign is it relevant to step one?
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  #44  
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Quote:
Originally Posted by ahassan View Post
if it is steeple sign is it relevant to step one?
You are right
I don't think they bring up such a picture in step1
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  #45  
Old 12-29-2009
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swear i m hearing abt steeple sign for the first tym!!!!
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  #46  
Old 12-29-2009
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steeple sign means narrowing of trachea, shown by the arrow

I dont think so that its a step 1 question....
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  #47  
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Quote:
Originally Posted by lemontea88 View Post
Photo Quiz 006

Attachment 292

The structures seen in the picture are 20-25nm in size. What is the most likely diagnosis?
I think Bacterias (cocci)
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  #48  
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Quote:
Originally Posted by Mahir View Post
Is that Steeple sign seen in acute epiglottitis
Steeple sign is seen in croup not in epiglottitis
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  #49  
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Quote:
Originally Posted by lemontea88 View Post
Photo Quiz 003


What is this?

Update :
Case : A 45 year old circus animal trainer came to the ER with severe anaphylactic shock. He has a history of abdominal discomfort. This organism was found to have caused his condition.
echnococus granulosa ?

Last edited by monika; 12-31-2009 at 10:33 PM. Reason: what is answer
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  #50  
Old 12-30-2009
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Quote:
Originally Posted by lemontea88 View Post
Quiz 007 :

Attachment 318

What is this?

Answer : Steeple sign, seen in croup, most often caused by parainfluenza virus.
Yes guys, the answer is steeple sign. This is a question I came across while doing USMLE Rx.
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  #51  
Old 12-30-2009
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Quiz 008 :

Case :
Patient has a history of fever, night sweats and lymphadenopathy. Biopsy of the lymph node reveals the following :

The USMLE-Forums Step 1 Photo Quiz Thread!-hog2.jpg

What would be your diagnosis?

Answer: Nodular sclerosing type of Hodgkin's disease.
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Old 12-30-2009
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quiz 8
Hodgkin disease, I think
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  #53  
Old 12-30-2009
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hodgkins....nodular sclerosis if those are lacunar cells
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  #54  
Old 12-31-2009
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Yeap You guys are right.
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