TBL Group 10 - E-Team Based Learning’s Updates

Application Question #3

Question #3

The patient returns a week later to discuss her lab results. You’ve made a tentative diagnosis of polymyositis. She has developed a rash on the face that is not painful or itching her, but seems to be getting progressively darker and denser. You ask the patient to put on a robe, so that you can repeat a full physical exam.

Which of the following is the best next step?

A. work-up for occult malignancy
B. immunosuppression through high dose corticosteroids
C. immunosuppression through methotrexate
D. a muscle biopsy
E. a swallow study and pulmonary function tests to determine if the smooth muscle in the gastrointestinal and/or pulmonary systems has been affected

INSTRUCTIONS

  • Step 1: Answer the question, providing medical reasoning to back up your answer. Your answer should be at least 3-5 sentences. DO NOT REFRESH YOUR BROWSER UNTIL YOU HAVE FINISHED YOUR ANSWER.
  • Step 2: Now, refresh your browser, and respond to as many others in your team as you can. Responses should provide evidence of your thinking processes (not just "I agree", or "answer is X"). Regularly refresh your browser as others' responses come in.
  • Step 3: Based on the discussion recorded in CGScholar, your team reporter should now enter your team's answer in Benware. The whole-class discussion of this application exercise will take place verbally as usual.
  • Brett Drake
  • Salil Bhole
  • Brett Drake
  • Morgan Powers
  • Ilse Mejia
  • Brett Drake
  • Isaac Ngo
  • Morgan Powers
  • Isaac Ngo
  • Ilse Mejia