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This pop quiz will test your knowledge of a difficult diagnosis where the signs and symptoms may seem unrelated.
A 21-year-old active duty sailor deployed to the Persian Gulf in the early 1990s presented with painful mouth ulcers that he’d had for 2 or 3 months. A severe rash had developed, along with severe joint pain in his hands, fingers, elbows, knees, and ankles, and he complained of “red eyes” and blurry vision. The diagnosis: Behçet disease, a rare disorder that causes blood vessel inflammation throughout the body.
Behçet disease can lead to numerous signs and symptoms that at first may seem unrelated. Take this brief quiz to test your knowledge of this difficult diagnosis.
Note: If you would like more information on any of the questions, a link to the original article, “The Case of the Very Sick Sailor,” is provided on the last page of the quiz.
Question 1:
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The correct answer is A. Recurrent oral ulceration
Question 2.
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The correct answer is C. Eczema
Question 3.
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The correct answer is D. It is common in countries at the ends of the historic Silk Road.
Question 4.
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The correct answer is C. 60% to 70%
Question 5.
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The correct answer is B. In 50% of cases within 1 year, in 80% within 2 years
Question 6.
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The correct answer is D. Thrombosis and cardiovascular disease complications
Question 7.
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The correct answer is C. HLA-B
Question 8.
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The correct answer is B. To prevent irreversible damage that mostly occurs early in the disease course
For more information on all questions and answers, please visit “The Case of the Very Sick Sailor”