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Old 08-08-2012
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Question Boy with fits and rashes

A 16-year-old boy is brought to the emergency room by his mother after he has "a fit" His mother says that she first saw him fall abruptly. his entire body was then stiff for a while and then started jerking for about 5 minutes Then he fell asleep. and then woke up slowly with a headache He also complains of joint pain that is most prominent in the hands and is worst in the morning. He has no significant past medical history and takes no medication His temperature is 37 3 C (99.1 F). blood pressure 140/90 mm Hg. pulse 60/min. and respirations 16/min Physical examination of the skin reveals diffuse erythema and edema of the nose and cheeks. When questioned about the rash, the patient states that it started when he was on vacation 2 weeks ago and does not seem to be improving The proximal and distal interphalangeal joints of the hands are found to be edematous and tender on examination On the nasal septum there are several shallow ulcers up to 1 cm in diameter. CBC with differentials, serum electrolytes. and urinalysis return as normal Which of the following is the most specific test to diagnose the primary cause of this patient's symptoms'?
A. CT Scan of the brain
B. Drug testing for cocaine abuse
C. Electroencephalogram
D. Rheumatoid factor
E. Serum anti-dsDNA antibody
F. Serum antinuclear antibody
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Old 08-08-2012
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B?

Boy's snorting that snow.
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Old 08-08-2012
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Quote:
Originally Posted by patelMD View Post
B?

Boy's snorting that snow.
skiiiiiiiiiiiiiiiiiiiii the snow for sure
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Old 08-09-2012
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Its From Kaplan CK Qbank
Answer is given as SLE. Explanation they giving is that the patient have 4 of the diagnostic criteria..

But How SLE in Male ...!!!!!
Any comments ..
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Old 08-09-2012
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Sorry Answer given was
E. Serum anti-dsDNA antibody
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Internal-Medicine-, Neurology-, Pediatrics-, Step-2-Questions

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