What are the new PE categories?
ABCDE

71-year-old man is evaluated for several growths on his skin that have increased in number over the last several years
Seborrheic keratosis

Management?
Topical metronidazole, ivermectin, minocyclin, azalaic acid, benzoyl peroxide
No way people like grand rounds this much
Free points
Tax day is April 15th!
How did Americans protest taxes on Decembe 16th, 1773, stating "No taxation without representation"
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Boston Tea Party
How often should you check Lp(a)?
Once

A 64-year-old man is evaluated for a lesion on the neck that began developing 6 months ago, has slowly enlarged, and occasionally bleeds
Basal Cell Carcinoma
Order these drug delivery vehicles from least to most thick
solution
gel
cream
ointment
foam
foam, gel, solution, cream, ointment
What assessment model did the GR speaker propose to replace the current time based assessment model?
competency based, early graduation if competent
The Mayflower sailed 66 days across the Atlantic ocean, aiming for Virginia. Where did they end up?
Cape Cod. Provincetown, MA

10 year PREVENT-ASCVD estimate of
low risk
borderline risk
intermediate risk
high risk
low risk <3%
borderline risk 3-5%
intermediate risk 5-10%
high risk >10%
44-year-old man is evaluated in the emergency department for a 48-hour history of a painful rash on the hands and feet. History of genital herpes
Erythema multiforme

Why should you NOT use a high potency steroid to treat this condition?
Interigo
Skin thinning in skin fold
What is Bang's blinding index?
People guess if they are in trial or control group
1 being complete lack of blinding, 0 being consistent with perfect blinding and -1 indicating opposite guessing which may be related to unblinding
The average April rainfall in NJ is 3.93 inches. What was the average precipitation in the wettest April in 2007?
9.03 inches
LDL lowering therapy is recommended for primary prevention in adults 40-75 with these (3) comorbidities, regardless of LDL-C levels
diabetes, CKDIII+, HIV

Patient with history of plaque psoriasis. Diffuse, painful, abrupt onset with fever.
Diagnosis?
Pustular psoriasis
What potency is each of these topical steroids?
Triamcinolone 0.1%
Clobetasol 0.05%
Hydrocortisone 2.5%
Betamethasone 0.05%
Triamcinolone 0.1% Mod
Clobetasol 0.05% High
Hydrocortisone 2.5% Low
Betamethasone 0.05% High
Name two examples of implementation of AI in medical education that were highlighted in the GR talk
insulin ordering
time-motion observation
in time note feedback
The Easter bunny is a mammal that lays eggs. What are two other mammals that do?

LDL Goals for primary prevention in:
Low to intermediate risk
High risk
Very high risk
Low to intermediate risk: <100
High risk: <70
Very high risk: <55


Hx poorly controlled HIV, lives in shelter
Diagnosis?
Crusted scabies

_______ steroids are contraindicated in this condition because ___________

systemic corticosteroids
rebound
What was the trial design of the RESET-RA trial?
randomized, double blind, sham controlled trial for 3 months
open label stimulation and sham crossover to open label stimulation
What is the origin of April Fools' day?
In 1582, Pope Gregory XIII ordered shift from Julian to Gregorian calendar. New Year April 1 -> Jan 1, those who celebrated the old new year were fools
