Welcome to the Amazing Case Race!
You made it to Washington D.C. for the cherry blossom parade. You have a couple of hours to take in the sites.
Primary Contact Information
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First Name
Last Name
E-mail
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Medical School
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This activity is timed. The winner will have the shortest time with the most correct answers. In the event of a tie the winner will be determined by blind-draw. Answers and feedback are not available in this activity but the complete cases will be available the last day of the event.
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Begin your tour
Let's see the city!
After you assist your DC colleague with a case take a stroll down the tidal basin.
A 40-year-old man presents to the emergency department with worsening right wrist pain and stiffness. To evaluate this further, radiographs of the right wrist are ordered by the emergency department physician. Based on the radiograph findings, which of the following etiologies should be considered in the differential? (Choose all that apply)
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Pigmented villonodular synovitis (PVNS)
Synovial osteochondromatosis
Calcification in calcium pyrophosphate dihydrate (CPPD)
Tumoral calcification
Vascular malformation
Calcification in connective tissue diseases
Which structure is the arrow pointing to on the image below?
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Muscle
Tendon sheath
Nerve
Bone
Vessel
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National Zoo
A couple more questions to answer for your colleague and you can visit the pandas at the National Zoo!
Which is the appropriate laboratory test to order?
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Parathyroid hormone (PTH) level
Iron level
Creatinine level
Lead level
Complete blood count (CBC)
Which condition has been associated with this diagnosis?
Hyperparathyroidism
Chronic renal failure
Plumbism
Hemachromatosis
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World War II Memorial
Since you were so helpful your DC colleague has asked for additional help before your next tour stop.
An asymptomatic 30-month-old girl with a history of an ulnar fracture at 11 months presents without known history of recent trauma. The following radiographs were obtained from the same patient between the ages of 11 months to 7 years. Which is the most likely diagnosis?
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Rickets
Osteogenesis imperfecta
Congenital insensitivity to pain (CIP)
Nonaccidental trauma
Hypophosphatasia
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Jefferson Memorial
The sun is setting over the Jefferson memorial but you have one more question to answer on this case.
Which physiologic or pathologic process explains the following finding?
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Calcified subperiosteal hematoma
Malignant primary bone tumor
Subperiosteal abscess
Metastatic disease
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Cherry Blossoms
Which of the following are present in the scan below?
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Ground-glass opacities (GGOs)
Consolidation
Pulmonary calcifications
Crazy-paving pattern
"Reverse halo" sign
A 70-year old male presents with several weeks of cough,fever and fatigue, with no improvement on antibiotics. His chest radiograph showed abnormal opacities bilaterally and a CT was ordered, with representative images shown below. What is the most accurate description of the CT findings?
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Peripheral distribution, consolidative density
Peripheral distribution, ground-glass density
Central distribution, consolidative density
Central distribution, ground-glass density
Finish
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