A 45-year-old landscaper presents with an annular scaly plaque with central clearing on his forearm. KOH preparation reveals hyphae. Which is the best treatment?
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A 28-year-old man presents 20 minutes after traumatic avulsi…
A 28-year-old man presents 20 minutes after traumatic avulsion of a permanent maxillary incisor during a soccer match. The tooth was handled by the crown and transported in cold milk. What is the best immediate action in the clinic?
A 61-year-old man with diabetes presents with fever, product…
A 61-year-old man with diabetes presents with fever, productive cough, and pleuritic chest pain. Chest X-ray shows lobar consolidation. He is hemodynamically stable for outpatient treatment. Which antibiotic is most appropriate?
A 52-year-old healthcare worker presents with multiple verru…
A 52-year-old healthcare worker presents with multiple verrucous papules on her hands that interfere with work. She requests treatment with the lowest recurrence rate. Which is most appropriate?
A 64-year-old man with coronary artery disease is asymptomat…
A 64-year-old man with coronary artery disease is asymptomatic but asks about stress testing to “check his heart.” What is the most appropriate response?
A 47-year-old teacher presents with hoarseness lasting 6 wee…
A 47-year-old teacher presents with hoarseness lasting 6 weeks. He denies smoking, reflux, or URI symptoms. What is the most appropriate next step?
In women with atrial fibrillation, at what CHA₂DS₂-VASc scor…
In women with atrial fibrillation, at what CHA₂DS₂-VASc score is long-term anticoagulation generally recommended?
A 67-year-old man experiences sudden, painless monocular vis…
A 67-year-old man experiences sudden, painless monocular vision loss in his left eye while watching television. Funduscopic exam reveals a pale retina with a cherry-red spot at the fovea. What is the most appropriate immediate action?
A 70-year-old woman with a 50-pack-year smoking history pres…
A 70-year-old woman with a 50-pack-year smoking history presents with hoarseness and chest discomfort. A screening abdominal ultrasound ordered by another provider shows a 5.5 cm infrarenal abdominal aortic aneurysm (AAA). She is otherwise stable. What is the next best step?
A 37-year-old man with latent TB infection is identified on…
A 37-year-old man with latent TB infection is identified on screening for healthcare workers. He is asymptomatic, and his chest X-ray is normal. Which management is most appropriate?