jama_links.json

[
    {
        "id": 0,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2811509",
        "answer_idx": "D",
        "answer": "Provide supportive care"
    },
    {
        "id": 1,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2811315",
        "answer_idx": "C",
        "answer": "Emphysematous thyroiditis"
    },
    {
        "id": 2,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2811083",
        "answer_idx": "D",
        "answer": "Mpox"
    },
    {
        "id": 3,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2810596",
        "answer_idx": "C",
        "answer": "Repeat complete blood cell count with differential in 1 to 2 weeks"
    },
    {
        "id": 4,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2810537",
        "answer_idx": "C",
        "answer": "Perineural spread of cutaneous malignancy"
    },
    {
        "id": 5,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2810749",
        "answer_idx": "D",
        "answer": "Myeloid/lymphoid neoplasms with eosinophilia and tyrosine kinase gene fusions"
    },
    {
        "id": 6,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2810850",
        "answer_idx": "B",
        "answer": "Kikuchi-Fujimoto disease"
    },
    {
        "id": 7,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2810393",
        "answer_idx": "A",
        "answer": "Cardiac magnetic resonance imaging"
    },
    {
        "id": 8,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2810455",
        "answer_idx": "C",
        "answer": "Diffuse-type neurofibroma"
    },
    {
        "id": 9,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2810452",
        "answer_idx": "D",
        "answer": "Phaeohyphomycosis"
    },
    {
        "id": 10,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2808316",
        "answer_idx": "B",
        "answer": "Meningioma"
    },
    {
        "id": 11,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2808660",
        "answer_idx": "A",
        "answer": "Leishmaniasis"
    },
    {
        "id": 12,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2808228",
        "answer_idx": "C",
        "answer": "Medication adverse effect"
    },
    {
        "id": 13,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2809279",
        "answer_idx": "B",
        "answer": "Peripheral blood smear"
    },
    {
        "id": 14,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2809480",
        "answer_idx": "C",
        "answer": "Observe with no additional testing or intervention"
    },
    {
        "id": 15,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2808886",
        "answer_idx": "D",
        "answer": "Euthyroid pretibial mucinosis"
    },
    {
        "id": 16,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2809085",
        "answer_idx": "B",
        "answer": "Familial cerebral cavernous malformations"
    },
    {
        "id": 17,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2810142",
        "answer_idx": "D",
        "answer": "Observation"
    },
    {
        "id": 18,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2809657",
        "answer_idx": "C",
        "answer": "Epidermolysis bullosa pruriginosa (EBP)"
    },
    {
        "id": 19,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2809652",
        "answer_idx": "D",
        "answer": "Check blood pressure"
    },
    {
        "id": 20,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2809348",
        "answer_idx": "B",
        "answer": "Rhabdomyoma"
    },
    {
        "id": 21,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2809109",
        "answer_idx": "C",
        "answer": "Start topical steroids and perform a skin patch test"
    },
    {
        "id": 22,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2807476",
        "answer_idx": "A",
        "answer": "Disseminated fusariosis"
    },
    {
        "id": 23,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2807704",
        "answer_idx": "D",
        "answer": "Carcinoma hemorrhagiectoides"
    },
    {
        "id": 24,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2808313",
        "answer_idx": "C",
        "answer": "Bullous pilomatricoma"
    },
    {
        "id": 25,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2807444",
        "answer_idx": "B",
        "answer": "Order brain magnetic resonance imaging to look for associated central nervous system tumors"
    },
    {
        "id": 26,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2807957",
        "answer_idx": "B",
        "answer": "Check an antisynthetase antibody panel"
    },
    {
        "id": 27,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2806318",
        "answer_idx": "C",
        "answer": "Pediatric fibromyxoid soft tissue tumor"
    },
    {
        "id": 28,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2806644",
        "answer_idx": "C",
        "answer": "Order anti-GQ1b antibody and start intravenous immune globulin"
    },
    {
        "id": 29,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2806274",
        "answer_idx": "C",
        "answer": "Melanoma"
    },
    {
        "id": 30,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2806495",
        "answer_idx": "B",
        "answer": "Stop prednisone and proceed with diagnostic vitrectomy"
    },
    {
        "id": 31,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2807531",
        "answer_idx": "A",
        "answer": "Obtain MRI of the left shoulder"
    },
    {
        "id": 32,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2806695",
        "answer_idx": "C",
        "answer": "Percutaneous coronary intervention"
    },
    {
        "id": 33,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2806311",
        "answer_idx": "B",
        "answer": "VEXAS syndrome"
    },
    {
        "id": 34,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2806818",
        "answer_idx": "C",
        "answer": "Pseudoxanthoma elasticum\u2013like disorder with coagulation deficiency"
    },
    {
        "id": 35,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2807273",
        "answer_idx": "B",
        "answer": "Obtain serologic testing for E granulosus antibodies"
    },
    {
        "id": 36,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2807108",
        "answer_idx": "C",
        "answer": "Send skin biopsy specimen to the US National Hansen\u2019s Disease Program for PCR testing"
    },
    {
        "id": 37,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2806639",
        "answer_idx": "B",
        "answer": "Order genetic testing"
    },
    {
        "id": 38,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2805070",
        "answer_idx": "D",
        "answer": "Magnetic resonance imaging with magnetic resonance angiography or digital subtraction angiography"
    },
    {
        "id": 39,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2805396",
        "answer_idx": "D",
        "answer": "Schedule combined phacoemulsification-vitrectomy surgery"
    },
    {
        "id": 40,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2805508",
        "answer_idx": "C",
        "answer": "Intravitreal steroid injection"
    },
    {
        "id": 41,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2805263",
        "answer_idx": "B",
        "answer": "Venous malformation"
    },
    {
        "id": 42,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2805264",
        "answer_idx": "C",
        "answer": "Invasive fungal sinusitis (mucormycosis) with perineural spread"
    },
    {
        "id": 43,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2805459",
        "answer_idx": "D",
        "answer": "Localized amyloidosis (amyloidoma)"
    },
    {
        "id": 44,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2805464",
        "answer_idx": "B",
        "answer": "Blastic plasmacytoid dendritic cell neoplasm"
    },
    {
        "id": 45,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2805527",
        "answer_idx": "C",
        "answer": "Histiocytoid Sweet syndrome"
    },
    {
        "id": 46,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2805562",
        "answer_idx": "D",
        "answer": "Takayasu arteritis"
    },
    {
        "id": 47,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2806233",
        "answer_idx": "B",
        "answer": "Obtain skin biopsy with T-cell clonality studies"
    },
    {
        "id": 48,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2805120",
        "answer_idx": "C",
        "answer": "Provide reassurance and prescribe oral care"
    },
    {
        "id": 49,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2803833",
        "answer_idx": "C",
        "answer": "Hairy pharyngeal polyp"
    },
    {
        "id": 50,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2803851",
        "answer_idx": "C",
        "answer": "Obtain a sample of the hypopyon through anterior chamber paracentesis and inject intravitreal antibiotics"
    },
    {
        "id": 51,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2804363",
        "answer_idx": "A",
        "answer": "Review brain MRI and order electroretinogram"
    },
    {
        "id": 52,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2803624",
        "answer_idx": "B",
        "answer": "Pyoderma gangrenosum"
    },
    {
        "id": 53,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2804447",
        "answer_idx": "B",
        "answer": "Genetic testing"
    },
    {
        "id": 54,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2803777",
        "answer_idx": "D",
        "answer": "Malignant myopericytoma"
    },
    {
        "id": 55,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2804571",
        "answer_idx": "D",
        "answer": "Microvenular hemangioma"
    },
    {
        "id": 56,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2803934",
        "answer_idx": "B",
        "answer": "Discontinue amiodarone and administer a corticosteroid"
    },
    {
        "id": 57,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2805065",
        "answer_idx": "A",
        "answer": "Implant a defibrillator"
    },
    {
        "id": 58,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2804367",
        "answer_idx": "D",
        "answer": "Plan for surgical intervention after intravenous fluid resuscitation in the intensive care unit (ICU)"
    },
    {
        "id": 59,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2804051",
        "answer_idx": "A",
        "answer": "Check stool for ova and parasites"
    },
    {
        "id": 60,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2803658",
        "answer_idx": "B",
        "answer": "Multivirus-specific cytotoxic T lymphocytes (CTLs)"
    },
    {
        "id": 61,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2802569",
        "answer_idx": "B",
        "answer": "High-grade serous carcinoma of gynecological origin"
    },
    {
        "id": 62,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2801610",
        "answer_idx": "C",
        "answer": "Cervical chondrocutaneous branchial remnant"
    },
    {
        "id": 63,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2801970",
        "answer_idx": "C",
        "answer": "Soft tissue aneurysmal bone cyst"
    },
    {
        "id": 64,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2802781",
        "answer_idx": "A",
        "answer": "Pilonidal sinus"
    },
    {
        "id": 65,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2803025",
        "answer_idx": "A",
        "answer": "Aspirate the bullae with a sterile needle and cover with a clean dressing"
    },
    {
        "id": 66,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2802378",
        "answer_idx": "B",
        "answer": "Commence high-dose corticosteroids"
    },
    {
        "id": 67,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2802123",
        "answer_idx": "C",
        "answer": "Start corticosteroids"
    },
    {
        "id": 68,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2802694",
        "answer_idx": "D",
        "answer": "Perform hemoglobin electrophoresis"
    },
    {
        "id": 69,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2801593",
        "answer_idx": "B",
        "answer": "Inflammation of actinic keratoses"
    },
    {
        "id": 70,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2801145",
        "answer_idx": "C",
        "answer": "Schwannoma"
    },
    {
        "id": 71,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2801952",
        "answer_idx": "A",
        "answer": "Gorham-Stout disease"
    },
    {
        "id": 72,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2801445",
        "answer_idx": "B",
        "answer": "Hydroxyurea-induced squamous dysplasia"
    },
    {
        "id": 73,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2801708",
        "answer_idx": "D",
        "answer": "Juvenile hyaline fibromatosis"
    },
    {
        "id": 74,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2800307",
        "answer_idx": "C",
        "answer": "Start intravenous magnesium"
    },
    {
        "id": 75,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2802114",
        "answer_idx": "D",
        "answer": "100% Oxygen, intravenous fluid, and Trendelenburg position"
    },
    {
        "id": 76,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2801307",
        "answer_idx": "C",
        "answer": "Obtain aqueous fluid for fungal polymerase chain reaction"
    },
    {
        "id": 77,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2800245",
        "answer_idx": "C",
        "answer": "Angiosarcoma"
    },
    {
        "id": 78,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2799810",
        "answer_idx": "C",
        "answer": "IgG4-related disease"
    },
    {
        "id": 79,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2801146",
        "answer_idx": "B",
        "answer": "Immunotherapy-related inflammation"
    },
    {
        "id": 80,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2800959",
        "answer_idx": "B",
        "answer": "Hemosiderotic fibrolipomatous tumor"
    },
    {
        "id": 81,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2800960",
        "answer_idx": "C",
        "answer": "Eosinophilic, polymorphic, and pruritic eruption associated with radiotherapy (EPPER)"
    },
    {
        "id": 82,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2799722",
        "answer_idx": "B",
        "answer": "Cardiac positron emission tomography"
    },
    {
        "id": 83,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2799621",
        "answer_idx": "D",
        "answer": "Synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome"
    },
    {
        "id": 84,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2801221",
        "answer_idx": "A",
        "answer": "Obtain serologic test results for Treponema pallidum"
    },
    {
        "id": 85,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2799739",
        "answer_idx": "C",
        "answer": "Positron emission tomography scan"
    },
    {
        "id": 86,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2799986",
        "answer_idx": "D",
        "answer": "Observe with no additional testing or intervention"
    },
    {
        "id": 87,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2800134",
        "answer_idx": "C",
        "answer": "Inflammatory breast cancer"
    },
    {
        "id": 88,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2799630",
        "answer_idx": "A",
        "answer": "Madelung disease"
    },
    {
        "id": 89,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2800122",
        "answer_idx": "C",
        "answer": "Porokeratotic eccrine ostial and dermal duct nevus"
    },
    {
        "id": 90,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2800238",
        "answer_idx": "C",
        "answer": "Langerhans cell histiocytosis"
    },
    {
        "id": 91,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2798977",
        "answer_idx": "B",
        "answer": "Pacemaker implantation"
    },
    {
        "id": 92,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2799184",
        "answer_idx": "D",
        "answer": "Sporadic late-onset nemaline rod myopathy"
    },
    {
        "id": 93,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2800201",
        "answer_idx": "B",
        "answer": "Initiate continuous positive airway pressure (CPAP) therapy."
    },
    {
        "id": 94,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2798368",
        "answer_idx": "B",
        "answer": "Perform systemic workup, including chest imaging"
    },
    {
        "id": 95,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2798780",
        "answer_idx": "D",
        "answer": "Perform an emergency orbital exploration with lesion biopsy"
    },
    {
        "id": 96,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2798549",
        "answer_idx": "A",
        "answer": "Rosai-Dorfman disease"
    },
    {
        "id": 97,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2799064",
        "answer_idx": "C",
        "answer": "Secondary syphilis"
    },
    {
        "id": 98,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2799529",
        "answer_idx": "C",
        "answer": "Optical coherence tomography"
    },
    {
        "id": 99,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2798500",
        "answer_idx": "D",
        "answer": "Hypotrichosis simplex of the scalp"
    },
    {
        "id": 100,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2798922",
        "answer_idx": "C",
        "answer": "Eruptive pruritic papular porokeratosis"
    },
    {
        "id": 101,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2798652",
        "answer_idx": "C",
        "answer": "Address all modifiable cardiovascular risk factors and initiate cascade screening and high-intensity statin therapy and aspirin, 81 mg, daily"
    },
    {
        "id": 102,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2798382",
        "answer_idx": "D",
        "answer": "Mitochondrial ataxia"
    },
    {
        "id": 103,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2799179",
        "answer_idx": "C",
        "answer": "Inject a local anesthetic into the area of maximal tenderness"
    },
    {
        "id": 104,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2798991",
        "answer_idx": "B",
        "answer": "Obtain Mycoplasma pneumoniae IgM and IgG levels"
    },
    {
        "id": 105,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2798670",
        "answer_idx": "A",
        "answer": "Administer empirical broad-spectrum intraperitoneal antibiotics"
    },
    {
        "id": 106,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2797391",
        "answer_idx": "D",
        "answer": "Delayed iatrogenic bilateral vocal fold paralysis"
    },
    {
        "id": 107,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2797837",
        "answer_idx": "A",
        "answer": "Observation"
    },
    {
        "id": 108,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2797858",
        "answer_idx": "D",
        "answer": "Cutaneous angioimmunoblastic T-cell lymphoma"
    },
    {
        "id": 109,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2797659",
        "answer_idx": "D",
        "answer": "Nodular colloid degeneration"
    },
    {
        "id": 110,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2798020",
        "answer_idx": "C",
        "answer": "Cutaneous protothecosis"
    },
    {
        "id": 111,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2798218",
        "answer_idx": "C",
        "answer": "Perform coronary angiography"
    },
    {
        "id": 112,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2795316",
        "answer_idx": "C",
        "answer": "Additional imaging, including a computed tomography and positron emission tomography scan"
    },
    {
        "id": 113,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2796320",
        "answer_idx": "C",
        "answer": "Consider treating the left eye with intra-arterial melphalan"
    },
    {
        "id": 114,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2797009",
        "answer_idx": "B",
        "answer": "Neoadjuvant cemiplimab immunotherapy (anti\u2013PD-L1 antibody), globe sparing orbitotomy, and surgical excision of the mass"
    },
    {
        "id": 115,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2797388",
        "answer_idx": "C",
        "answer": "Perform pars plana vitrectomy and excisional biopsy of the membrane"
    },
    {
        "id": 116,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2796772",
        "answer_idx": "B",
        "answer": "Immunotherapy-related gastritis"
    },
    {
        "id": 117,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2795922",
        "answer_idx": "C",
        "answer": "Tophaceous gout"
    },
    {
        "id": 118,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2796305",
        "answer_idx": "B",
        "answer": "Foregut duplication cyst"
    },
    {
        "id": 119,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2796435",
        "answer_idx": "C",
        "answer": "Type 1 first branchial cleft cyst"
    },
    {
        "id": 120,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2797290",
        "answer_idx": "B",
        "answer": "Laryngeal sarcoidosis"
    },
    {
        "id": 121,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2796851",
        "answer_idx": "D",
        "answer": "Pemphigoid nodularis"
    },
    {
        "id": 122,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2797298",
        "answer_idx": "D",
        "answer": "Congenital disseminated pyogenic granuloma"
    },
    {
        "id": 123,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2796659",
        "answer_idx": "D",
        "answer": "Neurovascular conflict of the oculomotor nerve"
    },
    {
        "id": 124,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2796173",
        "answer_idx": "A",
        "answer": "Isolate the patient and notify public health authorities"
    },
    {
        "id": 125,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2794194",
        "answer_idx": "C",
        "answer": "Request genetic testing and monitor"
    },
    {
        "id": 126,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2794500",
        "answer_idx": "B",
        "answer": "Genetic testing to assess for ocular diseases"
    },
    {
        "id": 127,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2795081",
        "answer_idx": "C",
        "answer": "Observation"
    },
    {
        "id": 128,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2795082",
        "answer_idx": "B",
        "answer": "Injection of subconjunctival lidocaine followed by surgical removal of the lesion"
    },
    {
        "id": 129,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2795334",
        "answer_idx": "D",
        "answer": "Solitary fibrous tumor"
    },
    {
        "id": 130,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2795514",
        "answer_idx": "C",
        "answer": "Neuromuscular choristoma"
    },
    {
        "id": 131,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2795727",
        "answer_idx": "A",
        "answer": "Pyoderma gangrenosum"
    },
    {
        "id": 132,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2796096",
        "answer_idx": "C",
        "answer": "Start treatment with low-molecular-weight heparin and amiodarone"
    },
    {
        "id": 133,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2795623",
        "answer_idx": "D",
        "answer": "Eosinophilic fasciitis"
    },
    {
        "id": 134,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2795615",
        "answer_idx": "C",
        "answer": "Restart daily oral itraconazole"
    },
    {
        "id": 135,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2793390",
        "answer_idx": "D",
        "answer": "Magnetic resonance imaging of the orbit"
    },
    {
        "id": 136,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2793768",
        "answer_idx": "C",
        "answer": "Observation with close follow-up"
    },
    {
        "id": 137,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2794139",
        "answer_idx": "D",
        "answer": "Oral sirolimus"
    },
    {
        "id": 138,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2794633",
        "answer_idx": "A",
        "answer": "Intravascular anaplastic large cell lymphoma"
    },
    {
        "id": 139,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2794477",
        "answer_idx": "C",
        "answer": "Lepromatous leprosy"
    },
    {
        "id": 140,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2794666",
        "answer_idx": "B",
        "answer": "Coccidioidomycosis"
    },
    {
        "id": 141,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2794938",
        "answer_idx": "B",
        "answer": "Blastomycosis"
    },
    {
        "id": 142,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2794830",
        "answer_idx": "C",
        "answer": "Farber disease (disseminated lipogranuloma)"
    },
    {
        "id": 143,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2795015",
        "answer_idx": "C",
        "answer": "Keloidal scleroderma"
    },
    {
        "id": 144,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2794294",
        "answer_idx": "A",
        "answer": "Giant cell arteritis"
    },
    {
        "id": 145,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2792340",
        "answer_idx": "D",
        "answer": "Obtain serum protein electrophoresis and immunofixation test"
    },
    {
        "id": 146,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2792856",
        "answer_idx": "B",
        "answer": "Genetic testing"
    },
    {
        "id": 147,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2792662",
        "answer_idx": "A",
        "answer": "Eosinophilic sialodochitis"
    },
    {
        "id": 148,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2792878",
        "answer_idx": "A",
        "answer": "Foregut duplication cyst"
    },
    {
        "id": 149,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2793429",
        "answer_idx": "A",
        "answer": "Poikilodermatous plaque\u2013like hemangioma"
    },
    {
        "id": 150,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2793312",
        "answer_idx": "C",
        "answer": "Implantable cardioverter defibrillator"
    },
    {
        "id": 151,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2793812",
        "answer_idx": "A",
        "answer": "Check blood lead concentration"
    },
    {
        "id": 152,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2791595",
        "answer_idx": "B",
        "answer": "Serum vascular endothelial growth factor"
    },
    {
        "id": 153,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2791896",
        "answer_idx": "C",
        "answer": "Biopsy the EOMs"
    },
    {
        "id": 154,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2792086",
        "answer_idx": "C",
        "answer": "Refer to the health department for 4-drug antituberculous treatment"
    },
    {
        "id": 155,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2792594",
        "answer_idx": "C",
        "answer": "Perform YAG capsulotomy"
    },
    {
        "id": 156,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2793167",
        "answer_idx": "B",
        "answer": "Obtain information about the immunotherapy protocol initiated for her sarcoma"
    },
    {
        "id": 157,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2792446",
        "answer_idx": "B",
        "answer": "Multicentric Castleman disease"
    },
    {
        "id": 158,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2792869",
        "answer_idx": "D",
        "answer": "Primary cutaneous embryonal rhabdomyosarcoma"
    },
    {
        "id": 159,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2792870",
        "answer_idx": "B",
        "answer": "Epstein-Barr virus\u2013positive mucocutaneous ulcers"
    },
    {
        "id": 160,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2792807",
        "answer_idx": "C",
        "answer": "Pituitary apoplexy"
    },
    {
        "id": 161,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2793518",
        "answer_idx": "D",
        "answer": "Order testing for hepatitis delta virus (HDV) IgM and IgG antibodies and, if positive, test for HDV RNA"
    },
    {
        "id": 162,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2793013",
        "answer_idx": "C",
        "answer": "Prescribe prednisone, 0.25 to 1 mg/kg orally daily"
    },
    {
        "id": 163,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2790386",
        "answer_idx": "D",
        "answer": "Obtain orbital imaging with intravenous contrast"
    },
    {
        "id": 164,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2790667",
        "answer_idx": "C",
        "answer": "Order urgent computed tomography scan and computed tomography angiography of the brain"
    },
    {
        "id": 165,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2790987",
        "answer_idx": "B",
        "answer": "Order ultrasound biomicroscopy"
    },
    {
        "id": 166,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2791337",
        "answer_idx": "B",
        "answer": "Check serum vitamin A levels"
    },
    {
        "id": 167,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2791448",
        "answer_idx": "B",
        "answer": "Pneumolabyrinth"
    },
    {
        "id": 168,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2791582",
        "answer_idx": "B",
        "answer": "Parathyroid cyst"
    },
    {
        "id": 169,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2792062",
        "answer_idx": "C",
        "answer": "Parotid gland hemorrhage"
    },
    {
        "id": 170,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2791020",
        "answer_idx": "C",
        "answer": "Lipodystrophia centrifugalis abdominalis infantilis"
    },
    {
        "id": 171,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2791842",
        "answer_idx": "C",
        "answer": "Metastatic carcinoma"
    },
    {
        "id": 172,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2792230",
        "answer_idx": "C",
        "answer": "Autosomal recessive parkinsonism"
    },
    {
        "id": 173,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2791899",
        "answer_idx": "B",
        "answer": "Perform a bone marrow biopsy with flow cytometry and cytogenetics"
    },
    {
        "id": 174,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2791317",
        "answer_idx": "C",
        "answer": "Prescribe a nonsedating antihistamine at a standard dose and increase to high-dose antihistamine if symptoms persist"
    },
    {
        "id": 175,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2790094",
        "answer_idx": "B",
        "answer": "Greater auricular nerve neuroma"
    },
    {
        "id": 176,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2789474",
        "answer_idx": "D",
        "answer": "Transscleral cyclophotocoagulation and removal of the mass and Ahmed valve"
    },
    {
        "id": 177,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2789634",
        "answer_idx": "C",
        "answer": "Perform bone marrow biopsy"
    },
    {
        "id": 178,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2789802",
        "answer_idx": "B",
        "answer": "Magnetic resonance imaging of the brain and orbit"
    },
    {
        "id": 179,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2790202",
        "answer_idx": "D",
        "answer": "Rule out an occult systemic neoplasm"
    },
    {
        "id": 180,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2790731",
        "answer_idx": "B",
        "answer": "Radiation recall myelopathy: continue steroids, discontinue doxorubicin"
    },
    {
        "id": 181,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2790358",
        "answer_idx": "A",
        "answer": "Encephalocele"
    },
    {
        "id": 182,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2790088",
        "answer_idx": "B",
        "answer": "Aquagenic syringeal acrokeratoderma"
    },
    {
        "id": 183,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2790789",
        "answer_idx": "A",
        "answer": "Pressure necrosis"
    },
    {
        "id": 184,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2790711",
        "answer_idx": "A",
        "answer": "Obtain a chest computed tomography (CT) scan and myositis-specific autoantibody panel"
    },
    {
        "id": 185,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2790528",
        "answer_idx": "D",
        "answer": "Start intravenous glucocorticoids"
    },
    {
        "id": 186,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2790422",
        "answer_idx": "A",
        "answer": "Check antineutrophil cytoplasmic antibody (ANCA) titers"
    },
    {
        "id": 187,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2788395",
        "answer_idx": "B",
        "answer": "Change therapies for Crohn disease"
    },
    {
        "id": 188,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2788511",
        "answer_idx": "C",
        "answer": "Genetic testing"
    },
    {
        "id": 189,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2788719",
        "answer_idx": "C",
        "answer": "Sclerectomy in the left eye"
    },
    {
        "id": 190,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2788921",
        "answer_idx": "C",
        "answer": "Perform ciliary body\u2013choroidal biopsy in the right eye"
    },
    {
        "id": 191,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2788839",
        "answer_idx": "D",
        "answer": "Crohn disease"
    },
    {
        "id": 192,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2788902",
        "answer_idx": "B",
        "answer": "Metastatic colon cancer"
    },
    {
        "id": 193,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2788838",
        "answer_idx": "B",
        "answer": "Multiple minute digitate hyperkeratosis"
    },
    {
        "id": 194,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2789291",
        "answer_idx": "A",
        "answer": "Nonbullous neutrophilic lupus erythematosus"
    },
    {
        "id": 195,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2789374",
        "answer_idx": "B",
        "answer": "Consult cardiovascular surgery to discuss mitral valve surgery"
    },
    {
        "id": 196,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2787673",
        "answer_idx": "C",
        "answer": "OCT of the optic nerve head"
    },
    {
        "id": 197,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2787891",
        "answer_idx": "A",
        "answer": "Obtain HIV and syphilis serology results"
    },
    {
        "id": 198,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2788169",
        "answer_idx": "C",
        "answer": "Repeat aqueous or vitreous sampling"
    },
    {
        "id": 199,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2787788",
        "answer_idx": "B",
        "answer": "Atypical mycobacterium infection"
    },
    {
        "id": 200,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2788391",
        "answer_idx": "C",
        "answer": "Axillary web syndrome"
    },
    {
        "id": 201,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2788009",
        "answer_idx": "B",
        "answer": "Electrophysiology study and catheter ablation"
    },
    {
        "id": 202,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2787148",
        "answer_idx": "A",
        "answer": "Brain/orbital imaging"
    },
    {
        "id": 203,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2787149",
        "answer_idx": "D",
        "answer": "Perform a comprehensive systemic workup"
    },
    {
        "id": 204,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2787016",
        "answer_idx": "D",
        "answer": "Sequencing of mitochondrial DNA"
    },
    {
        "id": 205,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2787144",
        "answer_idx": "B",
        "answer": "Atypical vasculitis"
    },
    {
        "id": 206,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2787299",
        "answer_idx": "B",
        "answer": "Obtain aqueous sample for cultures and polymerase chain reaction"
    },
    {
        "id": 207,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2787501",
        "answer_idx": "B",
        "answer": "Perform a lacrimal gland biopsy"
    },
    {
        "id": 208,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2787626",
        "answer_idx": "C",
        "answer": "Actinic folliculitis"
    },
    {
        "id": 209,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2787884",
        "answer_idx": "A",
        "answer": "Hair follicle nevus"
    },
    {
        "id": 210,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2788552",
        "answer_idx": "C",
        "answer": "The isolated reduced Dlco likely reflects an alveolar-capillary gas transfer abnormality"
    },
    {
        "id": 211,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2787477",
        "answer_idx": "B",
        "answer": "Neuroschistosomiasis"
    },
    {
        "id": 212,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2788164",
        "answer_idx": "C",
        "answer": "Begin intravenous ganciclovir"
    },
    {
        "id": 213,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2787650",
        "answer_idx": "D",
        "answer": "Perform right axillary ultrasound now, with intent to biopsy enlarged lymph nodes"
    },
    {
        "id": 214,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2787449",
        "answer_idx": "D",
        "answer": "Stop voriconazole"
    },
    {
        "id": 215,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2785458",
        "answer_idx": "C",
        "answer": "Magnetic resonance imaging of the brain and orbits"
    },
    {
        "id": 216,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2785706",
        "answer_idx": "B",
        "answer": "Measure blood glucose levels"
    },
    {
        "id": 217,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2785904",
        "answer_idx": "B",
        "answer": "Perform excisional biopsy of the lesion to rule out malignancy"
    },
    {
        "id": 218,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2786488",
        "answer_idx": "A",
        "answer": "Transorbital biopsy of the right optic nerve for grading and immunohistochemistry"
    },
    {
        "id": 219,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2786336",
        "answer_idx": "C",
        "answer": "Linear or annular lupus erythematosus panniculitis of the scalp"
    },
    {
        "id": 220,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2786979",
        "answer_idx": "C",
        "answer": "Good syndrome"
    },
    {
        "id": 221,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2785155",
        "answer_idx": "C",
        "answer": "Cardiac magnetic resonance imaging"
    },
    {
        "id": 222,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2786349",
        "answer_idx": "A",
        "answer": "Malignant atrophic papulosis"
    },
    {
        "id": 223,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2786273",
        "answer_idx": "A",
        "answer": "Check antineutrophil cytoplasmic antibody (ANCA) titers"
    },
    {
        "id": 224,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2786424",
        "answer_idx": "C",
        "answer": "Recheck a rapid heterophile antibody test"
    },
    {
        "id": 225,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2784463",
        "answer_idx": "B",
        "answer": "Order urinalysis and urinary \u03b22-microglobulin test"
    },
    {
        "id": 226,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2784643",
        "answer_idx": "C",
        "answer": "Obtain magnetic resonance imaging of the brain with contrast"
    },
    {
        "id": 227,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2784758",
        "answer_idx": "C",
        "answer": "Laboratory work-up for infectious and autoimmune disease"
    },
    {
        "id": 228,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2785552",
        "answer_idx": "A",
        "answer": "YAG laser to perforate the cystic wall"
    },
    {
        "id": 229,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2785553",
        "answer_idx": "C",
        "answer": "Review and adjust systemic medications and treat with topical corticosteroids"
    },
    {
        "id": 230,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2785680",
        "answer_idx": "B",
        "answer": "Calciphylaxis"
    },
    {
        "id": 231,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2785542",
        "answer_idx": "B",
        "answer": "Stewart-Bluefarb syndrome"
    },
    {
        "id": 232,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2785840",
        "answer_idx": "B",
        "answer": "Cutaneous aspergillosis"
    },
    {
        "id": 233,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2784041",
        "answer_idx": "D",
        "answer": "Perform an endomyocardial biopsy"
    },
    {
        "id": 234,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2786531",
        "answer_idx": "A",
        "answer": "Place the patient in airborne isolation and begin ethambutol, isoniazid, pyrazinamide, and rifampin"
    },
    {
        "id": 235,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2786266",
        "answer_idx": "A",
        "answer": "Results are consistent with axonal polyneuropathy"
    },
    {
        "id": 236,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2785970",
        "answer_idx": "B",
        "answer": "Discontinue minocycline"
    },
    {
        "id": 237,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2783397",
        "answer_idx": "C",
        "answer": "Voriconazole"
    },
    {
        "id": 238,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2783652",
        "answer_idx": "C",
        "answer": "Observation"
    },
    {
        "id": 239,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2783868",
        "answer_idx": "C",
        "answer": "Genetic testing to rule out a mitochondrial disease"
    },
    {
        "id": 240,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2784179",
        "answer_idx": "B",
        "answer": "Perform a thoracoabdominopelvic computed tomography scan"
    },
    {
        "id": 241,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2783496",
        "answer_idx": "A",
        "answer": "Leiomyosarcoma"
    },
    {
        "id": 242,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2784326",
        "answer_idx": "C",
        "answer": "Parathyroid cyst"
    },
    {
        "id": 243,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2784552",
        "answer_idx": "C",
        "answer": "Growing teratoma syndrome"
    },
    {
        "id": 244,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2784751",
        "answer_idx": "C",
        "answer": "Extramedullary myeloid sarcoma of the larynx"
    },
    {
        "id": 245,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2785022",
        "answer_idx": "B",
        "answer": "Intravascular involvement by NK/T-cell lymphoma"
    },
    {
        "id": 246,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2782728",
        "answer_idx": "C",
        "answer": "Change the LV pacing configuration"
    },
    {
        "id": 247,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2781922",
        "answer_idx": "C",
        "answer": "Trigeminal trophic syndrome"
    },
    {
        "id": 248,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2785284",
        "answer_idx": "D",
        "answer": "Check antiphospholipid antibody levels"
    },
    {
        "id": 249,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2782070",
        "answer_idx": "D",
        "answer": "Ice pack test"
    },
    {
        "id": 250,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2782559",
        "answer_idx": "B",
        "answer": "Repeated lumbar puncture with serologies"
    },
    {
        "id": 251,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2782737",
        "answer_idx": "C",
        "answer": "Send to emergency department for admission and initiation of high-dose intravenous methylprednisolone sodium succinate therapy"
    },
    {
        "id": 252,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2783283",
        "answer_idx": "C",
        "answer": "Acute tubular necrosis secondary to kidney melanoma metastasis"
    },
    {
        "id": 253,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2783116",
        "answer_idx": "D",
        "answer": "EBV-positive mucocutaneous ulcer"
    },
    {
        "id": 254,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2783973",
        "answer_idx": "D",
        "answer": "Thyroid paraganglioma"
    },
    {
        "id": 255,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2783037",
        "answer_idx": "C",
        "answer": "Intravascular large B-cell lymphoma"
    },
    {
        "id": 256,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2784047",
        "answer_idx": "D",
        "answer": "Blau syndrome"
    },
    {
        "id": 257,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2781237",
        "answer_idx": "C",
        "answer": "Administer bisoprolol"
    },
    {
        "id": 258,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2775802",
        "answer_idx": "D",
        "answer": "Begin valganciclovir hydrochloride therapy and sample intraocular fluid for polymerase chain reaction testing"
    },
    {
        "id": 259,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2776243",
        "answer_idx": "C",
        "answer": "Obtain an anterior-segment optical coherence tomogram"
    },
    {
        "id": 260,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2776353",
        "answer_idx": "B",
        "answer": "Diagnostic anterior chamber paracentesis and intravitreal foscarnet"
    },
    {
        "id": 261,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2775238",
        "answer_idx": "A",
        "answer": "Aleukemic cutaneous myeloid sarcoma"
    },
    {
        "id": 262,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2775983",
        "answer_idx": "C",
        "answer": "Sclerosing polycystic adenoma"
    },
    {
        "id": 263,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2776174",
        "answer_idx": "C",
        "answer": "Cytomegalovirus infection"
    },
    {
        "id": 264,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2777008",
        "answer_idx": "C",
        "answer": "Lupus vulgaris"
    },
    {
        "id": 265,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2775671",
        "answer_idx": "C",
        "answer": "Electrophysiology study with or without catheter ablation"
    },
    {
        "id": 266,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2777445",
        "answer_idx": "C",
        "answer": "Measure serum niacin level"
    },
    {
        "id": 267,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2774647",
        "answer_idx": "D",
        "answer": "Obtain serum vitamin levels."
    },
    {
        "id": 268,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2774802",
        "answer_idx": "C",
        "answer": "Perform extraocular muscle biopsy"
    },
    {
        "id": 269,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2774906",
        "answer_idx": "C",
        "answer": "Perform a vitrectomy with cytology and immunohistochemistry"
    },
    {
        "id": 270,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2775156",
        "answer_idx": "C",
        "answer": "Start systemic corticosteroids"
    },
    {
        "id": 271,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2774437",
        "answer_idx": "C",
        "answer": "Neutrophilic eccrine hidradenitis"
    },
    {
        "id": 272,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2775065",
        "answer_idx": "B",
        "answer": "Spontaneous lymphorrhea"
    },
    {
        "id": 273,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2775354",
        "answer_idx": "D",
        "answer": "Spontaneous airway hemorrhage with obstructive hematoma"
    },
    {
        "id": 274,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2775499",
        "answer_idx": "B",
        "answer": "Idiopathic follicular mucinosis"
    },
    {
        "id": 275,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2775817",
        "answer_idx": "B",
        "answer": "Neurocristic hamartoma"
    },
    {
        "id": 276,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2774448",
        "answer_idx": "A",
        "answer": "Cardiac magnetic resonance imaging"
    },
    {
        "id": 277,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2776052",
        "answer_idx": "C",
        "answer": "Order lower extremity duplex ultrasound"
    },
    {
        "id": 278,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2775460",
        "answer_idx": "D",
        "answer": "Prescribe oral zinc therapy"
    },
    {
        "id": 279,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2775399",
        "answer_idx": "C",
        "answer": "Reassure and address patient\u2019s concerns and follow up in 1 year."
    },
    {
        "id": 280,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2773502",
        "answer_idx": "C",
        "answer": "Order an electrocardiogram"
    },
    {
        "id": 281,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2773959",
        "answer_idx": "A",
        "answer": "Lumbar puncture"
    },
    {
        "id": 282,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2774253",
        "answer_idx": "B",
        "answer": "Genetic sequencing"
    },
    {
        "id": 283,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2774366",
        "answer_idx": "A",
        "answer": "Discuss superficial keratectomy to confirm the diagnosis by histopathologic examination"
    },
    {
        "id": 284,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2772837",
        "answer_idx": "C",
        "answer": "Erosive pustular dermatosis"
    },
    {
        "id": 285,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2773735",
        "answer_idx": "D",
        "answer": "Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome"
    },
    {
        "id": 286,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2773995",
        "answer_idx": "B",
        "answer": "Eosinophilic annular erythema"
    },
    {
        "id": 287,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2774592",
        "answer_idx": "A",
        "answer": "Mantle cell lymphoma"
    },
    {
        "id": 288,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2773322",
        "answer_idx": "B",
        "answer": "Place a temporary pacemaker and start corticosteroids"
    },
    {
        "id": 289,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2772868",
        "answer_idx": "C",
        "answer": "Rett syndrome"
    },
    {
        "id": 290,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2775111",
        "answer_idx": "A",
        "answer": "Check levels of serum protein, albumin, prealbumin, and other nutritional laboratory measures"
    },
    {
        "id": 291,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2773478",
        "answer_idx": "D",
        "answer": "Pursue surgical evaluation"
    },
    {
        "id": 292,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2772569",
        "answer_idx": "C",
        "answer": "Examine the abdomen during the EUA"
    },
    {
        "id": 293,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2772806",
        "answer_idx": "D",
        "answer": "Perform an anterior orbitotomy with abscess drainage in conjunction with endoscopic sinus surgery"
    },
    {
        "id": 294,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2772985",
        "answer_idx": "C",
        "answer": "Refer the patient for urgent neuroimaging"
    },
    {
        "id": 295,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2773329",
        "answer_idx": "B",
        "answer": "Obtain computed tomographic scan of the orbits"
    },
    {
        "id": 296,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2770781",
        "answer_idx": "A",
        "answer": "Ectopic parathyroid lipoadenoma"
    },
    {
        "id": 297,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2770967",
        "answer_idx": "D",
        "answer": "Adenomatoid odontogenic tumor"
    },
    {
        "id": 298,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2772813",
        "answer_idx": "C",
        "answer": "Palmar fasciitis and polyarthritis syndrome"
    },
    {
        "id": 299,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2773727",
        "answer_idx": "A",
        "answer": "Benign lymphangioendothelioma"
    },
    {
        "id": 300,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2772775",
        "answer_idx": "C",
        "answer": "Trial medical management with metoprolol and enoxaparin"
    },
    {
        "id": 301,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2771358",
        "answer_idx": "B",
        "answer": "Rosai-Dorfman disease"
    },
    {
        "id": 302,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2771004",
        "answer_idx": "D",
        "answer": "Perform a CT-guided biopsy for histological confirmation of recurrence or identification of other benign disease, such as granulomatous inflammation"
    },
    {
        "id": 303,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2772358",
        "answer_idx": "C",
        "answer": "Atypical teratoid/rhabdoid tumor"
    },
    {
        "id": 304,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2772654",
        "answer_idx": "B",
        "answer": "Improve glycemic control due to urinary magnesium loss from polyuria."
    },
    {
        "id": 305,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2770033",
        "answer_idx": "B",
        "answer": "Metastatic rectal adenocarcinoma"
    },
    {
        "id": 306,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2772317",
        "answer_idx": "D",
        "answer": "Send blood test for drug levels"
    },
    {
        "id": 307,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2769851",
        "answer_idx": "C",
        "answer": "Organophosphate poisoning"
    },
    {
        "id": 308,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2771321",
        "answer_idx": "A",
        "answer": "Order magnetic resonance imaging"
    },
    {
        "id": 309,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2771176",
        "answer_idx": "B",
        "answer": "Cutaneous meningeal heterotopia"
    },
    {
        "id": 310,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2771736",
        "answer_idx": "D",
        "answer": "Observe periocular lesions while psychiatric treatment is continued"
    },
    {
        "id": 311,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2772030",
        "answer_idx": "D",
        "answer": "Perform a complete posterior lamellar resection"
    },
    {
        "id": 312,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2771922",
        "answer_idx": "B",
        "answer": "Eosinophilic dermatosis of hematologic malignancy"
    },
    {
        "id": 313,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2771843",
        "answer_idx": "C",
        "answer": "Extract the lesion surgically"
    },
    {
        "id": 314,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2772325",
        "answer_idx": "C",
        "answer": "Order a thoracic CT scan"
    },
    {
        "id": 315,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2769887",
        "answer_idx": "B",
        "answer": "Capecitabine-induced terminal ileitis"
    },
    {
        "id": 316,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2770553",
        "answer_idx": "D",
        "answer": "Order brain magnetic resonance imaging"
    },
    {
        "id": 317,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2770766",
        "answer_idx": "D",
        "answer": "Initiate admission, high-dose systemic steroids, and a rheumatology consult"
    },
    {
        "id": 318,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2770780",
        "answer_idx": "C",
        "answer": "Clear cell odontogenic carcinoma"
    },
    {
        "id": 319,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2770778",
        "answer_idx": "C",
        "answer": "Pigmented extramammary Paget disease"
    },
    {
        "id": 320,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2771017",
        "answer_idx": "B",
        "answer": "Subcutaneous dirofilariasis"
    },
    {
        "id": 321,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2770966",
        "answer_idx": "A",
        "answer": "Relapsing polychondritis"
    },
    {
        "id": 322,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2770180",
        "answer_idx": "C",
        "answer": "Order hemoglobin electrophoresis"
    },
    {
        "id": 323,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2770080",
        "answer_idx": "B",
        "answer": "Sarcoidosis"
    },
    {
        "id": 324,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2770989",
        "answer_idx": "B",
        "answer": "Plan an urgent examination under anesthesia, ultrasonography, and magnetic resonance imaging (MRI)"
    },
    {
        "id": 325,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2771673",
        "answer_idx": "B",
        "answer": "Perform resection surgery as soon as possible"
    },
    {
        "id": 326,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2770770",
        "answer_idx": "C",
        "answer": "Repeat punch biopsy for hematoxylin-eosin staining and DIF"
    },
    {
        "id": 327,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2771109",
        "answer_idx": "C",
        "answer": "No stenosis or plaque. Because of high negative predictive value, no further testing is necessary."
    },
    {
        "id": 328,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2768218",
        "answer_idx": "B",
        "answer": "Cancer-associated pancreatitis, panniculitis, and polyarthritis syndrome (PPP) syndrome"
    },
    {
        "id": 329,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2768909",
        "answer_idx": "C",
        "answer": "Advise urgent plasmapheresis in consultation with oncology"
    },
    {
        "id": 330,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2769489",
        "answer_idx": "A",
        "answer": "Juxtafacet cyst"
    },
    {
        "id": 331,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2769183",
        "answer_idx": "A",
        "answer": "Observe until repeated incident"
    },
    {
        "id": 332,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2769194",
        "answer_idx": "B",
        "answer": "IgG4-related disease"
    },
    {
        "id": 333,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2769174",
        "answer_idx": "C",
        "answer": "Urgently start high-dose steroids, colchicine, and high-dose nonsteroidal anti-inflammatory drugs (NSAIDs) during hospitalization"
    },
    {
        "id": 334,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2769107",
        "answer_idx": "B",
        "answer": "Erythema gyratum repens\u2013like eruption associated with mycosis fungoides"
    },
    {
        "id": 335,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2769557",
        "answer_idx": "C",
        "answer": "Sickle cell testing"
    },
    {
        "id": 336,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2769626",
        "answer_idx": "D",
        "answer": "Persistent hypoglossal artery"
    },
    {
        "id": 337,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2769751",
        "answer_idx": "B",
        "answer": "Perform magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) of the brain"
    },
    {
        "id": 338,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2769752",
        "answer_idx": "B",
        "answer": "Test for vitamin A deficiency, with additional conjunctival biopsies for pathologic evaluation and testing for immune deposits"
    },
    {
        "id": 339,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2769593",
        "answer_idx": "D",
        "answer": "Drug-induced vasculitis"
    },
    {
        "id": 340,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2770092",
        "answer_idx": "A",
        "answer": "Check ferritin and transferrin saturation"
    },
    {
        "id": 341,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2769562",
        "answer_idx": "A",
        "answer": "Order cardiac magnetic resonance imaging"
    },
    {
        "id": 342,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2766015",
        "answer_idx": "B",
        "answer": "Chloroma"
    },
    {
        "id": 343,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2767080",
        "answer_idx": "A",
        "answer": "Encephalomyelitis with hyperIgEaemia"
    },
    {
        "id": 344,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2768736",
        "answer_idx": "C",
        "answer": "Perform computed tomography angiography of the aorta"
    },
    {
        "id": 345,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2768636",
        "answer_idx": "B",
        "answer": "Start topical corticosteroid eyedrops"
    },
    {
        "id": 346,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2768201",
        "answer_idx": "C",
        "answer": "Magnetic resonance angiography of the brain and neck"
    },
    {
        "id": 347,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2770188",
        "answer_idx": "B",
        "answer": "Mastocytoma"
    },
    {
        "id": 348,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2768079",
        "answer_idx": "C",
        "answer": "Perform a transscleral subretinal biopsy"
    },
    {
        "id": 349,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2768758",
        "answer_idx": "C",
        "answer": "Cutaneous leishmaniasis"
    },
    {
        "id": 350,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2768853",
        "answer_idx": "B",
        "answer": "Obtain polymerase chain reaction of aqueous humor for cytomegalovirus (CMV) DNA"
    },
    {
        "id": 351,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2768858",
        "answer_idx": "C",
        "answer": "Sinonasal meningioma"
    },
    {
        "id": 352,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2768859",
        "answer_idx": "B",
        "answer": "Metastatic squamous cell carcinoma"
    },
    {
        "id": 353,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2769287",
        "answer_idx": "A",
        "answer": "Diagnose the patient with peripheral artery disease (PAD) and begin medical management"
    },
    {
        "id": 354,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2768646",
        "answer_idx": "A",
        "answer": "Perform laparoscopic appendectomy and peritoneal biopsy"
    },
    {
        "id": 355,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2767596",
        "answer_idx": "A",
        "answer": "Sporotrichosis"
    },
    {
        "id": 356,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2767757",
        "answer_idx": "C",
        "answer": "Initiate venoarterial extracorporeal membrane oxygenation"
    },
    {
        "id": 357,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2767715",
        "answer_idx": "B",
        "answer": "Chondroid metaplasia"
    },
    {
        "id": 358,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2767716",
        "answer_idx": "B",
        "answer": "Oral melanoacanthosis (melanoacanthoma)"
    },
    {
        "id": 359,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2767778",
        "answer_idx": "A",
        "answer": "Schwannoma"
    },
    {
        "id": 360,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2767833",
        "answer_idx": "B",
        "answer": "Metastatic carotid body tumors"
    },
    {
        "id": 361,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2766384",
        "answer_idx": "C",
        "answer": "Order optical coherence tomography"
    },
    {
        "id": 362,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2766386",
        "answer_idx": "C",
        "answer": "Obtain venography (computed tomography or magnetic resonance) of the brain"
    },
    {
        "id": 363,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2766934",
        "answer_idx": "B",
        "answer": "Assess serum vitamin B12 and folate levels"
    },
    {
        "id": 364,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2767412",
        "answer_idx": "C",
        "answer": "Stop netarsudil in both eyes"
    },
    {
        "id": 365,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2767679",
        "answer_idx": "D",
        "answer": "Start vasodilator therapy with nifedipine"
    },
    {
        "id": 366,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2765338",
        "answer_idx": "A",
        "answer": "Plaque and ichthyosiform sarcoidosis"
    },
    {
        "id": 367,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2766767",
        "answer_idx": "C",
        "answer": "Unilesional folliculotropic mycosis fungoides"
    },
    {
        "id": 368,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2766461",
        "answer_idx": "C",
        "answer": "Progressive multifocal leukoencephalopathy"
    },
    {
        "id": 369,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2766241",
        "answer_idx": "C",
        "answer": "Obtain chest radiographs"
    },
    {
        "id": 370,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2765304",
        "answer_idx": "A",
        "answer": "Kaposi sarcoma"
    },
    {
        "id": 371,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2765787",
        "answer_idx": "C",
        "answer": "Secretory carcinoma"
    },
    {
        "id": 372,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2766087",
        "answer_idx": "C",
        "answer": "Complete serum immunoglobulin level tests, DNA molecular analysis, and bone marrow biopsy"
    },
    {
        "id": 373,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2766088",
        "answer_idx": "C",
        "answer": "Excisional biopsy"
    },
    {
        "id": 374,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2766452",
        "answer_idx": "C",
        "answer": "Administer high-dose oral valacyclovir (2 g, 3 times daily)"
    },
    {
        "id": 375,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2765644",
        "answer_idx": "A",
        "answer": "Obtain a full-field electroretinogram"
    },
    {
        "id": 376,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2765803",
        "answer_idx": "D",
        "answer": "Computed tomography scan of the chest, abdomen, and pelvis"
    },
    {
        "id": 377,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2766596",
        "answer_idx": "D",
        "answer": "Perform right upper lobe resection"
    },
    {
        "id": 378,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2765384",
        "answer_idx": "B",
        "answer": "Actinic prurigo cheilitis"
    },
    {
        "id": 379,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2764894",
        "answer_idx": "D",
        "answer": "Apical left ventricular thrombus"
    },
    {
        "id": 380,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2765810",
        "answer_idx": "C",
        "answer": "Coronary artery reimplantation"
    },
    {
        "id": 381,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2764382",
        "answer_idx": "C",
        "answer": "Order cerebrospinal fluid prion disease panel"
    },
    {
        "id": 382,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2764530",
        "answer_idx": "C",
        "answer": "Order systemic laboratory workup"
    },
    {
        "id": 383,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2765027",
        "answer_idx": "A",
        "answer": "Initiate immunosuppressive therapy"
    },
    {
        "id": 384,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2762556",
        "answer_idx": "D",
        "answer": "Pagetoid reticulosis"
    },
    {
        "id": 385,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2762707",
        "answer_idx": "B",
        "answer": "Linear atrophoderma of Moulin"
    },
    {
        "id": 386,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2763189",
        "answer_idx": "C",
        "answer": "Rosacea-like angiosarcoma"
    },
    {
        "id": 387,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2762512",
        "answer_idx": "D",
        "answer": "Progressive encephalomyelitis with rigidity and myoclonus (PERM)"
    },
    {
        "id": 388,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2762580",
        "answer_idx": "C",
        "answer": "Intravascular natural killer/T-cell lymphoma"
    },
    {
        "id": 389,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2764753",
        "answer_idx": "D",
        "answer": "Perform transesophageal echocardiography"
    },
    {
        "id": 390,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2762049",
        "answer_idx": "D",
        "answer": "Initiate laboratory testing for immunoglobulins"
    },
    {
        "id": 391,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2762848",
        "answer_idx": "C",
        "answer": "Immediate optic nerve sheath fenestration (ONSF)"
    },
    {
        "id": 392,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2763355",
        "answer_idx": "D",
        "answer": "Perform biopsy of lesion"
    },
    {
        "id": 393,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2760335",
        "answer_idx": "C",
        "answer": "Herpes vegetans"
    },
    {
        "id": 394,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2760689",
        "answer_idx": "C",
        "answer": "Primary cutaneous aggressive epidermotropic cytotoxic CD8+ T-cell lymphoma"
    },
    {
        "id": 395,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2761660",
        "answer_idx": "B",
        "answer": "Angiosarcoma"
    },
    {
        "id": 396,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2761524",
        "answer_idx": "C",
        "answer": "Consult cardiothoracic surgery for controlled operative thrombectomy"
    },
    {
        "id": 397,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2758633",
        "answer_idx": "B",
        "answer": "Acromegaly"
    },
    {
        "id": 398,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2758872",
        "answer_idx": "D",
        "answer": "Castleman disease"
    },
    {
        "id": 399,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2760494",
        "answer_idx": "D",
        "answer": "Elect observation"
    },
    {
        "id": 400,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2761534",
        "answer_idx": "C",
        "answer": "Inquire about bright light exposures"
    },
    {
        "id": 401,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2761667",
        "answer_idx": "B",
        "answer": "Perform transcutaneous retrobulbar injection of an antifungal agent"
    },
    {
        "id": 402,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2758410",
        "answer_idx": "C",
        "answer": "Ductal adenocarcinoma of the breast"
    },
    {
        "id": 403,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2759136",
        "answer_idx": "B",
        "answer": "Primary umbilical endometriosis"
    },
    {
        "id": 404,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2758263",
        "answer_idx": "C",
        "answer": "Pulmonary tumor thrombotic microangiopathy"
    },
    {
        "id": 405,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2759250",
        "answer_idx": "B",
        "answer": "Pericardiocentesis with pericardial drain placement"
    },
    {
        "id": 406,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2756312",
        "answer_idx": "C",
        "answer": "IgG4-related related disease"
    },
    {
        "id": 407,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2757027",
        "answer_idx": "A",
        "answer": "Glomus tumor"
    },
    {
        "id": 408,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2758112",
        "answer_idx": "C",
        "answer": "Rhinoscleroma"
    },
    {
        "id": 409,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2757852",
        "answer_idx": "C",
        "answer": "Diffuse large B-cell lymphoma"
    },
    {
        "id": 410,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2759435",
        "answer_idx": "D",
        "answer": "Pneumoparotid"
    },
    {
        "id": 411,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2758417",
        "answer_idx": "D",
        "answer": "Reassure the patient and observe"
    },
    {
        "id": 412,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2758931",
        "answer_idx": "B",
        "answer": "Blood testing for infectious and inflammatory agents"
    },
    {
        "id": 413,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2759428",
        "answer_idx": "C",
        "answer": "Obtain a family medical history and pursue genetic testing"
    },
    {
        "id": 414,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2759801",
        "answer_idx": "A",
        "answer": "Perform biopsy of the iris lesion"
    },
    {
        "id": 415,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2760548",
        "answer_idx": "C",
        "answer": "Prescribe omeprazole (40 mg twice daily)"
    },
    {
        "id": 416,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2757272",
        "answer_idx": "C",
        "answer": "Linear IgA dermatosis"
    },
    {
        "id": 417,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2757718",
        "answer_idx": "B",
        "answer": "Spindle cell lipoma"
    },
    {
        "id": 418,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2758217",
        "answer_idx": "C",
        "answer": "Bullous mastocytosis"
    },
    {
        "id": 419,
        "link": "https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2753511",
        "answer_idx": "A",
        "answer": "Consider the risk of adverse events and which drugs are approved for use"
    },
    {
        "id": 420,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2758571",
        "answer_idx": "B",
        "answer": "Bone marrow\u2013liver\u2013spleen type of large B-cell lymphoma"
    },
    {
        "id": 421,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2757535",
        "answer_idx": "C",
        "answer": "Cardiac magnetic resonance imaging"
    },
    {
        "id": 422,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2754750",
        "answer_idx": "C",
        "answer": "Lateral saccular cyst"
    },
    {
        "id": 423,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2756212",
        "answer_idx": "D",
        "answer": "Spindle cell rhabdomyosarcoma"
    },
    {
        "id": 424,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2756213",
        "answer_idx": "D",
        "answer": "Midline anterior neck inclusion cyst"
    },
    {
        "id": 425,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2757275",
        "answer_idx": "B",
        "answer": "Hibernoma"
    },
    {
        "id": 426,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2755961",
        "answer_idx": "C",
        "answer": "Stop the ATRA and start steroids"
    },
    {
        "id": 427,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2756332",
        "answer_idx": "C",
        "answer": "Administer intravitreal foscarnet and initiate valganciclovir"
    },
    {
        "id": 428,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2757263",
        "answer_idx": "B",
        "answer": "Perform a complete excisional biopsy of the lesion"
    },
    {
        "id": 429,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2757593",
        "answer_idx": "C",
        "answer": "Start oral antiviral and topical antibiotic therapy"
    },
    {
        "id": 430,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2758611",
        "answer_idx": "A",
        "answer": "Begin antimicrobial therapy"
    },
    {
        "id": 431,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2757849",
        "answer_idx": "B",
        "answer": "Prescribe antibiotics followed by anthelminthic therapy"
    },
    {
        "id": 432,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2757729",
        "answer_idx": "C",
        "answer": "Discontinue ibuprofen"
    },
    {
        "id": 433,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2755288",
        "answer_idx": "B",
        "answer": "Late cutaneous bilharziasis"
    },
    {
        "id": 434,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2755537",
        "answer_idx": "B",
        "answer": "Extrafacial granuloma faciale"
    },
    {
        "id": 435,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2752282",
        "answer_idx": "C",
        "answer": "Pulmonary arteriovenous shunt"
    },
    {
        "id": 436,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2752667",
        "answer_idx": "C",
        "answer": "Cerebrotendinous xanthomatosis"
    },
    {
        "id": 437,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2755966",
        "answer_idx": "B",
        "answer": "Cardiac magnetic resonance imaging (MRI)"
    },
    {
        "id": 438,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2752947",
        "answer_idx": "B",
        "answer": "Inflammatory myofibroblastic tumor"
    },
    {
        "id": 439,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2753324",
        "answer_idx": "D",
        "answer": "Glial heterotopia"
    },
    {
        "id": 440,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2753563",
        "answer_idx": "B",
        "answer": "Cerebral vein thrombosis"
    },
    {
        "id": 441,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2753763",
        "answer_idx": "C",
        "answer": "Kimura disease"
    },
    {
        "id": 442,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2753928",
        "answer_idx": "C",
        "answer": "Repeat the whole-body positron emission tomography scan"
    },
    {
        "id": 443,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2755403",
        "answer_idx": "C",
        "answer": "Sweep the superior fornix"
    },
    {
        "id": 444,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2755972",
        "answer_idx": "D",
        "answer": "Perform a full-thickness eyelid resection with intraoperative control of margins"
    },
    {
        "id": 445,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2757314",
        "answer_idx": "C",
        "answer": "Initiate vitamin C supplementation"
    },
    {
        "id": 446,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2753224",
        "answer_idx": "D",
        "answer": "Perform a plasma INR test to confirm POC INR test results."
    },
    {
        "id": 447,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2753853",
        "answer_idx": "D",
        "answer": "Stop diltiazem drip and administer intravenous verapamil"
    },
    {
        "id": 448,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2753263",
        "answer_idx": "A",
        "answer": "Periumbilical pseudoxanthoma elasticum"
    },
    {
        "id": 449,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2753670",
        "answer_idx": "B",
        "answer": "Primary cutaneous large B-cell lymphoma, leg type"
    },
    {
        "id": 450,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2751254",
        "answer_idx": "C",
        "answer": "Chorea-acanthocytosis"
    },
    {
        "id": 451,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2753758",
        "answer_idx": "A",
        "answer": "Transthoracic echocardiogram"
    },
    {
        "id": 452,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2752882",
        "answer_idx": "B",
        "answer": "PPV plus pathological examination plus genetic test"
    },
    {
        "id": 453,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2753568",
        "answer_idx": "B",
        "answer": "Obtain orbital imaging"
    },
    {
        "id": 454,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2753768",
        "answer_idx": "A",
        "answer": "Investigate for sarcoidosis and tuberculosis; if negative, start treatment with steroids"
    },
    {
        "id": 455,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2753552",
        "answer_idx": "B",
        "answer": "Subungual squamous cell carcinoma"
    },
    {
        "id": 456,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2753204",
        "answer_idx": "D",
        "answer": "Test for serum cryoglobulin level"
    },
    {
        "id": 457,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2751511",
        "answer_idx": "A",
        "answer": "Cutaneous T-cell lymphoma"
    },
    {
        "id": 458,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2751866",
        "answer_idx": "D",
        "answer": "Nevus comedonicus"
    },
    {
        "id": 459,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2751250",
        "answer_idx": "B",
        "answer": "Erdheim-Chester disease"
    },
    {
        "id": 460,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2751312",
        "answer_idx": "D",
        "answer": "Switch ticagrelor to clopidogrel"
    },
    {
        "id": 461,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2751950",
        "answer_idx": "C",
        "answer": "Ectopic thymus"
    },
    {
        "id": 462,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2749090",
        "answer_idx": "B",
        "answer": "Quantiferon and rapid plasma reagin tests and chest radiography"
    },
    {
        "id": 463,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2749326",
        "answer_idx": "B",
        "answer": "Initiate course of topical ophthalmic antibiotics and corticosteroids"
    },
    {
        "id": 464,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2751322",
        "answer_idx": "C",
        "answer": "Obtain an in-depth medical and personal history, including drug history"
    },
    {
        "id": 465,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2751373",
        "answer_idx": "B",
        "answer": "Observation for the eye and MRI and magnetic resonance angiography of the head"
    },
    {
        "id": 466,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2751872",
        "answer_idx": "C",
        "answer": "Nivolumab-induced inflammatory arthritis"
    },
    {
        "id": 467,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2749770",
        "answer_idx": "B",
        "answer": "Order serum protein electrophoresis and serum free light chains assay"
    },
    {
        "id": 468,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2751520",
        "answer_idx": "C",
        "answer": "Perform a laboratory-based HbA1c test to determine the patient\u2019s glycemic status."
    },
    {
        "id": 469,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2740804",
        "answer_idx": "B",
        "answer": "Ichthyosiform mycosis fungoides"
    },
    {
        "id": 470,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2747826",
        "answer_idx": "B",
        "answer": "Annular atrophic lichen planus"
    },
    {
        "id": 471,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2749164",
        "answer_idx": "C",
        "answer": "Glioma"
    },
    {
        "id": 472,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2748987",
        "answer_idx": "B",
        "answer": "Right and left heart catheterization"
    },
    {
        "id": 473,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2749416",
        "answer_idx": "A",
        "answer": "Perform percutaneous biopsy of the mass"
    },
    {
        "id": 474,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2740678",
        "answer_idx": "C",
        "answer": "Multiforme erythema"
    },
    {
        "id": 475,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2748386",
        "answer_idx": "C",
        "answer": "Papillary adenocarcinoma"
    },
    {
        "id": 476,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2748896",
        "answer_idx": "C",
        "answer": "Pemphigus vulgaris"
    },
    {
        "id": 477,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2749180",
        "answer_idx": "C",
        "answer": "Eosinophilic sialodochitis"
    },
    {
        "id": 478,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2747309",
        "answer_idx": "B",
        "answer": "Start topical and systemic antifungal treatment"
    },
    {
        "id": 479,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2747741",
        "answer_idx": "C",
        "answer": "Interferon-\u03b3 release assay"
    },
    {
        "id": 480,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2748605",
        "answer_idx": "D",
        "answer": "Provide patient education and observation"
    },
    {
        "id": 481,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2748905",
        "answer_idx": "C",
        "answer": "Magnetic resonance imaging of the orbits"
    },
    {
        "id": 482,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2749174",
        "answer_idx": "D",
        "answer": "Myasthenia gravis and myositis syndrome"
    },
    {
        "id": 483,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2749078",
        "answer_idx": "C",
        "answer": "Obtain magnetic resonance imaging (MRI) of the head and orbits"
    },
    {
        "id": 484,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2740742",
        "answer_idx": "C",
        "answer": "The patient has both iron and vitamin B12 deficiencies."
    },
    {
        "id": 485,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2738262",
        "answer_idx": "D",
        "answer": "Cutaneous metastatic mucinous carcinoma from rectal carcinoma"
    },
    {
        "id": 486,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2738304",
        "answer_idx": "D",
        "answer": "Fibrous cephalic plaque"
    },
    {
        "id": 487,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2739470",
        "answer_idx": "C",
        "answer": "Dermatofibrosarcoma protuberans, atrophic variant"
    },
    {
        "id": 488,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2737278",
        "answer_idx": "A",
        "answer": "Autoimmune Isaacs syndrome"
    },
    {
        "id": 489,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2747600",
        "answer_idx": "A",
        "answer": "Start corticosteroid therapy"
    },
    {
        "id": 490,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2737209",
        "answer_idx": "B",
        "answer": "Chordoma"
    },
    {
        "id": 491,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2737709",
        "answer_idx": "C",
        "answer": "NUT carcinoma"
    },
    {
        "id": 492,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2738425",
        "answer_idx": "B",
        "answer": "X-linked deafness 2"
    },
    {
        "id": 493,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2734818",
        "answer_idx": "D",
        "answer": "Obtain biopsy results"
    },
    {
        "id": 494,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2737213",
        "answer_idx": "B",
        "answer": "Order magnetic resonance imaging of the brain and a medical genetics evaluation"
    },
    {
        "id": 495,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2737860",
        "answer_idx": "B",
        "answer": "Surgery to create scleral windows"
    },
    {
        "id": 496,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2738403",
        "answer_idx": "C",
        "answer": "Intravitreal anti\u2013vascular endothelial growth factor injections and laser panretinal photocoagulation"
    },
    {
        "id": 497,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2739231",
        "answer_idx": "A",
        "answer": "Observe"
    },
    {
        "id": 498,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2738412",
        "answer_idx": "C",
        "answer": "Merkel cell carcinoma"
    },
    {
        "id": 499,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2748482",
        "answer_idx": "B",
        "answer": "Review the ECG for features of atrial fibrillation"
    },
    {
        "id": 500,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2737853",
        "answer_idx": "B",
        "answer": "Assess serum \u03b11-antitrypsin level and genotype"
    },
    {
        "id": 501,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2736370",
        "answer_idx": "A",
        "answer": "Mycosis fungoides"
    },
    {
        "id": 502,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2737326",
        "answer_idx": "D",
        "answer": "Intralymphatic histiocytosis"
    },
    {
        "id": 503,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2734253",
        "answer_idx": "B",
        "answer": "Diffuse melanosis cutis"
    },
    {
        "id": 504,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2738099",
        "answer_idx": "B",
        "answer": "Subcutaneous ICD reprogramming and observation"
    },
    {
        "id": 505,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2734341",
        "answer_idx": "B",
        "answer": "Schwannoma with a traumatic ulcerative granuloma with stromal eosinophilialike reaction"
    },
    {
        "id": 506,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2734871",
        "answer_idx": "C",
        "answer": "Histoplasmosis"
    },
    {
        "id": 507,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2734819",
        "answer_idx": "B",
        "answer": "Perform posterior capsulotomy with Nd:YAG laser"
    },
    {
        "id": 508,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2734988",
        "answer_idx": "D",
        "answer": "Perform superficial corneal biopsy"
    },
    {
        "id": 509,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2735628",
        "answer_idx": "A",
        "answer": "Aspiration with absolute alcohol injection"
    },
    {
        "id": 510,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2736416",
        "answer_idx": "C",
        "answer": "Magnetic resonance imaging of the brain and orbits"
    },
    {
        "id": 511,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2737084",
        "answer_idx": "B",
        "answer": "Primary central nervous system posttransplant lymphoproliferative disorder"
    },
    {
        "id": 512,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2737057",
        "answer_idx": "C",
        "answer": "Prescribe oral azithromycin"
    },
    {
        "id": 513,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2736971",
        "answer_idx": "C",
        "answer": "Perform detailed review of systemic and topical medications"
    },
    {
        "id": 514,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2736434",
        "answer_idx": "B",
        "answer": "Stop further nontubercular diagnostic testing and continue antitubercular therapy"
    },
    {
        "id": 515,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2735973",
        "answer_idx": "C",
        "answer": "Perform an exploratory laparotomy and excision of the mass"
    },
    {
        "id": 516,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2732678",
        "answer_idx": "A",
        "answer": "Disseminated candidiasis with transepidermal elimination"
    },
    {
        "id": 517,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2728242",
        "answer_idx": "C",
        "answer": "Malignant acanthosis nigricans"
    },
    {
        "id": 518,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2729678",
        "answer_idx": "B",
        "answer": "Cutaneous leukocytoclastic vasculitis"
    },
    {
        "id": 519,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2735318",
        "answer_idx": "C",
        "answer": "Treat medically with aspirin, \u03b2-blocker, clopidogrel, and a statin"
    },
    {
        "id": 520,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2731889",
        "answer_idx": "C",
        "answer": "Oral metastasis"
    },
    {
        "id": 521,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2732495",
        "answer_idx": "C",
        "answer": "Type 2 herpes simplex virus (HSV-2) pharyngitis"
    },
    {
        "id": 522,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2733030",
        "answer_idx": "D",
        "answer": "Aspergillosis"
    },
    {
        "id": 523,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2733785",
        "answer_idx": "D",
        "answer": "Nasal cavity hamartoma"
    },
    {
        "id": 524,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2732284",
        "answer_idx": "A",
        "answer": "Initiate a trial of carbamazepine"
    },
    {
        "id": 525,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2732694",
        "answer_idx": "A",
        "answer": "Obtain magnetic resonance imaging of the brain and orbits"
    },
    {
        "id": 526,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2733447",
        "answer_idx": "B",
        "answer": "Iodine 125 plaque brachytherapy"
    },
    {
        "id": 527,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2734132",
        "answer_idx": "B",
        "answer": "Magnetic resonance imaging of the brain/orbits"
    },
    {
        "id": 528,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2734579",
        "answer_idx": "B",
        "answer": "Perform emergency surgery for aortic valve repair"
    },
    {
        "id": 529,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2729747",
        "answer_idx": "B",
        "answer": "Scleromyxedema"
    },
    {
        "id": 530,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2730770",
        "answer_idx": "B",
        "answer": "Hyperkeratosis lenticularis perstans"
    },
    {
        "id": 531,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2729008",
        "answer_idx": "C",
        "answer": "Faciobrachial dystonic seizures"
    },
    {
        "id": 532,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2728251",
        "answer_idx": "D",
        "answer": "Order cerebral angiography"
    },
    {
        "id": 533,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2728252",
        "answer_idx": "A",
        "answer": "Computed tomographic scan of the orbits with contrast"
    },
    {
        "id": 534,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2729895",
        "answer_idx": "C",
        "answer": "Excisional biopsy"
    },
    {
        "id": 535,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2723577",
        "answer_idx": "A",
        "answer": "Bleomycin toxic effects"
    },
    {
        "id": 536,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2725399",
        "answer_idx": "C",
        "answer": "Burkitt lymphoma"
    },
    {
        "id": 537,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2727334",
        "answer_idx": "D",
        "answer": "Administer intravenous thiamine therapy"
    },
    {
        "id": 538,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2730376",
        "answer_idx": "B",
        "answer": "Epidermoid cyst"
    },
    {
        "id": 539,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2731469",
        "answer_idx": "B",
        "answer": "Cocaine-induced midline destructive lesion"
    },
    {
        "id": 540,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2731736",
        "answer_idx": "A",
        "answer": "Inquire about rodent and other animal exposures"
    },
    {
        "id": 541,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2730536",
        "answer_idx": "B",
        "answer": "Core needle biopsy of the lesion"
    },
    {
        "id": 542,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2728813",
        "answer_idx": "C",
        "answer": "Bullous Wells syndrome"
    },
    {
        "id": 543,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2729070",
        "answer_idx": "D",
        "answer": "Telangiectatic metastatic breast carcinoma"
    },
    {
        "id": 544,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2729591",
        "answer_idx": "B",
        "answer": "Posttransplantation lymphoproliferative disorder"
    },
    {
        "id": 545,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2725382",
        "answer_idx": "C",
        "answer": "X-linked Charcot-Marie-Tooth disease"
    },
    {
        "id": 546,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2726035",
        "answer_idx": "D",
        "answer": "Initiate intravenous penicillin therapy"
    },
    {
        "id": 547,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2726036",
        "answer_idx": "C",
        "answer": "Obtain cerebral magnetic resonance venography or computed tomographic venography"
    },
    {
        "id": 548,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2726698",
        "answer_idx": "A",
        "answer": "Obtain a family medical history and genetic testing"
    },
    {
        "id": 549,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2726699",
        "answer_idx": "B",
        "answer": "Conjunctival biopsy"
    },
    {
        "id": 550,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2727508",
        "answer_idx": "D",
        "answer": "Obtain serum vitamin A levels"
    },
    {
        "id": 551,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2721232",
        "answer_idx": "D",
        "answer": "Basal cell carcinoma"
    },
    {
        "id": 552,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2722615",
        "answer_idx": "B",
        "answer": "Nivolumab-induced extensive panniculitis"
    },
    {
        "id": 553,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2722743",
        "answer_idx": "B",
        "answer": "Start intravenous heparin"
    },
    {
        "id": 554,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2726813",
        "answer_idx": "D",
        "answer": "Sebaceous carcinoma"
    },
    {
        "id": 555,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2727328",
        "answer_idx": "D",
        "answer": "Schistosomiasis"
    },
    {
        "id": 556,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2729841",
        "answer_idx": "B",
        "answer": "Lupus vulgaris"
    },
    {
        "id": 557,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2730013",
        "answer_idx": "B",
        "answer": "Obtain additional imaging with computed tomography (CT)"
    },
    {
        "id": 558,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2729031",
        "answer_idx": "D",
        "answer": "Serum protein electrophoresis (SPEP)"
    },
    {
        "id": 559,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2727364",
        "answer_idx": "B",
        "answer": "Leukemia labialis"
    },
    {
        "id": 560,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2724217",
        "answer_idx": "C",
        "answer": "Erdheim-Chester disease"
    },
    {
        "id": 561,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2723492",
        "answer_idx": "C",
        "answer": "Eosinophilic pustular folliculitis"
    },
    {
        "id": 562,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2727297",
        "answer_idx": "C",
        "answer": "Susac syndrome"
    },
    {
        "id": 563,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2723593",
        "answer_idx": "B",
        "answer": "Observe the patient"
    },
    {
        "id": 564,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2723990",
        "answer_idx": "D",
        "answer": "Draw a complete blood cell count with differential to evaluate for leukemic retinopathy or blood dyscrasia"
    },
    {
        "id": 565,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2723991",
        "answer_idx": "B",
        "answer": "Biopsy the conjunctival and corneal lesion"
    },
    {
        "id": 566,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2721041",
        "answer_idx": "C",
        "answer": "Proceed with conjunctival biopsy"
    },
    {
        "id": 567,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2722669",
        "answer_idx": "B",
        "answer": "Examine the retinal periphery"
    },
    {
        "id": 568,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2723092",
        "answer_idx": "D",
        "answer": "All of the above"
    },
    {
        "id": 569,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2717998",
        "answer_idx": "A",
        "answer": "T-cell prolymphocytic leukemia"
    },
    {
        "id": 570,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2718495",
        "answer_idx": "D",
        "answer": "Coronary artery bypass graft surgery"
    },
    {
        "id": 571,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2724226",
        "answer_idx": "D",
        "answer": "Pleomorphic rhabdomyosarcoma"
    },
    {
        "id": 572,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2725435",
        "answer_idx": "B",
        "answer": "Gigantiform cementoma"
    },
    {
        "id": 573,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2726012",
        "answer_idx": "C",
        "answer": "Multifocal canalicular adenoma"
    },
    {
        "id": 574,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2727553",
        "answer_idx": "A",
        "answer": "Biopsy the lesions"
    },
    {
        "id": 575,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2725892",
        "answer_idx": "B",
        "answer": "Exploratory laparotomy"
    },
    {
        "id": 576,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2724790",
        "answer_idx": "A",
        "answer": "Check serum trace element levels, including iron, copper, and zinc"
    },
    {
        "id": 577,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2717576",
        "answer_idx": "B",
        "answer": "Cryothermic dermatitis artefacta"
    },
    {
        "id": 578,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2720312",
        "answer_idx": "A",
        "answer": "Confluent and reticulated papillomatosis"
    },
    {
        "id": 579,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2720742",
        "answer_idx": "B",
        "answer": "Cystic fibrosis-associated episodic arthritis"
    },
    {
        "id": 580,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2719276",
        "answer_idx": "C",
        "answer": "Diabetic striatopathy"
    },
    {
        "id": 581,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2718839",
        "answer_idx": "B",
        "answer": "Perform scleral biopsy"
    },
    {
        "id": 582,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2718840",
        "answer_idx": "A",
        "answer": "Optical coherence tomography angiography"
    },
    {
        "id": 583,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2719486",
        "answer_idx": "B",
        "answer": "Recheck IOP with a handheld tonometer off the LASIK flap"
    },
    {
        "id": 584,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2720486",
        "answer_idx": "C",
        "answer": "Treat with oral corticosteroids"
    },
    {
        "id": 585,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2718518",
        "answer_idx": "B",
        "answer": "Obtain additional imaging"
    },
    {
        "id": 586,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2721040",
        "answer_idx": "B",
        "answer": "Magnetic resonance imaging and/or computed tomographic imaging of the orbits"
    },
    {
        "id": 587,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2713851",
        "answer_idx": "A",
        "answer": "C7 cervical spinal cord compression"
    },
    {
        "id": 588,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2711637",
        "answer_idx": "B",
        "answer": "Electrophysiology study with possible catheter ablation"
    },
    {
        "id": 589,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2723083",
        "answer_idx": "C",
        "answer": "Mixed lymphatic and venous malformation"
    },
    {
        "id": 590,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2718634",
        "answer_idx": "C",
        "answer": "Neuroborreliosis cranial polyneuritis"
    },
    {
        "id": 591,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2719200",
        "answer_idx": "B",
        "answer": "Cystic teratoma (mature)"
    },
    {
        "id": 592,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2723632",
        "answer_idx": "B",
        "answer": "Alternative CFTR functional testing"
    },
    {
        "id": 593,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2723634",
        "answer_idx": "A",
        "answer": "Initiate topical steroid eyedrop therapy"
    },
    {
        "id": 594,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2721290",
        "answer_idx": "C",
        "answer": "Perform skin scraping of burrows from multiple sites"
    },
    {
        "id": 595,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2712410",
        "answer_idx": "C",
        "answer": "Pyoderma vegetans"
    },
    {
        "id": 596,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2713948",
        "answer_idx": "C",
        "answer": "Atrophia maculosa varioliformis cutis"
    },
    {
        "id": 597,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2716289",
        "answer_idx": "C",
        "answer": "Plasmacytoma"
    },
    {
        "id": 598,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2702085",
        "answer_idx": "A",
        "answer": "Sliding hernia"
    },
    {
        "id": 599,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2711231",
        "answer_idx": "C",
        "answer": "Ileo-colic intussusception"
    },
    {
        "id": 600,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2714696",
        "answer_idx": "B",
        "answer": "Perform a vitreous tap and administer intravitreal injection of antifungal agents"
    },
    {
        "id": 601,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2717487",
        "answer_idx": "C",
        "answer": "Referral for cardiac biopsy"
    },
    {
        "id": 602,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2718841",
        "answer_idx": "B",
        "answer": "Order a computed tomographic scan of the orbits"
    },
    {
        "id": 603,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2715814",
        "answer_idx": "B",
        "answer": "Orbitotomy with biopsy"
    },
    {
        "id": 604,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2716469",
        "answer_idx": "A",
        "answer": "Recommend intravitreal anti\u2013vascular endothelial growth factor (anti-VEGF) injection."
    },
    {
        "id": 605,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2716822",
        "answer_idx": "C",
        "answer": "Magnetic resonance imaging of brain and orbits"
    },
    {
        "id": 606,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2716823",
        "answer_idx": "C",
        "answer": "Perform head/maxillofacial computed tomography or magnetic resonance imaging"
    },
    {
        "id": 607,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2704206",
        "answer_idx": "C",
        "answer": "Lichenoid drug reaction"
    },
    {
        "id": 608,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2704012",
        "answer_idx": "D",
        "answer": "Transthoracic echocardiogram with a bubble study"
    },
    {
        "id": 609,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2715831",
        "answer_idx": "C",
        "answer": "Ectopic pituitary adenoma"
    },
    {
        "id": 610,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2716815",
        "answer_idx": "C",
        "answer": "Primary middle ear meningioma"
    },
    {
        "id": 611,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2717900",
        "answer_idx": "B",
        "answer": "Hairy polyp"
    },
    {
        "id": 612,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2718258",
        "answer_idx": "C",
        "answer": "Xeroderma pigmentosum"
    },
    {
        "id": 613,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2720319",
        "answer_idx": "C",
        "answer": "The VEGF-D level is supportive of a diagnosis of lymphangioleiomyomatosis."
    },
    {
        "id": 614,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2719861",
        "answer_idx": "C",
        "answer": "Order serologic testing for parvovirus"
    },
    {
        "id": 615,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2719582",
        "answer_idx": "A",
        "answer": "Test results indicate presence of IgG4-related disease."
    },
    {
        "id": 616,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2697215",
        "answer_idx": "B",
        "answer": "Mucormycosis"
    },
    {
        "id": 617,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2697564",
        "answer_idx": "C",
        "answer": "Clear cell papulosis"
    },
    {
        "id": 618,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2698664",
        "answer_idx": "B",
        "answer": "Lymphomatoid granulomatosis"
    },
    {
        "id": 619,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2696618",
        "answer_idx": "B",
        "answer": "Sclerosing encapsulating peritonitis"
    },
    {
        "id": 620,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2698951",
        "answer_idx": "D",
        "answer": "Infected aortic graft with aortoduodenal fistula"
    },
    {
        "id": 621,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2706482",
        "answer_idx": "C",
        "answer": "Check parathyroid hormone, vitamin D, and calcium levels"
    },
    {
        "id": 622,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2707246",
        "answer_idx": "C",
        "answer": "Order mitochondrial genetic testing"
    },
    {
        "id": 623,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2708001",
        "answer_idx": "B",
        "answer": "Order a hormone profile (thyrotropin, adrenocorticotrophic hormone, growth hormone, and testosterone) and consult endocrinology"
    },
    {
        "id": 624,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2714695",
        "answer_idx": "D",
        "answer": "Review medications"
    },
    {
        "id": 625,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2712695",
        "answer_idx": "C",
        "answer": "Another MRI scan of the orbit"
    },
    {
        "id": 626,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2712994",
        "answer_idx": "B",
        "answer": "Order a complete blood cell count"
    },
    {
        "id": 627,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2701716",
        "answer_idx": "B",
        "answer": "Follicular lymphoma"
    },
    {
        "id": 628,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2701747",
        "answer_idx": "C",
        "answer": "Pursue the culprit coronary artery as yet not identified"
    },
    {
        "id": 629,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2719033",
        "answer_idx": "D",
        "answer": "Perform an endoscopic ultrasound of the pancreas with fine-needle aspiration"
    },
    {
        "id": 630,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2705983",
        "answer_idx": "C",
        "answer": "Benign thyroid rest"
    },
    {
        "id": 631,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2712314",
        "answer_idx": "C",
        "answer": "Granulomatosis with polyangiitis"
    },
    {
        "id": 632,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2714045",
        "answer_idx": "A",
        "answer": "Extranodal T-cell lymphoma"
    },
    {
        "id": 633,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2714283",
        "answer_idx": "D",
        "answer": "Myositis ossificans"
    },
    {
        "id": 634,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2717584",
        "answer_idx": "D",
        "answer": "Initiate negative-pressure isolation"
    },
    {
        "id": 635,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2717815",
        "answer_idx": "D",
        "answer": "The patient has warm autoimmune hemolytic anemia."
    },
    {
        "id": 636,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2716410",
        "answer_idx": "B",
        "answer": "Continue medical therapy alone, with a \u03b2-blocker and antiplatelet therapy"
    },
    {
        "id": 637,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2716329",
        "answer_idx": "B",
        "answer": "The patient has acute kidney injury most likely related to sepsis."
    },
    {
        "id": 638,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2687976",
        "answer_idx": "B",
        "answer": "Inverse lichen planus"
    },
    {
        "id": 639,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2695082",
        "answer_idx": "C",
        "answer": "Oral hairy leukoplakia"
    },
    {
        "id": 640,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2696637",
        "answer_idx": "A",
        "answer": "Pigmented onychomatricoma"
    },
    {
        "id": 641,
        "link": "https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2707239",
        "answer_idx": "C",
        "answer": "Clinical follow-up for at least 3 years and indicated primary prevention"
    },
    {
        "id": 642,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2707476",
        "answer_idx": "C",
        "answer": "Autosomal recessive spastic ataxia of Charlevoix-Saguenay"
    },
    {
        "id": 643,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2689025",
        "answer_idx": "C",
        "answer": "Superior lumbar hernia (Grynfeltt-Lesshaft hernia)"
    },
    {
        "id": 644,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2695514",
        "answer_idx": "D",
        "answer": "A pathological vertebral body fracture"
    },
    {
        "id": 645,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2702289",
        "answer_idx": "C",
        "answer": "Obtain an aqueous fluid sample for polymerase chain reaction and treat with antiviral agents"
    },
    {
        "id": 646,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2702290",
        "answer_idx": "C",
        "answer": "Oral corticosteroid treatment and biopsy"
    },
    {
        "id": 647,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2703142",
        "answer_idx": "B",
        "answer": "Further taper her corticosteroid dosage and start a cycloplegic agent to break posterior synechiae"
    },
    {
        "id": 648,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2705357",
        "answer_idx": "C",
        "answer": "Instill a miotic agent"
    },
    {
        "id": 649,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2704055",
        "answer_idx": "C",
        "answer": "Obtain a complete blood cell count"
    },
    {
        "id": 650,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2705356",
        "answer_idx": "C",
        "answer": "Hematologic workup"
    },
    {
        "id": 651,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2696333",
        "answer_idx": "D",
        "answer": "Nuclear protein in testis midline carcinoma"
    },
    {
        "id": 652,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2698086",
        "answer_idx": "B",
        "answer": "Computed tomography of the head"
    },
    {
        "id": 653,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2702302",
        "answer_idx": "B",
        "answer": "Laryngeal gout"
    },
    {
        "id": 654,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2703154",
        "answer_idx": "C",
        "answer": "Kimura disease"
    },
    {
        "id": 655,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2704026",
        "answer_idx": "C",
        "answer": "Follicular dendritic cell sarcoma"
    },
    {
        "id": 656,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2708612",
        "answer_idx": "A",
        "answer": "Observe only"
    },
    {
        "id": 657,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2706536",
        "answer_idx": "D",
        "answer": "Prescribe a 12-month course of dapsone combined with rifampin"
    },
    {
        "id": 658,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2712744",
        "answer_idx": "A",
        "answer": "The patient has cirrhosis."
    },
    {
        "id": 659,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2712522",
        "answer_idx": "B",
        "answer": "The patient has masked uncontrolled hypertension."
    },
    {
        "id": 660,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2687002",
        "answer_idx": "A",
        "answer": "Lichen sclerosus et atrophicus"
    },
    {
        "id": 661,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2687547",
        "answer_idx": "A",
        "answer": "Trichodysplasia spinulosa"
    },
    {
        "id": 662,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2688583",
        "answer_idx": "B",
        "answer": "Erythema papulosa semicircularis recidivans"
    },
    {
        "id": 663,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2688299",
        "answer_idx": "D",
        "answer": "Cobalt toxicity"
    },
    {
        "id": 664,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2685871",
        "answer_idx": "B",
        "answer": "Colonic ischemia"
    },
    {
        "id": 665,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2687230",
        "answer_idx": "C",
        "answer": "Perforation by foreign bodies"
    },
    {
        "id": 666,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2695497",
        "answer_idx": "D",
        "answer": "Perform a second lacrimal gland biopsy"
    },
    {
        "id": 667,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2696737",
        "answer_idx": "B",
        "answer": "Perform orbitotomy with excision"
    },
    {
        "id": 668,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2697397",
        "answer_idx": "D",
        "answer": "Perform serologic testing for Bartonella henselae and Francisella tularensis"
    },
    {
        "id": 669,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2698089",
        "answer_idx": "B",
        "answer": "Indocyanine green angiography, fluorescein angiography, or both"
    },
    {
        "id": 670,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2698942",
        "answer_idx": "B",
        "answer": "Obtain aqueous sample through needle aspirate for viral polymerase chain reaction, and start intravitreal and systemic antiviral therapy"
    },
    {
        "id": 671,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2698943",
        "answer_idx": "D",
        "answer": "Perform pars plana vitrectomy with endolaser"
    },
    {
        "id": 672,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2687963",
        "answer_idx": "D",
        "answer": "Mucormycosis"
    },
    {
        "id": 673,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2686125",
        "answer_idx": "A",
        "answer": "Perform fluoroscopy"
    },
    {
        "id": 674,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2702955",
        "answer_idx": "B",
        "answer": "The patient\u2019s hemostatic status is not appropriate for surgery because the abnormal PT suggests anticoagulant effect from rivaroxaban."
    },
    {
        "id": 675,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2703924",
        "answer_idx": "D",
        "answer": "Perform further evaluation for subclinical hypercortisolism."
    },
    {
        "id": 676,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2683524",
        "answer_idx": "C",
        "answer": "Cytomegalovirus ulcers"
    },
    {
        "id": 677,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2684582",
        "answer_idx": "C",
        "answer": "Neutrophilic sebaceous adenitis"
    },
    {
        "id": 678,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2686149",
        "answer_idx": "C",
        "answer": "Annular erythema of infancy"
    },
    {
        "id": 679,
        "link": "https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2696593",
        "answer_idx": "B",
        "answer": "Referral for outpatient exposure and response prevention therapy"
    },
    {
        "id": 680,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2685866",
        "answer_idx": "D",
        "answer": "Anti-Ma2 encephalitis"
    },
    {
        "id": 681,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2683881",
        "answer_idx": "B",
        "answer": "Bronchopulmonary sequestration"
    },
    {
        "id": 682,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2687210",
        "answer_idx": "C",
        "answer": "Wedge biopsy of lesion"
    },
    {
        "id": 683,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2687211",
        "answer_idx": "B",
        "answer": "Diagnostic anterior chamber paracentesis with intravitreal injection of foscarnet sodium"
    },
    {
        "id": 684,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2687492",
        "answer_idx": "B",
        "answer": "Serologic workup"
    },
    {
        "id": 685,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2688027",
        "answer_idx": "C",
        "answer": "Inject a sterile air bubble."
    },
    {
        "id": 686,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2694808",
        "answer_idx": "D",
        "answer": "Order an electroretinogram and a multifocal electroretinogram"
    },
    {
        "id": 687,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2694809",
        "answer_idx": "C",
        "answer": "Perform a biopsy of the mass"
    },
    {
        "id": 688,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2682183",
        "answer_idx": "B",
        "answer": "Tenosynovial giant cell tumor"
    },
    {
        "id": 689,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2685211",
        "answer_idx": "B",
        "answer": "Administer unfractioned heparin and bridge to warfarin"
    },
    {
        "id": 690,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2688525",
        "answer_idx": "C",
        "answer": "Collagenous fibroma"
    },
    {
        "id": 691,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2697794",
        "answer_idx": "B",
        "answer": "Perform esophageal (Heller) myotomy and partial fundoplication."
    },
    {
        "id": 692,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2681552",
        "answer_idx": "B",
        "answer": "Pyoderma gangrenosum"
    },
    {
        "id": 693,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2681830",
        "answer_idx": "A",
        "answer": "Borderline-borderline leprosy"
    },
    {
        "id": 694,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2682030",
        "answer_idx": "C",
        "answer": "Porokeratotic eccrine ostial and dermal duct nevus"
    },
    {
        "id": 695,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2682654",
        "answer_idx": "B",
        "answer": "Cavernous sinus syndrome"
    },
    {
        "id": 696,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2683864",
        "answer_idx": "B",
        "answer": "Atrioesophageal fistula"
    },
    {
        "id": 697,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2680699",
        "answer_idx": "D",
        "answer": "Scrotal cystocele"
    },
    {
        "id": 698,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2684566",
        "answer_idx": "B",
        "answer": "Perform cerebral angiography"
    },
    {
        "id": 699,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2684567",
        "answer_idx": "B",
        "answer": "Perform magnetic resonance imaging of the brain"
    },
    {
        "id": 700,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2685539",
        "answer_idx": "C",
        "answer": "Search for nematodes under a high-magnification fundus contact lens examination"
    },
    {
        "id": 701,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2686113",
        "answer_idx": "D",
        "answer": "Perform genetic testing for Leber hereditary optic neuropathy"
    },
    {
        "id": 702,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2686384",
        "answer_idx": "D",
        "answer": "Discontinue doxycycline"
    },
    {
        "id": 703,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2686385",
        "answer_idx": "D",
        "answer": "Genetic testing"
    },
    {
        "id": 704,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2679558",
        "answer_idx": "C",
        "answer": "Cutaneous blastic plasmacytoid dendritic cell neoplasm"
    },
    {
        "id": 705,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2677629",
        "answer_idx": "C",
        "answer": "Defer intervention and continue supportive management"
    },
    {
        "id": 706,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2687484",
        "answer_idx": "D",
        "answer": "Rosai-Dorfman disease"
    },
    {
        "id": 707,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2688432",
        "answer_idx": "C",
        "answer": "Pleomorphic adenoma"
    },
    {
        "id": 708,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2678681",
        "answer_idx": "B",
        "answer": "Discoid lupus erythematosus"
    },
    {
        "id": 709,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2678836",
        "answer_idx": "C",
        "answer": "Cutaneous sarcoidosis"
    },
    {
        "id": 710,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2680738",
        "answer_idx": "B",
        "answer": "Cutaneous silica granuloma"
    },
    {
        "id": 711,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2680067",
        "answer_idx": "C",
        "answer": "Contrast-enhancing gallbladder"
    },
    {
        "id": 712,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2680110",
        "answer_idx": "C",
        "answer": "Do plasma electrophoresis and bone marrow analysis"
    },
    {
        "id": 713,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2680938",
        "answer_idx": "B",
        "answer": "Discontinue cidofovir therapy, and start therapy with topical corticosteroids and cycloplegia"
    },
    {
        "id": 714,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2681464",
        "answer_idx": "C",
        "answer": "Measure heart rate, respiratory rate, and blood pressure"
    },
    {
        "id": 715,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2681948",
        "answer_idx": "C",
        "answer": "Radiotherapy (fractionated external beam radiotherapy)"
    },
    {
        "id": 716,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2666800",
        "answer_idx": "C",
        "answer": "Miliary osteoma cutis"
    },
    {
        "id": 717,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2667765",
        "answer_idx": "B",
        "answer": "Metastatic Crohn disease"
    },
    {
        "id": 718,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2668139",
        "answer_idx": "B",
        "answer": "Multisystem Langerhans cell histiocytosis"
    },
    {
        "id": 719,
        "link": "https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2675369",
        "answer_idx": "D",
        "answer": "Referral to a behavioral intervention program plus pharmacotherapy with aripiprazole for irritability, agitation, and self-injury"
    },
    {
        "id": 720,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2674036",
        "answer_idx": "C",
        "answer": "Pityriasis rubra pilaris"
    },
    {
        "id": 721,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2673933",
        "answer_idx": "B",
        "answer": "Testicular cancer"
    },
    {
        "id": 722,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2675987",
        "answer_idx": "C",
        "answer": "Rectosigmoid junction rupture"
    },
    {
        "id": 723,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2670732",
        "answer_idx": "A",
        "answer": "Surgery"
    },
    {
        "id": 724,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2671938",
        "answer_idx": "C",
        "answer": "Refer the patient to the nephrologist for evaluation of kidney function"
    },
    {
        "id": 725,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2672737",
        "answer_idx": "B",
        "answer": "Order urgent magnetic resonance imaging of the brain"
    },
    {
        "id": 726,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2673281",
        "answer_idx": "B",
        "answer": "Review medical history and systemic medications"
    },
    {
        "id": 727,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2673565",
        "answer_idx": "B",
        "answer": "Perform corneal biopsy"
    },
    {
        "id": 728,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2673566",
        "answer_idx": "B",
        "answer": "Superficial corneal biopsy"
    },
    {
        "id": 729,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2665172",
        "answer_idx": "B",
        "answer": "Pulmonary enteric adenocarcinoma (PEA)"
    },
    {
        "id": 730,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2672568",
        "answer_idx": "C",
        "answer": "Obtain electrocardiogram with right-sided precordial leads"
    },
    {
        "id": 731,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2675081",
        "answer_idx": "C",
        "answer": "Alveolar rhabdomyosarcoma"
    },
    {
        "id": 732,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2676012",
        "answer_idx": "C",
        "answer": "Amyloidosis"
    },
    {
        "id": 733,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2676586",
        "answer_idx": "C",
        "answer": "Sigmoid sinus diverticulum"
    },
    {
        "id": 734,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2676587",
        "answer_idx": "D",
        "answer": "Perineural spread of cutaneous squamous cell carcinoma"
    },
    {
        "id": 735,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2677996",
        "answer_idx": "C",
        "answer": "Prescribe a topical corticosteroid and a topical antimicrobial"
    },
    {
        "id": 736,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2672392",
        "answer_idx": "D",
        "answer": "Halo scalp ring (pressure necrosis)"
    },
    {
        "id": 737,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2664341",
        "answer_idx": "B",
        "answer": "Pancreatic panniculitis"
    },
    {
        "id": 738,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2665394",
        "answer_idx": "B",
        "answer": "Folliculocentric lichen sclerosus et atrophicus"
    },
    {
        "id": 739,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2672039",
        "answer_idx": "B",
        "answer": "Branchio-oto-renal syndrome"
    },
    {
        "id": 740,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2671388",
        "answer_idx": "B",
        "answer": "Hemorrhagic shock secondary to perforated hemorrhagic calculous cholecystitis"
    },
    {
        "id": 741,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2673184",
        "answer_idx": "B",
        "answer": "Coronary steal syndrome"
    },
    {
        "id": 742,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2666580",
        "answer_idx": "C",
        "answer": "Refer for serial plasmapheresis"
    },
    {
        "id": 743,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2666805",
        "answer_idx": "C",
        "answer": "Perform excisional biopsy"
    },
    {
        "id": 744,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2666824",
        "answer_idx": "A",
        "answer": "Observe or perform laser photocoagulation to areas of peripheral retinal nonperfusion"
    },
    {
        "id": 745,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2667546",
        "answer_idx": "C",
        "answer": "Observe"
    },
    {
        "id": 746,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2668282",
        "answer_idx": "D",
        "answer": "Orbital biopsy"
    },
    {
        "id": 747,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2668506",
        "answer_idx": "C",
        "answer": "Perform intraocular lens explantation, capsulectomy, and intravitreal vancomycin injection"
    },
    {
        "id": 748,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2663281",
        "answer_idx": "C",
        "answer": "Mycosis fungoides"
    },
    {
        "id": 749,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2669916",
        "answer_idx": "C",
        "answer": "Perform surgical mitral valve repair and annuloplasty"
    },
    {
        "id": 750,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2670737",
        "answer_idx": "B",
        "answer": "Salivary gland anlage tumor"
    },
    {
        "id": 751,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2672746",
        "answer_idx": "B",
        "answer": "Sialolith"
    },
    {
        "id": 752,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2672752",
        "answer_idx": "C",
        "answer": "Hypoglossal nerve schwannoma"
    },
    {
        "id": 753,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2674043",
        "answer_idx": "C",
        "answer": "Lymphoepithelioma-like carcinoma"
    },
    {
        "id": 754,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2676086",
        "answer_idx": "D",
        "answer": "Replace esomeprazole with nortriptyline."
    },
    {
        "id": 755,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2675526",
        "answer_idx": "B",
        "answer": "Obtain a biopsy of the nodule"
    },
    {
        "id": 756,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2658193",
        "answer_idx": "C",
        "answer": "Annular lichenoid dermatitis of youth"
    },
    {
        "id": 757,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2663275",
        "answer_idx": "C",
        "answer": "Erythema induratum"
    },
    {
        "id": 758,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2663941",
        "answer_idx": "B",
        "answer": "Prurigo pigmentosa"
    },
    {
        "id": 759,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2670429",
        "answer_idx": "C",
        "answer": "Germinoma"
    },
    {
        "id": 760,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2668643",
        "answer_idx": "B",
        "answer": "Waardenburg syndrome type 1"
    },
    {
        "id": 761,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2666829",
        "answer_idx": "C",
        "answer": "Adenocarcinoma"
    },
    {
        "id": 762,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2664075",
        "answer_idx": "B",
        "answer": "Perform pars plana vitrectomy with subretinal biopsy"
    },
    {
        "id": 763,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2664083",
        "answer_idx": "D",
        "answer": "Repair canalicular lacerations and perform an orbitotomy for FB removal"
    },
    {
        "id": 764,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2665185",
        "answer_idx": "C",
        "answer": "Review medical and family history for hypercoagulable or inflammatory systemic diseases"
    },
    {
        "id": 765,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2665829",
        "answer_idx": "C",
        "answer": "Initiate rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) therapy"
    },
    {
        "id": 766,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2661764",
        "answer_idx": "D",
        "answer": "Advanced desmoplastic small round cell tumor"
    },
    {
        "id": 767,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2666626",
        "answer_idx": "C",
        "answer": "Order cardiac magnetic resonance imaging"
    },
    {
        "id": 768,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2666576",
        "answer_idx": "D",
        "answer": "Cervical lymphatic malformation"
    },
    {
        "id": 769,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2666769",
        "answer_idx": "B",
        "answer": "Posttransplant lymphoproliferative disorder"
    },
    {
        "id": 770,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2666814",
        "answer_idx": "C",
        "answer": "Fibrous dysplasia"
    },
    {
        "id": 771,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2667845",
        "answer_idx": "C",
        "answer": "Liposarcoma, pleomorphic myxoid variant"
    },
    {
        "id": 772,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2672333",
        "answer_idx": "B",
        "answer": "Perform immunohistochemical analysis on the biopsy specimen"
    },
    {
        "id": 773,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2671446",
        "answer_idx": "B",
        "answer": "Replace heparin with argatroban for heparin-induced thrombocytopenia."
    },
    {
        "id": 774,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2653787",
        "answer_idx": "C",
        "answer": "Post\u2013kala-azar dermal leishmaniasis"
    },
    {
        "id": 775,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2656674",
        "answer_idx": "C",
        "answer": "Cutaneous collagenous vasculopathy"
    },
    {
        "id": 776,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2657680",
        "answer_idx": "B",
        "answer": "Brown tumor"
    },
    {
        "id": 777,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2664529",
        "answer_idx": "C",
        "answer": "Monilethrix"
    },
    {
        "id": 778,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2664656",
        "answer_idx": "C",
        "answer": "Intramural small bowel hematoma"
    },
    {
        "id": 779,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2665411",
        "answer_idx": "C",
        "answer": "Heterotopic pregnancy"
    },
    {
        "id": 780,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2658292",
        "answer_idx": "D",
        "answer": "Observe"
    },
    {
        "id": 781,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2662666",
        "answer_idx": "C",
        "answer": "Order magnetic resonance imaging for the orbits and brain"
    },
    {
        "id": 782,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2663381",
        "answer_idx": "D",
        "answer": "Order visual field testing and observe closely for serous macular detachment"
    },
    {
        "id": 783,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2657472",
        "answer_idx": "D",
        "answer": "Perform exploratory surgery in the operating room and start a high dose of systemic steroids"
    },
    {
        "id": 784,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2659373",
        "answer_idx": "C",
        "answer": "Inflammatory reaction"
    },
    {
        "id": 785,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2666118",
        "answer_idx": "D",
        "answer": "Genetic testing"
    },
    {
        "id": 786,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2664086",
        "answer_idx": "D",
        "answer": "Myopericytoma"
    },
    {
        "id": 787,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2665724",
        "answer_idx": "C",
        "answer": "Small-cell carcinoma"
    },
    {
        "id": 788,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2666476",
        "answer_idx": "C",
        "answer": "Intradiploic meningoencephalocele"
    },
    {
        "id": 789,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2670232",
        "answer_idx": "C",
        "answer": "Inquire about history of frequent infections and abnormal bleeding"
    },
    {
        "id": 790,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2667703",
        "answer_idx": "B",
        "answer": "Biopsy the lesion"
    },
    {
        "id": 791,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2649608",
        "answer_idx": "D",
        "answer": "Leukemia cutis"
    },
    {
        "id": 792,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2652347",
        "answer_idx": "C",
        "answer": "Hydroxyurea-induced dermatomyositis-like eruption"
    },
    {
        "id": 793,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2652678",
        "answer_idx": "D",
        "answer": "Sneddon syndrome"
    },
    {
        "id": 794,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2659619",
        "answer_idx": "C",
        "answer": "Autoimmune encephalitis"
    },
    {
        "id": 795,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2664248",
        "answer_idx": "C",
        "answer": "Angiokeratoma"
    },
    {
        "id": 796,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2661292",
        "answer_idx": "C",
        "answer": "Carcinoma"
    },
    {
        "id": 797,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2664002",
        "answer_idx": "C",
        "answer": "Mesenteric venous thrombosis"
    },
    {
        "id": 798,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2654965",
        "answer_idx": "D",
        "answer": "Conduct endoscopic nasal exploration and marsupialization"
    },
    {
        "id": 799,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2656331",
        "answer_idx": "D",
        "answer": "Measure the patient\u2019s blood pressure"
    },
    {
        "id": 800,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2656447",
        "answer_idx": "C",
        "answer": "Order brain neuroimaging and lumbar puncture"
    },
    {
        "id": 801,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2657202",
        "answer_idx": "B",
        "answer": "Perform echocardiography and administer intravenous immunoglobulin"
    },
    {
        "id": 802,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2653898",
        "answer_idx": "B",
        "answer": "Spontaneous perinephric hematoma"
    },
    {
        "id": 803,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2661812",
        "answer_idx": "C",
        "answer": "Treat with full-dose anticoagulation"
    },
    {
        "id": 804,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2656340",
        "answer_idx": "A",
        "answer": "Biphenotypic sinonasal sarcoma"
    },
    {
        "id": 805,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2657611",
        "answer_idx": "B",
        "answer": "Infectious pseudotumor"
    },
    {
        "id": 806,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2664071",
        "answer_idx": "B",
        "answer": "Subglottic cyst"
    },
    {
        "id": 807,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2644959",
        "answer_idx": "B",
        "answer": "Cutaneous malakoplakia"
    },
    {
        "id": 808,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2648076",
        "answer_idx": "C",
        "answer": "Secondary syphilis"
    },
    {
        "id": 809,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2648856",
        "answer_idx": "B",
        "answer": "Subcutaneous sarcoidosis"
    },
    {
        "id": 810,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2654882",
        "answer_idx": "B",
        "answer": "Vitamin A deficiency"
    },
    {
        "id": 811,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2656355",
        "answer_idx": "B",
        "answer": "Acute appendicitis"
    },
    {
        "id": 812,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2657534",
        "answer_idx": "C",
        "answer": "Lupus enteritis"
    },
    {
        "id": 813,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2650805",
        "answer_idx": "C",
        "answer": "Counsel the patient on the prognosis of his condition"
    },
    {
        "id": 814,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2652886",
        "answer_idx": "C",
        "answer": "Order contrast-enhanced magnetic resonance imaging of the brain"
    },
    {
        "id": 815,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2653290",
        "answer_idx": "D",
        "answer": "Discuss carefully observing vs surgical repair of the ptosis"
    },
    {
        "id": 816,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2654131",
        "answer_idx": "A",
        "answer": "Excisional biopsy"
    },
    {
        "id": 817,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2652903",
        "answer_idx": "D",
        "answer": "Therapeutic monoclonal antibody at serum concentration detectable by SPEP-IF."
    },
    {
        "id": 818,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2657543",
        "answer_idx": "D",
        "answer": "Order cardiac fluorodeoxyglucose positron emission tomography"
    },
    {
        "id": 819,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2662870",
        "answer_idx": "B",
        "answer": "Discontinue antibiotic therapy and consider systemic corticosteroids"
    },
    {
        "id": 820,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2661557",
        "answer_idx": "A",
        "answer": "The patient is taking methadone and morphine."
    },
    {
        "id": 821,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2643735",
        "answer_idx": "B",
        "answer": "Scrotal ulceration secondary to induction chemotherapy with ATRA"
    },
    {
        "id": 822,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2632042",
        "answer_idx": "B",
        "answer": "Malignant atrophic papulosis"
    },
    {
        "id": 823,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2631309",
        "answer_idx": "C",
        "answer": "Anti\u2013laminin \u03b31 pemphigoid"
    },
    {
        "id": 824,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2653914",
        "answer_idx": "C",
        "answer": "Muckle-Wells syndrome"
    },
    {
        "id": 825,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2653282",
        "answer_idx": "D",
        "answer": "Brachial artery pseudoaneurysm"
    },
    {
        "id": 826,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2654233",
        "answer_idx": "C",
        "answer": "Rupture of a jejunal artery aneurysm"
    },
    {
        "id": 827,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2645911",
        "answer_idx": "C",
        "answer": "Treat with oral corticosteroids"
    },
    {
        "id": 828,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2647969",
        "answer_idx": "C",
        "answer": "Obtain blood sample to investigate for autoimmune autonomic ganglionopathy "
    },
    {
        "id": 829,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2648267",
        "answer_idx": "B",
        "answer": "Obtain an ultrasonographic biomicroscopy"
    },
    {
        "id": 830,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2649284",
        "answer_idx": "C",
        "answer": "Reassure the patient that VF loss is due to congenitally anomalous optic nerves and recommend annual evaluation to monitor VF"
    },
    {
        "id": 831,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2654126",
        "answer_idx": "A",
        "answer": "Order an emergent coronary angiogram and endomyocardial biopsy."
    },
    {
        "id": 832,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2648861",
        "answer_idx": "A",
        "answer": "Carcinoma erysipeloides (cutaneous metastases of breast cancer)"
    },
    {
        "id": 833,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2657353",
        "answer_idx": "D",
        "answer": "Stroke the skin lesion"
    },
    {
        "id": 834,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2656146",
        "answer_idx": "B",
        "answer": "Proliferative glomerulonephritis is the most likely diagnosis."
    },
    {
        "id": 835,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2627296",
        "answer_idx": "B",
        "answer": "Generalized Hailey-Hailey disease"
    },
    {
        "id": 836,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2629701",
        "answer_idx": "D",
        "answer": "Oral melanoacanthoma"
    },
    {
        "id": 837,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2629947",
        "answer_idx": "D",
        "answer": "Cutaneous Bacillus cereus infection"
    },
    {
        "id": 838,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2649255",
        "answer_idx": "C",
        "answer": "Neurocutaneous melanosis"
    },
    {
        "id": 839,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2646852",
        "answer_idx": "B",
        "answer": "Nicolau syndrome (livedoid dermatitis)"
    },
    {
        "id": 840,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2647247",
        "answer_idx": "D",
        "answer": "Ectopic ovarian torsion"
    },
    {
        "id": 841,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2648732",
        "answer_idx": "B",
        "answer": "Spontaneous chylothorax"
    },
    {
        "id": 842,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2633694",
        "answer_idx": "C",
        "answer": "Evaluate for systemic infectious disease"
    },
    {
        "id": 843,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2643485",
        "answer_idx": "C",
        "answer": "Order computed tomography of the head/facial bones"
    },
    {
        "id": 844,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2643962",
        "answer_idx": "B",
        "answer": "Obtain more information on the patient\u2019s history"
    },
    {
        "id": 845,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2649269",
        "answer_idx": "B",
        "answer": "Shorten the programmed AV delay to 150 milliseconds"
    },
    {
        "id": 846,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2648317",
        "answer_idx": "C",
        "answer": "Plasmacytoma"
    },
    {
        "id": 847,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2654794",
        "answer_idx": "B",
        "answer": "The patient has probable invasive pulmonary aspergillosis."
    },
    {
        "id": 848,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2654360",
        "answer_idx": "A",
        "answer": "Obtain a biopsy for hematoxylin-eosin stain"
    },
    {
        "id": 849,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2654361",
        "answer_idx": "C",
        "answer": "The patient may be using hydrocodone but is using cocaine."
    },
    {
        "id": 850,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2653717",
        "answer_idx": "B",
        "answer": "Results should be repeated in 12 weeks to confirm diagnosis of antiphospholipid syndrome."
    },
    {
        "id": 851,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2618140",
        "answer_idx": "C",
        "answer": "Carcinoid syndrome"
    },
    {
        "id": 852,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2622082",
        "answer_idx": "B",
        "answer": "IgA pemphigus"
    },
    {
        "id": 853,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2628748",
        "answer_idx": "A",
        "answer": "Mucormycosis"
    },
    {
        "id": 854,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2633489",
        "answer_idx": "D",
        "answer": "Herpes simplex virus"
    },
    {
        "id": 855,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2643439",
        "answer_idx": "C",
        "answer": "Idiopathic granulomatous mastitis"
    },
    {
        "id": 856,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2645754",
        "answer_idx": "D",
        "answer": "Unicentric Castleman disease"
    },
    {
        "id": 857,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2630813",
        "answer_idx": "C",
        "answer": "Observe and repeat spectral-domain optical coherence tomography in 6 months to 1 year"
    },
    {
        "id": 858,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2632247",
        "answer_idx": "D",
        "answer": "Start systemic corticosteroids and biopsy the superficial temporal artery"
    },
    {
        "id": 859,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2633462",
        "answer_idx": "A",
        "answer": "Observe and repeat imaging in 6 months"
    },
    {
        "id": 860,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2635058",
        "answer_idx": "A",
        "answer": "Observe"
    },
    {
        "id": 861,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2643987",
        "answer_idx": "B",
        "answer": "Observe and continue treatment for GVHD"
    },
    {
        "id": 862,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2636590",
        "answer_idx": "A",
        "answer": "Rhabdomyoma"
    },
    {
        "id": 863,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2627415",
        "answer_idx": "D",
        "answer": "Sweet syndrome"
    },
    {
        "id": 864,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2649161",
        "answer_idx": "C",
        "answer": "The patient has depressive symptoms of at least moderate severity."
    },
    {
        "id": 865,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2647853",
        "answer_idx": "B",
        "answer": "Evaluate for systemic vasculitis"
    },
    {
        "id": 866,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2606656",
        "answer_idx": "D",
        "answer": "X-linked reticulate pigmentary disorder"
    },
    {
        "id": 867,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2607373",
        "answer_idx": "C",
        "answer": "Macular lymphocytic arteritis"
    },
    {
        "id": 868,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2617869",
        "answer_idx": "C",
        "answer": "Xanthoma disseminatum"
    },
    {
        "id": 869,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2631763",
        "answer_idx": "B",
        "answer": "Dyshidrotic eczema"
    },
    {
        "id": 870,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2629724",
        "answer_idx": "C",
        "answer": "Mucocele of the appendix"
    },
    {
        "id": 871,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2631753",
        "answer_idx": "C",
        "answer": "Afferent loop syndrome"
    },
    {
        "id": 872,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2627270",
        "answer_idx": "C",
        "answer": "Perform a biopsy of the lesion"
    },
    {
        "id": 873,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2627932",
        "answer_idx": "D",
        "answer": "Excisional biopsy"
    },
    {
        "id": 874,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2629108",
        "answer_idx": "C",
        "answer": "Discuss the potential risks and benefits of initiating oral corticosteroid therapy"
    },
    {
        "id": 875,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2629567",
        "answer_idx": "A",
        "answer": "Perform rapid plasma reagin and confirmatory fluorescent treponemal antibody absorption testing"
    },
    {
        "id": 876,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2633451",
        "answer_idx": "D",
        "answer": "Give adenosine for treatment of supraventricular tachycardia "
    },
    {
        "id": 877,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2646697",
        "answer_idx": "D",
        "answer": "The patient has hypercalciuria due to idiopathic hypercalciuria."
    },
    {
        "id": 878,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2627921",
        "answer_idx": "B",
        "answer": "Inflammatory myofibroblastic tumor"
    },
    {
        "id": 879,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2629538",
        "answer_idx": "C",
        "answer": "Plasmablastic lymphoma"
    },
    {
        "id": 880,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2632250",
        "answer_idx": "C",
        "answer": "Ectopic hamartomatous thymoma"
    },
    {
        "id": 881,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2635053",
        "answer_idx": "C",
        "answer": "Sinonasal mucosal melanoma"
    },
    {
        "id": 882,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2645078",
        "answer_idx": "A",
        "answer": "Administer all-trans retinoic acid (ATRA) after consulting a hematologist"
    },
    {
        "id": 883,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2645079",
        "answer_idx": "B",
        "answer": "Pheochromocytoma; proceed with imaging studies."
    },
    {
        "id": 884,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2643742",
        "answer_idx": "C",
        "answer": "Refer to an oral surgeon for excision"
    },
    {
        "id": 885,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2635609",
        "answer_idx": "C",
        "answer": "Request a surgical consult for adrenalectomy"
    },
    {
        "id": 886,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2599757",
        "answer_idx": "A",
        "answer": "Rat bite fever"
    },
    {
        "id": 887,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2600684",
        "answer_idx": "D",
        "answer": "Exophytic Schneiderian papilloma"
    },
    {
        "id": 888,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2603494",
        "answer_idx": "D",
        "answer": "Majocchi granuloma"
    },
    {
        "id": 889,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2625330",
        "answer_idx": "A",
        "answer": "Acute generalized exanthematous pustulosis"
    },
    {
        "id": 890,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2625126",
        "answer_idx": "C",
        "answer": "Brown tumor"
    },
    {
        "id": 891,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2627284",
        "answer_idx": "C",
        "answer": "A recurrent herpetic whitlow"
    },
    {
        "id": 892,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2624755",
        "answer_idx": "B",
        "answer": "Refer the patient to a hematology service for possible anticoagulation"
    },
    {
        "id": 893,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2593748",
        "answer_idx": "A",
        "answer": "Cholesterol granuloma"
    },
    {
        "id": 894,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2617971",
        "answer_idx": "B",
        "answer": "Extramedullary chronic lymphocytic leukemia"
    },
    {
        "id": 895,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2618939",
        "answer_idx": "A",
        "answer": "Intraosseous meningioma"
    },
    {
        "id": 896,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2624682",
        "answer_idx": "A",
        "answer": "Pseudoaneurysm"
    },
    {
        "id": 897,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2617255",
        "answer_idx": "A",
        "answer": "Magnetic resonance imaging of the brain"
    },
    {
        "id": 898,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2618252",
        "answer_idx": "C",
        "answer": "Order a lipase level"
    },
    {
        "id": 899,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2621876",
        "answer_idx": "D",
        "answer": "Schedule enucleation with orbital implant"
    },
    {
        "id": 900,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2613410",
        "answer_idx": "A",
        "answer": "The patient is more likely to have a worse prognosis."
    },
    {
        "id": 901,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2631511",
        "answer_idx": "C",
        "answer": "Perform direct immunofluorescence (DIF) evaluation of the skin biopsy"
    },
    {
        "id": 902,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2630579",
        "answer_idx": "A",
        "answer": "The patient has a myeloproliferative neoplasm (MPN)."
    },
    {
        "id": 903,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2598513",
        "answer_idx": "D",
        "answer": "Vascular Ehlers-Danlos syndrome with elastosis perforans serpiginosa"
    },
    {
        "id": 904,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2592312",
        "answer_idx": "B",
        "answer": "Umbilical mucosal polyp"
    },
    {
        "id": 905,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2595033",
        "answer_idx": "C",
        "answer": "Amyloidosis"
    },
    {
        "id": 906,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2614284",
        "answer_idx": "B",
        "answer": "Mycotic meningomyelitis"
    },
    {
        "id": 907,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2613459",
        "answer_idx": "D",
        "answer": "Oral lymphangioma"
    },
    {
        "id": 908,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2618379",
        "answer_idx": "C",
        "answer": "Sigmoid volvulus"
    },
    {
        "id": 909,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2622643",
        "answer_idx": "C",
        "answer": "Phytobezoar"
    },
    {
        "id": 910,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2625159",
        "answer_idx": "B",
        "answer": "Transposition of the RCA from the pulmonary artery to the aorta"
    },
    {
        "id": 911,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2613596",
        "answer_idx": "C",
        "answer": "The marked discordance between the direct and calculated LDL levels is related to the effects of very LDL (VLDL), intermediate-density LDL (IDL), and/or Lp(a)."
    },
    {
        "id": 912,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2606783",
        "answer_idx": "C",
        "answer": "Biphenotypic sinonasal sarcoma"
    },
    {
        "id": 913,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2611960",
        "answer_idx": "A",
        "answer": "Plasmacytoma"
    },
    {
        "id": 914,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2613592",
        "answer_idx": "C",
        "answer": "Acinic cell carcinoma"
    },
    {
        "id": 915,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2616158",
        "answer_idx": "B",
        "answer": "Rhabdomyosarcoma"
    },
    {
        "id": 916,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2612187",
        "answer_idx": "C",
        "answer": "Perform a lumbar puncture with opening pressure, routine chemistry, and cell count analysis"
    },
    {
        "id": 917,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2613114",
        "answer_idx": "B",
        "answer": "Thorough ocular adnexal evaluation with eyelid eversion"
    },
    {
        "id": 918,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2613349",
        "answer_idx": "B",
        "answer": "Rechallenge the patient in 12 months with zoledronic acid and manage reactively if uveitis recurs"
    },
    {
        "id": 919,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2613416",
        "answer_idx": "D",
        "answer": "Perform aggressive debridement of the eyelids in the operating room and give intravenous antibiotics"
    },
    {
        "id": 920,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2606437",
        "answer_idx": "C",
        "answer": "Osteosarcoma metastasis"
    },
    {
        "id": 921,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2627942",
        "answer_idx": "C",
        "answer": "Order antinuclear antibody, anti-Ro/SS-A, and anti-La/SS-B antibody testing for both the infant and his mother"
    },
    {
        "id": 922,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2597888",
        "answer_idx": "C",
        "answer": "Cryptococcosis"
    },
    {
        "id": 923,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2586162",
        "answer_idx": "C",
        "answer": "Pseudoepitheliomatous hyperplasia "
    },
    {
        "id": 924,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2593031",
        "answer_idx": "C",
        "answer": "Rowell syndrome"
    },
    {
        "id": 925,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2606440",
        "answer_idx": "D",
        "answer": "X-linked Charcot-Marie-Tooth disease 1"
    },
    {
        "id": 926,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2610465",
        "answer_idx": "B",
        "answer": "Ocular neuromyotonia of the third nerve"
    },
    {
        "id": 927,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2612471",
        "answer_idx": "C",
        "answer": "Fragile X\u2013associated tremor ataxia syndrome"
    },
    {
        "id": 928,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2606516",
        "answer_idx": "B",
        "answer": "Spinal dysraphism"
    },
    {
        "id": 929,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2615256",
        "answer_idx": "D",
        "answer": "Begin therapeutic plasma exchange"
    },
    {
        "id": 930,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2594526",
        "answer_idx": "A",
        "answer": "Middle ear paraganglioma"
    },
    {
        "id": 931,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2597597",
        "answer_idx": "D",
        "answer": "Oral inverted ductal papilloma"
    },
    {
        "id": 932,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2600192",
        "answer_idx": "B",
        "answer": "Juvenile nasopharyngeal angiofibroma"
    },
    {
        "id": 933,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2603326",
        "answer_idx": "A",
        "answer": "Venous malformation"
    },
    {
        "id": 934,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2603480",
        "answer_idx": "C",
        "answer": "Continue neuroimaging"
    },
    {
        "id": 935,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2603892",
        "answer_idx": "C",
        "answer": "Electrophysiology"
    },
    {
        "id": 936,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2606526",
        "answer_idx": "B",
        "answer": "Antineutrophil cytoplasmic antibody testing"
    },
    {
        "id": 937,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2609097",
        "answer_idx": "B",
        "answer": "Administer systemic steroids and discuss the potential need for long-term immunosuppression for Susac syndrome"
    },
    {
        "id": 938,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2606975",
        "answer_idx": "D",
        "answer": "Diaphragmatic rupture and a traumatic rupture of the descending thoracic aorta"
    },
    {
        "id": 939,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2611280",
        "answer_idx": "C",
        "answer": "Sigmoid endometriosis"
    },
    {
        "id": 940,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2601215",
        "answer_idx": "B",
        "answer": "Immune-related hypophysitis"
    },
    {
        "id": 941,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2618600",
        "answer_idx": "D",
        "answer": "Advise the patient to discontinue the nutritional supplement"
    },
    {
        "id": 942,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2616370",
        "answer_idx": "B",
        "answer": "Initiate bortezomib-dexamethasone\u2013based therapy"
    },
    {
        "id": 943,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2614164",
        "answer_idx": "C",
        "answer": "Start intravenous quinidine gluconate and doxycycline"
    },
    {
        "id": 944,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2584936",
        "answer_idx": "B",
        "answer": "Knee-located erythema elevatum diutinum (EED) with a calcaneal late-stage nodular component"
    },
    {
        "id": 945,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2588403",
        "answer_idx": "A",
        "answer": "Kaposi varicelliform eruption"
    },
    {
        "id": 946,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2588693",
        "answer_idx": "D",
        "answer": "Leprosy"
    },
    {
        "id": 947,
        "link": "https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2607490",
        "answer_idx": "A",
        "answer": "Trauma-focused psychotherapy"
    },
    {
        "id": 948,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2599998",
        "answer_idx": "C",
        "answer": "Primary adrenal insufficiency (Addison disease)"
    },
    {
        "id": 949,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2611929",
        "answer_idx": "C",
        "answer": "Pulmonary valve replacement for severe pulmonary regurgitation"
    },
    {
        "id": 950,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2589830",
        "answer_idx": "B",
        "answer": "Malignant carotid body tumor"
    },
    {
        "id": 951,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2590052",
        "answer_idx": "C",
        "answer": "Nasal chondromesenchymal hamartoma"
    },
    {
        "id": 952,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2592950",
        "answer_idx": "D",
        "answer": "Chordoma"
    },
    {
        "id": 953,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2594263",
        "answer_idx": "C",
        "answer": "Desmoid tumor"
    },
    {
        "id": 954,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2597591",
        "answer_idx": "B",
        "answer": "Genetic testing for GCG triplet repeats"
    },
    {
        "id": 955,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2598416",
        "answer_idx": "C",
        "answer": "Start prednisone at 80 mg daily with a slow taper"
    },
    {
        "id": 956,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2599443",
        "answer_idx": "C",
        "answer": "Obtain a complete blood cell count"
    },
    {
        "id": 957,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2603204",
        "answer_idx": "B",
        "answer": "Biopsy"
    },
    {
        "id": 958,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2599165",
        "answer_idx": "B",
        "answer": "Acute cholecystitis with intrahepatic perforation of the gallbladder"
    },
    {
        "id": 959,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2601315",
        "answer_idx": "A",
        "answer": "Mucocele of the appendix"
    },
    {
        "id": 960,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2598490",
        "answer_idx": "C",
        "answer": "Gastrointestinal stromal tumor"
    },
    {
        "id": 961,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2612593",
        "answer_idx": "C",
        "answer": "Instruct the patient to take only the valacyclovir"
    },
    {
        "id": 962,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2610313",
        "answer_idx": "D",
        "answer": "Start anticoagulation and refer the patient for evaluation for pulmonary thromboendarterectomy"
    },
    {
        "id": 963,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2474999",
        "answer_idx": "B",
        "answer": "Pseudoporphyria"
    },
    {
        "id": 964,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2569292",
        "answer_idx": "B",
        "answer": "Erythrodermic sarcoidosis"
    },
    {
        "id": 965,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2580293",
        "answer_idx": "A",
        "answer": "Botryomycosis"
    },
    {
        "id": 966,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2604755",
        "answer_idx": "C",
        "answer": "Hypothyroidism"
    },
    {
        "id": 967,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2598387",
        "answer_idx": "C",
        "answer": "Coronary angiography"
    },
    {
        "id": 968,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2551870",
        "answer_idx": "C",
        "answer": "Lymphangiomatous polyp"
    },
    {
        "id": 969,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2552988",
        "answer_idx": "D",
        "answer": "Solitary cutaneous myxoma"
    },
    {
        "id": 970,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2556212",
        "answer_idx": "D",
        "answer": "Osteitis fibrosa cystica"
    },
    {
        "id": 971,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2595901",
        "answer_idx": "C",
        "answer": "Multifocal granular cell tumor"
    },
    {
        "id": 972,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2546528",
        "answer_idx": "C",
        "answer": "Esophageal bronchus"
    },
    {
        "id": 973,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2594013",
        "answer_idx": "D",
        "answer": "Repeat biopsy of orbital apex and sinuses"
    },
    {
        "id": 974,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2594673",
        "answer_idx": "B",
        "answer": "Take the patient to the operating room for a saline washout with an air bubble"
    },
    {
        "id": 975,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2595041",
        "answer_idx": "C",
        "answer": "Instill atropine and IOP-lowering drops and place the patient in a supine position"
    },
    {
        "id": 976,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2595563",
        "answer_idx": "D",
        "answer": "Fluorescein angiography"
    },
    {
        "id": 977,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2595021",
        "answer_idx": "A",
        "answer": "Small-bowel adenocarcinoma"
    },
    {
        "id": 978,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2597299",
        "answer_idx": "C",
        "answer": "Cecal diverticulitis"
    },
    {
        "id": 979,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2594269",
        "answer_idx": "A",
        "answer": "Non-Hodgkin lymphoma"
    },
    {
        "id": 980,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2605777",
        "answer_idx": "B",
        "answer": "Initiate antiviral therapy with valacyclovir"
    },
    {
        "id": 981,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2601476",
        "answer_idx": "A",
        "answer": "Avoid further ibuprofen use and prescribe a topical steroid"
    },
    {
        "id": 982,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2600441",
        "answer_idx": "B",
        "answer": "Obtain a brain biopsy"
    },
    {
        "id": 983,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2565589",
        "answer_idx": "B",
        "answer": "Methimazole-induced vasculitis"
    },
    {
        "id": 984,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2571398",
        "answer_idx": "B",
        "answer": "Erythropoietic protoporphyria"
    },
    {
        "id": 985,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2578847",
        "answer_idx": "A",
        "answer": "Atypical hand-foot-mouth disease"
    },
    {
        "id": 986,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2588680",
        "answer_idx": "D",
        "answer": "Creutzfeldt-Jakob disease"
    },
    {
        "id": 987,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2593847",
        "answer_idx": "D",
        "answer": "Hereditary diffuse leukoencephalopathy with axonal spheroids"
    },
    {
        "id": 988,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2599898",
        "answer_idx": "B",
        "answer": "Pediculosis corporis"
    },
    {
        "id": 989,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2592961",
        "answer_idx": "B",
        "answer": "Obtain cardiac magnetic resonance imaging"
    },
    {
        "id": 990,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2565532",
        "answer_idx": "B",
        "answer": "McCune-Albright syndrome"
    },
    {
        "id": 991,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2569869",
        "answer_idx": "D",
        "answer": "Rhabdomyomatous mesenchymal hamartoma"
    },
    {
        "id": 992,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2545258",
        "answer_idx": "B",
        "answer": "Laryngeal gout"
    },
    {
        "id": 993,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2548443",
        "answer_idx": "B",
        "answer": "Dermoid cyst"
    },
    {
        "id": 994,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2587830",
        "answer_idx": "B",
        "answer": "Observation with normal follow-up"
    },
    {
        "id": 995,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2588250",
        "answer_idx": "C",
        "answer": "Serum and urine testing for various inflammatory and infectious processes"
    },
    {
        "id": 996,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2589165",
        "answer_idx": "C",
        "answer": "Biopsy the eyelid"
    },
    {
        "id": 997,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2592287",
        "answer_idx": "B",
        "answer": "Order bloodwork (complete blood cell count, erythrocyte sedimentation rate, C-reactive protein, VDRL, angiotensin-converting enzyme, and antinuclear antibody) and magnetic resonance imaging of the brain and orbits"
    },
    {
        "id": 998,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2589762",
        "answer_idx": "B",
        "answer": "Foreign body ingestion"
    },
    {
        "id": 999,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2593802",
        "answer_idx": "C",
        "answer": "Inclusion cyst"
    },
    {
        "id": 1000,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2593037",
        "answer_idx": "D",
        "answer": "Lymphoma"
    },
    {
        "id": 1001,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2595496",
        "answer_idx": "A",
        "answer": "Perform a biopsy of skin lesion"
    },
    {
        "id": 1002,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2548257",
        "answer_idx": "D",
        "answer": "Equestrian perniosis"
    },
    {
        "id": 1003,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2553745",
        "answer_idx": "B",
        "answer": "Pyoderma gangrenosum"
    },
    {
        "id": 1004,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2565795",
        "answer_idx": "D",
        "answer": "Nodular amyloid"
    },
    {
        "id": 1005,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2593859",
        "answer_idx": "C",
        "answer": "Scurvy"
    },
    {
        "id": 1006,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2571532",
        "answer_idx": "C",
        "answer": "Body packing"
    },
    {
        "id": 1007,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2580490",
        "answer_idx": "D",
        "answer": "Nodular melanoma"
    },
    {
        "id": 1008,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2580528",
        "answer_idx": "B",
        "answer": "Emergent stenting of the left main coronary artery"
    },
    {
        "id": 1009,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2525530",
        "answer_idx": "C",
        "answer": "Thyroid cartilage fracture"
    },
    {
        "id": 1010,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2526367",
        "answer_idx": "B",
        "answer": "Persistent stapedial artery"
    },
    {
        "id": 1011,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2529738",
        "answer_idx": "C",
        "answer": "Glomus tumor"
    },
    {
        "id": 1012,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2533655",
        "answer_idx": "C",
        "answer": "Fibrovascular polyp"
    },
    {
        "id": 1013,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2569669",
        "answer_idx": "C",
        "answer": "Obtain carotid Doppler"
    },
    {
        "id": 1014,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2578712",
        "answer_idx": "D",
        "answer": "Discontinue treatment with amantadine"
    },
    {
        "id": 1015,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2579927",
        "answer_idx": "C",
        "answer": "Perform endoscopic dacryocystorhinostomy and prescribe antibiotics"
    },
    {
        "id": 1016,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2585122",
        "answer_idx": "B",
        "answer": "Genetic testing"
    },
    {
        "id": 1017,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2585031",
        "answer_idx": "C",
        "answer": "Hypertrophic lichen planus"
    },
    {
        "id": 1018,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2592480",
        "answer_idx": "C",
        "answer": "Diagnose postinfectious altered bowel habits with C difficile colonization and recommend a high-fiber diet."
    },
    {
        "id": 1019,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2546025",
        "answer_idx": "D",
        "answer": "Glomuvenous malformation"
    },
    {
        "id": 1020,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2547136",
        "answer_idx": "B",
        "answer": "Hereditary progressive mucinous histiocytosis"
    },
    {
        "id": 1021,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2548246",
        "answer_idx": "D",
        "answer": "Granulomatosis with polyangiitis"
    },
    {
        "id": 1022,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2565823",
        "answer_idx": "B",
        "answer": "Multiple cavernous malformations"
    },
    {
        "id": 1023,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2586274",
        "answer_idx": "C",
        "answer": "Herpes zoster"
    },
    {
        "id": 1024,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2559961",
        "answer_idx": "B",
        "answer": "Liposarcoma"
    },
    {
        "id": 1025,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2569805",
        "answer_idx": "B",
        "answer": "Internal hernia of the cecum"
    },
    {
        "id": 1026,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2553791",
        "answer_idx": "C",
        "answer": "Order B-scan ultrasonography or fundus autofluorescence imaging of optic nerves"
    },
    {
        "id": 1027,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2554925",
        "answer_idx": "B",
        "answer": "Lymph node biopsy"
    },
    {
        "id": 1028,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2569797",
        "answer_idx": "C",
        "answer": "Obtain consultation for urgent surgical valve replacement"
    },
    {
        "id": 1029,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2583373",
        "answer_idx": "B",
        "answer": "Tracheocele"
    },
    {
        "id": 1030,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2585375",
        "answer_idx": "D",
        "answer": "Laryngeal neurofibroma"
    },
    {
        "id": 1031,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2527093",
        "answer_idx": "A",
        "answer": "Submandibular duct sialocele"
    },
    {
        "id": 1032,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2541394",
        "answer_idx": "D",
        "answer": "Necrotic epiglottitis"
    },
    {
        "id": 1033,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2556185",
        "answer_idx": "C",
        "answer": "Administer methylprednisolone, 1 g intravenously daily"
    },
    {
        "id": 1034,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2569439",
        "answer_idx": "C",
        "answer": "Refer for magnetic resonance imaging"
    },
    {
        "id": 1035,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2546173",
        "answer_idx": "B",
        "answer": "Add trimethoprim and sulfamethoxazole and corticosteroids for Pneumocystis jiroveci pneumonia"
    },
    {
        "id": 1036,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2546654",
        "answer_idx": "C",
        "answer": "Leukemia cutis"
    },
    {
        "id": 1037,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2585958",
        "answer_idx": "C",
        "answer": "The patient has an intrinsic clotting factor inhibitor."
    },
    {
        "id": 1038,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2579844",
        "answer_idx": "D",
        "answer": "Perform a diagnostic test to clarify the diagnosis"
    },
    {
        "id": 1039,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2538521",
        "answer_idx": "C",
        "answer": "Glomus tumor"
    },
    {
        "id": 1040,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2541900",
        "answer_idx": "B",
        "answer": "Eruptive disseminated Spitz nevi"
    },
    {
        "id": 1041,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2544683",
        "answer_idx": "D",
        "answer": "Verrucous hemangioma"
    },
    {
        "id": 1042,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2578652",
        "answer_idx": "B",
        "answer": "Tuberculous spondylitis"
    },
    {
        "id": 1043,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2553473",
        "answer_idx": "B",
        "answer": "Thymolipoma"
    },
    {
        "id": 1044,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2547676",
        "answer_idx": "A",
        "answer": "Right colon ischemia"
    },
    {
        "id": 1045,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2546165",
        "answer_idx": "C",
        "answer": "Obtain urinalysis"
    },
    {
        "id": 1046,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2547102",
        "answer_idx": "C",
        "answer": "Obtain specular microscopy"
    },
    {
        "id": 1047,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2551689",
        "answer_idx": "D",
        "answer": "Order catheter cerebral angiography"
    },
    {
        "id": 1048,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2552683",
        "answer_idx": "B",
        "answer": "Computed tomography scan of the orbits without contrast"
    },
    {
        "id": 1049,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2553878",
        "answer_idx": "D",
        "answer": "Takotsubo cardiomyopathy"
    },
    {
        "id": 1050,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2492613",
        "answer_idx": "B",
        "answer": "Dermatofibrosarcoma protuberans"
    },
    {
        "id": 1051,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2492614",
        "answer_idx": "B",
        "answer": "Bilateral malleus fixation"
    },
    {
        "id": 1052,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2503117",
        "answer_idx": "B",
        "answer": "Supraglottic paraganglioma"
    },
    {
        "id": 1053,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2516463",
        "answer_idx": "C",
        "answer": "Parathyroid lipoadenoma"
    },
    {
        "id": 1054,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2537187",
        "answer_idx": "C",
        "answer": "Lymphomatoid papulosis"
    },
    {
        "id": 1055,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2569762",
        "answer_idx": "D",
        "answer": "The patient has subclinical hypothyroidism and should have the TSH level repeated in 1 to 3 months."
    },
    {
        "id": 1056,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2565727",
        "answer_idx": "C",
        "answer": "Start parenteral thiamine"
    },
    {
        "id": 1057,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2532613",
        "answer_idx": "C",
        "answer": "Tumors of the follicular infundibulum"
    },
    {
        "id": 1058,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2546558",
        "answer_idx": "C",
        "answer": "Antimelanoma differentiation associated gene 5 clinically amyopathic dermatomyositis"
    },
    {
        "id": 1059,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2526258",
        "answer_idx": "C",
        "answer": "Crystal-storing histiocytosis"
    },
    {
        "id": 1060,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2537552",
        "answer_idx": "B",
        "answer": "Urea cycle disorder"
    },
    {
        "id": 1061,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2553100",
        "answer_idx": "B",
        "answer": "Epstein-Barr virus infection"
    },
    {
        "id": 1062,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2542662",
        "answer_idx": "C",
        "answer": "Blunt traumatic rupture of the diaphragm"
    },
    {
        "id": 1063,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2544829",
        "answer_idx": "D",
        "answer": "Intramural hematoma"
    },
    {
        "id": 1064,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2535220",
        "answer_idx": "C",
        "answer": "Prescribe oral aciclovir"
    },
    {
        "id": 1065,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2540511",
        "answer_idx": "C",
        "answer": "Start topical steroids and cyclosporine A eyedrops"
    },
    {
        "id": 1066,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2542213",
        "answer_idx": "C",
        "answer": "Perform an immediate lumbar puncture"
    },
    {
        "id": 1067,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2543474",
        "answer_idx": "B",
        "answer": "Order magnetic resonance imaging and magnetic resonance angiography of the brain and cervical spine"
    },
    {
        "id": 1068,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2546888",
        "answer_idx": "C",
        "answer": "Initiate steroid pulse therapy"
    },
    {
        "id": 1069,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2486997",
        "answer_idx": "D",
        "answer": "Malignant ossifying fibromyxoid tumor"
    },
    {
        "id": 1070,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2498964",
        "answer_idx": "A",
        "answer": "Lipoma"
    },
    {
        "id": 1071,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2503115",
        "answer_idx": "B",
        "answer": "Intrasphenoid pseudoaneurysm of the internal carotid artery "
    },
    {
        "id": 1072,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2507064",
        "answer_idx": "C",
        "answer": "Kimura disease"
    },
    {
        "id": 1073,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2523769",
        "answer_idx": "C",
        "answer": "Laryngeal saccular cyst"
    },
    {
        "id": 1074,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2536197",
        "answer_idx": "C",
        "answer": "Idelalisib-induced colitis"
    },
    {
        "id": 1075,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2556100",
        "answer_idx": "C",
        "answer": "Measure levels of urine and serum porphyrins"
    },
    {
        "id": 1076,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2547732",
        "answer_idx": "C",
        "answer": "The patient has microscopic polyangiitis."
    },
    {
        "id": 1077,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2522756",
        "answer_idx": "B",
        "answer": "Follicular psoriasis"
    },
    {
        "id": 1078,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2524841",
        "answer_idx": "B",
        "answer": "Reed syndrome"
    },
    {
        "id": 1079,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2525545",
        "answer_idx": "B",
        "answer": "Annular elastolytic giant cell granuloma"
    },
    {
        "id": 1080,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2551597",
        "answer_idx": "D",
        "answer": "Langerhans cell histiocytosis"
    },
    {
        "id": 1081,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2532223",
        "answer_idx": "B",
        "answer": "Gallstone ileus"
    },
    {
        "id": 1082,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2534127",
        "answer_idx": "C",
        "answer": "Pancreatic pseudocyst"
    },
    {
        "id": 1083,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2530296",
        "answer_idx": "C",
        "answer": "Use a neodymium:yttrium-aluminum-garnet laser to release the implant"
    },
    {
        "id": 1084,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2531476",
        "answer_idx": "B",
        "answer": "Schedule the patient for lensectomies with anterior vitrectomy and intraocular lens placement"
    },
    {
        "id": 1085,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2532378",
        "answer_idx": "B",
        "answer": "Examine under anesthesia with peripheral photographs, fluorescein angiography, and laser"
    },
    {
        "id": 1086,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2533642",
        "answer_idx": "B",
        "answer": "Obtain high-frequency ultrasound biomicroscopy"
    },
    {
        "id": 1087,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2536026",
        "answer_idx": "D",
        "answer": "Perform ECG with right precordial leads"
    },
    {
        "id": 1088,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2505646",
        "answer_idx": "B",
        "answer": "Teratoma"
    },
    {
        "id": 1089,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2507065",
        "answer_idx": "B",
        "answer": "Keratocystic odontogenic tumor"
    },
    {
        "id": 1090,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2513192",
        "answer_idx": "B",
        "answer": "Metastatic renal cell carcinoma"
    },
    {
        "id": 1091,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2516462",
        "answer_idx": "C",
        "answer": "Eccrine syringofibroadenoma and squamous cell carcinoma"
    },
    {
        "id": 1092,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2520691",
        "answer_idx": "D",
        "answer": "Epithelioid sarcoma"
    },
    {
        "id": 1093,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2540375",
        "answer_idx": "B",
        "answer": "Evaluate for primary adrenal insufficiency with a 250-\u03bcg corticotropin stimulation test."
    },
    {
        "id": 1094,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2513689",
        "answer_idx": "B",
        "answer": "Erythropoietic protoporphyria"
    },
    {
        "id": 1095,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2516218",
        "answer_idx": "C",
        "answer": "Multiple mucosal neuromas in multiple endocrine neoplasia type 2b"
    },
    {
        "id": 1096,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2518348",
        "answer_idx": "B",
        "answer": "Disseminated tinea infection"
    },
    {
        "id": 1097,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2526488",
        "answer_idx": "B",
        "answer": "Nocardial brain abscess"
    },
    {
        "id": 1098,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2527153",
        "answer_idx": "D",
        "answer": "Obturator hernia"
    },
    {
        "id": 1099,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2529812",
        "answer_idx": "D",
        "answer": "Retroperitoneal liposarcoma"
    },
    {
        "id": 1100,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2526353",
        "answer_idx": "A",
        "answer": "Increase topical steroids"
    },
    {
        "id": 1101,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2527099",
        "answer_idx": "C",
        "answer": "Neuropsychological testing"
    },
    {
        "id": 1102,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2528246",
        "answer_idx": "D",
        "answer": "Recommend a surgical intervention that will return his eyes to their original color"
    },
    {
        "id": 1103,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2529726",
        "answer_idx": "C",
        "answer": "Offer carbamazepine and routine MRI"
    },
    {
        "id": 1104,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2537383",
        "answer_idx": "B",
        "answer": "Sweet syndrome"
    },
    {
        "id": 1105,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2529721",
        "answer_idx": "B",
        "answer": "Start diuretic, implant cardioverter defibrillator, and evaluate for cardiac transplantation"
    },
    {
        "id": 1106,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2496495",
        "answer_idx": "D",
        "answer": "Nodular fasciitis"
    },
    {
        "id": 1107,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2506659",
        "answer_idx": "C",
        "answer": "Odontogenic myxofibroma"
    },
    {
        "id": 1108,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2506661",
        "answer_idx": "C",
        "answer": "Tularemia"
    },
    {
        "id": 1109,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2514062",
        "answer_idx": "C",
        "answer": "Sarcoidosis"
    },
    {
        "id": 1110,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2514063",
        "answer_idx": "B",
        "answer": "Low-grade cribriform cystadenocarcinoma"
    },
    {
        "id": 1111,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2536604",
        "answer_idx": "B",
        "answer": "Obtain serum antinuclear antibody and lupus anticoagulant assay"
    },
    {
        "id": 1112,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2533482",
        "answer_idx": "B",
        "answer": "Her ascites is primarily due to chronically elevated pressures on the right side of the heart."
    },
    {
        "id": 1113,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2531982",
        "answer_idx": "B",
        "answer": "Stop azathioprine"
    },
    {
        "id": 1114,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2531985",
        "answer_idx": "B",
        "answer": "Lynch syndrome is suspected."
    },
    {
        "id": 1115,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2496384",
        "answer_idx": "D",
        "answer": "Secondary syphilis"
    },
    {
        "id": 1116,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2502282",
        "answer_idx": "C",
        "answer": "Granulomatous manifestation of inflammatory bowel disease"
    },
    {
        "id": 1117,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2512230",
        "answer_idx": "C",
        "answer": "Cutaneous sparganosis"
    },
    {
        "id": 1118,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2517159",
        "answer_idx": "B",
        "answer": "Gallstone"
    },
    {
        "id": 1119,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2520530",
        "answer_idx": "C",
        "answer": "Secondary splenic cyst"
    },
    {
        "id": 1120,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2520683",
        "answer_idx": "B",
        "answer": "Test for antiretinal antibodies"
    },
    {
        "id": 1121,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2522180",
        "answer_idx": "C",
        "answer": "Start oral prednisone therapy"
    },
    {
        "id": 1122,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2523776",
        "answer_idx": "D",
        "answer": "Refer the patient back to her oncologist"
    },
    {
        "id": 1123,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2525766",
        "answer_idx": "C",
        "answer": "Embolization followed by orbitotomy and biopsy"
    },
    {
        "id": 1124,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2529194",
        "answer_idx": "A",
        "answer": "Psoriasis"
    },
    {
        "id": 1125,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2525424",
        "answer_idx": "B",
        "answer": "Myocardial restriction"
    },
    {
        "id": 1126,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2503116",
        "answer_idx": "C",
        "answer": "Amyloidosis"
    },
    {
        "id": 1127,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2505644",
        "answer_idx": "C",
        "answer": "Myeloid sarcoma of the larynx"
    },
    {
        "id": 1128,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2513191",
        "answer_idx": "B",
        "answer": "Osseous choristoma"
    },
    {
        "id": 1129,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2522567",
        "answer_idx": "C",
        "answer": "Extraosseous chordoma"
    },
    {
        "id": 1130,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2530509",
        "answer_idx": "B",
        "answer": "Perform microscopic urinalysis to confirm the presence of blood in the urine."
    },
    {
        "id": 1131,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2498553",
        "answer_idx": "B",
        "answer": "Focal dermal hypoplasia (Goltz syndrome)"
    },
    {
        "id": 1132,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2500031",
        "answer_idx": "C",
        "answer": "Incontinentia pigmenti"
    },
    {
        "id": 1133,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2505166",
        "answer_idx": "C",
        "answer": "Xanthoma disseminatum"
    },
    {
        "id": 1134,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2511284",
        "answer_idx": "C",
        "answer": "A space-occupying mucocele of the nasopharynx"
    },
    {
        "id": 1135,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2512054",
        "answer_idx": "B",
        "answer": "Bilateral femoral hernia"
    },
    {
        "id": 1136,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2516776",
        "answer_idx": "D",
        "answer": "Annular pancreas"
    },
    {
        "id": 1137,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2510807",
        "answer_idx": "B",
        "answer": "Initiate treatment with oral valacyclovir"
    },
    {
        "id": 1138,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2512087",
        "answer_idx": "B",
        "answer": "Human immunodeficiency virus testing and lymphocyte analysis"
    },
    {
        "id": 1139,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2514055",
        "answer_idx": "D",
        "answer": "Check serology results for exposure to infectious agents"
    },
    {
        "id": 1140,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2514076",
        "answer_idx": "A",
        "answer": "Order a gallium scan"
    },
    {
        "id": 1141,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2525945",
        "answer_idx": "C",
        "answer": "Black-spot poison ivy dermatitis"
    },
    {
        "id": 1142,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2517389",
        "answer_idx": "D",
        "answer": "FFR with adenosine should be remeasured after placing a stent in the distal lesion to better assess the proximal lesion."
    },
    {
        "id": 1143,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2500119",
        "answer_idx": "C",
        "answer": "Osteosarcoma"
    },
    {
        "id": 1144,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2506660",
        "answer_idx": "C",
        "answer": "Cavernous hemangioma"
    },
    {
        "id": 1145,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2513193",
        "answer_idx": "B",
        "answer": "Vascular hamartoma"
    },
    {
        "id": 1146,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2514064",
        "answer_idx": "B",
        "answer": "Aggressive cholesteatoma"
    },
    {
        "id": 1147,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2523770",
        "answer_idx": "B",
        "answer": "Aneurysmal bone cyst"
    },
    {
        "id": 1148,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2520050",
        "answer_idx": "C",
        "answer": "Primary lymphoma of bone"
    },
    {
        "id": 1149,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2524160",
        "answer_idx": "B",
        "answer": "Obtain trace element levels"
    },
    {
        "id": 1150,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2524164",
        "answer_idx": "A",
        "answer": "The patient has a low-normal serum erythropoietin level. She should be tested for JAK2V16F mutation status."
    },
    {
        "id": 1151,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2518235",
        "answer_idx": "C",
        "answer": "Order active rewarming"
    },
    {
        "id": 1152,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2488018",
        "answer_idx": "B",
        "answer": "IgG4-related skin disease"
    },
    {
        "id": 1153,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2491356",
        "answer_idx": "C",
        "answer": "Leukemia cutis with leukemic vasculitis"
    },
    {
        "id": 1154,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2491687",
        "answer_idx": "C",
        "answer": "Phaeohyphomycosis"
    },
    {
        "id": 1155,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2499848",
        "answer_idx": "C",
        "answer": "Order brain magnetic resonance imaging"
    },
    {
        "id": 1156,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2503085",
        "answer_idx": "C",
        "answer": "Fluorescein angiography and workup for infectious and inflammatory etiologies"
    },
    {
        "id": 1157,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2505597",
        "answer_idx": "C",
        "answer": "Excise the affected conjunctiva"
    },
    {
        "id": 1158,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2506667",
        "answer_idx": "B",
        "answer": "Measure vitamin levels, including vitamin A (retinol)"
    },
    {
        "id": 1159,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2499490",
        "answer_idx": "C",
        "answer": "Jejunogastric intussusception"
    },
    {
        "id": 1160,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2505677",
        "answer_idx": "C",
        "answer": "Primary hyperparathyroidism"
    },
    {
        "id": 1161,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2519617",
        "answer_idx": "A",
        "answer": "Hungry bone syndrome"
    },
    {
        "id": 1162,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2511292",
        "answer_idx": "C",
        "answer": "Acute aortic dissection"
    },
    {
        "id": 1163,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2496494",
        "answer_idx": "C",
        "answer": "Gardner syndrome"
    },
    {
        "id": 1164,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2498965",
        "answer_idx": "C",
        "answer": "Laryngeal schwannoma"
    },
    {
        "id": 1165,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2505645",
        "answer_idx": "C",
        "answer": "Primary laryngotracheobronchial amyloidosis"
    },
    {
        "id": 1166,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2504168",
        "answer_idx": "D",
        "answer": "Reaction to radiotherapy"
    },
    {
        "id": 1167,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2506707",
        "answer_idx": "B",
        "answer": "Myeloid sarcoma"
    },
    {
        "id": 1168,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2516686",
        "answer_idx": "D",
        "answer": "Discontinue doxycycline and restart topical antifungal cream."
    },
    {
        "id": 1169,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2514169",
        "answer_idx": "B",
        "answer": "Obtain serum methylmalonic acid (MMA) levels"
    },
    {
        "id": 1170,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2510883",
        "answer_idx": "B",
        "answer": "Obtain serum liver function tests, lipase level, and ophthalmologic evaluation; monitor for multiorgan damage"
    },
    {
        "id": 1171,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2478899",
        "answer_idx": "D",
        "answer": "Alkaptonuria"
    },
    {
        "id": 1172,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2482919",
        "answer_idx": "D",
        "answer": "Congenital cutaneous candidiasis"
    },
    {
        "id": 1173,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2484639",
        "answer_idx": "A",
        "answer": "Galli-Galli disease"
    },
    {
        "id": 1174,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2487487",
        "answer_idx": "D",
        "answer": "Pars plana vitrectomy with removal of the intraocular lens and capsule"
    },
    {
        "id": 1175,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2492044",
        "answer_idx": "C",
        "answer": "Perform laser iridotomy or iridoplasty"
    },
    {
        "id": 1176,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2496163",
        "answer_idx": "B",
        "answer": "Refer for genetic counseling and potential testing for an NR2E3 mutation"
    },
    {
        "id": 1177,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2498856",
        "answer_idx": "C",
        "answer": "Obtain serum chemistry with radiographs of the extremities"
    },
    {
        "id": 1178,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2491216",
        "answer_idx": "B",
        "answer": "Carotid atherosclerosis"
    },
    {
        "id": 1179,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2504192",
        "answer_idx": "B",
        "answer": "Pseudomonas aeruginosa"
    },
    {
        "id": 1180,
        "link": "https://jamanetwork.com/journals/jamacardiology/fullarticle/2499812",
        "answer_idx": "D",
        "answer": "Perform cardiac magnetic resonance imaging to define pathologic substrate"
    },
    {
        "id": 1181,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2486998",
        "answer_idx": "B",
        "answer": "Fibrous dysplasia"
    },
    {
        "id": 1182,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2488048",
        "answer_idx": "A",
        "answer": "Angiosarcoma"
    },
    {
        "id": 1183,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2500120",
        "answer_idx": "B",
        "answer": "Laryngeal actinomycosis"
    },
    {
        "id": 1184,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2484539",
        "answer_idx": "D",
        "answer": "Substernal goiter"
    },
    {
        "id": 1185,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2491462",
        "answer_idx": "C",
        "answer": "Radiation-induced myositis"
    },
    {
        "id": 1186,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2504789",
        "answer_idx": "D",
        "answer": "The results indicate histopathologic discordance."
    },
    {
        "id": 1187,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2503154",
        "answer_idx": "D",
        "answer": "Obtain a thoracic computed tomography scan"
    },
    {
        "id": 1188,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2474307",
        "answer_idx": "C",
        "answer": "Petrified ear"
    },
    {
        "id": 1189,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2478033",
        "answer_idx": "B",
        "answer": "Lucio phenomenon"
    },
    {
        "id": 1190,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2481415",
        "answer_idx": "A",
        "answer": "Erythema elevatum diutinum"
    },
    {
        "id": 1191,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2484439",
        "answer_idx": "A",
        "answer": "Primary central nervous system lymphoma\u2013leptomeningeal variant"
    },
    {
        "id": 1192,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2479470",
        "answer_idx": "A",
        "answer": "Observe; follow up in 4 to 6 weeks with SD-OCT"
    },
    {
        "id": 1193,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2468275",
        "answer_idx": "D",
        "answer": "Ultrasound biomicroscopy"
    },
    {
        "id": 1194,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2471232",
        "answer_idx": "D",
        "answer": "Digital subtraction angiography with embolization of carotid cavernous fistula"
    },
    {
        "id": 1195,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2478041",
        "answer_idx": "C",
        "answer": "Ischemic stroke"
    },
    {
        "id": 1196,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2482976",
        "answer_idx": "B",
        "answer": "Intraductal papilloma"
    },
    {
        "id": 1197,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2482977",
        "answer_idx": "A",
        "answer": "Complications of otitis media"
    },
    {
        "id": 1198,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2482978",
        "answer_idx": "A",
        "answer": "Endolymphatic sac tumor"
    },
    {
        "id": 1199,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2482979",
        "answer_idx": "B",
        "answer": "Isolated anosmia"
    },
    {
        "id": 1200,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2482980",
        "answer_idx": "A",
        "answer": "Thyroglossal duct fistula"
    },
    {
        "id": 1201,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2468534",
        "answer_idx": "D",
        "answer": "Takayasu arteritis"
    },
    {
        "id": 1202,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2470898",
        "answer_idx": "C",
        "answer": "Ruptured hepatocellular carcinoma"
    },
    {
        "id": 1203,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2445343",
        "answer_idx": "C",
        "answer": "The significance of the amino acid exchange in CARD11 is a variant of unknown significance, so treatment with ibrutinib may be considered."
    },
    {
        "id": 1204,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2475441",
        "answer_idx": "D",
        "answer": "Order magnetic resonance imaging (MRI) of the brain"
    },
    {
        "id": 1205,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2475444",
        "answer_idx": "A",
        "answer": "The elevated testosterone level is consistent with polycystic ovary syndrome (PCOS)."
    },
    {
        "id": 1206,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2474407",
        "answer_idx": "A",
        "answer": "Drug-induced hyperkalemia"
    },
    {
        "id": 1207,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2431076",
        "answer_idx": "B",
        "answer": "Bullous amyloidosis"
    },
    {
        "id": 1208,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2436030",
        "answer_idx": "C",
        "answer": "Granulomatous cheilitis"
    },
    {
        "id": 1209,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2458752",
        "answer_idx": "B",
        "answer": "Muir-Torre syndrome"
    },
    {
        "id": 1210,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2443247",
        "answer_idx": "B",
        "answer": "Check blood and urine for heavy metals"
    },
    {
        "id": 1211,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2448576",
        "answer_idx": "A",
        "answer": "Proceed with temporal artery biopsy"
    },
    {
        "id": 1212,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2473467",
        "answer_idx": "D",
        "answer": "Perform skin biopsy for immunofluorescence"
    },
    {
        "id": 1213,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2474666",
        "answer_idx": "B",
        "answer": "Cutaneous fungal infection"
    },
    {
        "id": 1214,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2427487",
        "answer_idx": "B",
        "answer": "Vanishing bile duct syndrome associated with Hodgkin lymphoma"
    },
    {
        "id": 1215,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2456109",
        "answer_idx": "C",
        "answer": "Gastric metastasis of Merkel cell carcinoma"
    },
    {
        "id": 1216,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2466598",
        "answer_idx": "C",
        "answer": "Hydatid cyst of the pancreas"
    },
    {
        "id": 1217,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2434740",
        "answer_idx": "D",
        "answer": "Metastatic carcinoma"
    },
    {
        "id": 1218,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2471553",
        "answer_idx": "B",
        "answer": "Obtain a skin biopsy"
    },
    {
        "id": 1219,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2470421",
        "answer_idx": "C",
        "answer": "Perform a punch biopsy and send for bacterial, fungal, and acid-fast bacillary cultures"
    },
    {
        "id": 1220,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2470424",
        "answer_idx": "C",
        "answer": "The patient\u2019s probability of prostate cancer is approximately 6% for a high-grade cancer and 18% for a low-grade cancer."
    },
    {
        "id": 1221,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2468876",
        "answer_idx": "B",
        "answer": "Further testing is needed because of the ST depressions during recovery."
    },
    {
        "id": 1222,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2429197",
        "answer_idx": "B",
        "answer": "Demodex folliculorum\u2013associated spinulosus"
    },
    {
        "id": 1223,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2429552",
        "answer_idx": "D",
        "answer": "Cutaneous diphtheria"
    },
    {
        "id": 1224,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2440975",
        "answer_idx": "C",
        "answer": "GM1 gangliosidosis"
    },
    {
        "id": 1225,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2442468",
        "answer_idx": "D",
        "answer": "Posttransplant lymphoproliferative disorder"
    },
    {
        "id": 1226,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2430466",
        "answer_idx": "C",
        "answer": "Perform magnetic resonance imaging of the brain and spine"
    },
    {
        "id": 1227,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2436652",
        "answer_idx": "D",
        "answer": "Perform pars plana vitrectomy with intravitreous methotrexate"
    },
    {
        "id": 1228,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2467314",
        "answer_idx": "C",
        "answer": "Orf"
    },
    {
        "id": 1229,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2448769",
        "answer_idx": "C",
        "answer": "True vocal fold myxoma"
    },
    {
        "id": 1230,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2456056",
        "answer_idx": "C",
        "answer": "Nasal angioleiomyoma"
    },
    {
        "id": 1231,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2463110",
        "answer_idx": "C",
        "answer": "Esthesioneuroblastoma"
    },
    {
        "id": 1232,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2463449",
        "answer_idx": "C",
        "answer": "Tuberculous lymphadenitis"
    },
    {
        "id": 1233,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2468490",
        "answer_idx": "B",
        "answer": "Aberrant internal carotid artery"
    },
    {
        "id": 1234,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2398983",
        "answer_idx": "C",
        "answer": "Hypophysitis"
    },
    {
        "id": 1235,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2432608",
        "answer_idx": "C",
        "answer": "Anal adenocarcinoma"
    },
    {
        "id": 1236,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2442531",
        "answer_idx": "D",
        "answer": "Gossypiboma"
    },
    {
        "id": 1237,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2466091",
        "answer_idx": "B",
        "answer": "Discontinue pantoprazole"
    },
    {
        "id": 1238,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2466095",
        "answer_idx": "A",
        "answer": "The patient has hyperprolactinemia due to a nonfunctioning pituitary adenoma."
    },
    {
        "id": 1239,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2449159",
        "answer_idx": "B",
        "answer": "Obtain a detailed procedural history"
    },
    {
        "id": 1240,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2398664",
        "answer_idx": "B",
        "answer": "Septic emboli"
    },
    {
        "id": 1241,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2423208",
        "answer_idx": "C",
        "answer": "Lichen planus actinicus"
    },
    {
        "id": 1242,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2426394",
        "answer_idx": "A",
        "answer": "Pemphigus erythematosus"
    },
    {
        "id": 1243,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2397958",
        "answer_idx": "C",
        "answer": "Check laboratory results and add IV penicillin G"
    },
    {
        "id": 1244,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2425882",
        "answer_idx": "B",
        "answer": "Obtain magnetic resonance imaging of the brain"
    },
    {
        "id": 1245,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2442838",
        "answer_idx": "B",
        "answer": "Ehrlichiosis"
    },
    {
        "id": 1246,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2432649",
        "answer_idx": "B",
        "answer": "Peripheral ossifying fibroma"
    },
    {
        "id": 1247,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2436623",
        "answer_idx": "B",
        "answer": "Mucoepidermoid carcinoma"
    },
    {
        "id": 1248,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2442630",
        "answer_idx": "D",
        "answer": "Invasive necrotizing fungal gingivitis"
    },
    {
        "id": 1249,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2443351",
        "answer_idx": "C",
        "answer": "Ancient schwannoma"
    },
    {
        "id": 1250,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2396581",
        "answer_idx": "D",
        "answer": "Leukemia relapse"
    },
    {
        "id": 1251,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2422333",
        "answer_idx": "D",
        "answer": "Choledochal cyst and long common biliopancreatic channel"
    },
    {
        "id": 1252,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2426406",
        "answer_idx": "B",
        "answer": "Inflammatory abdominal aortic aneurysm"
    },
    {
        "id": 1253,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2441236",
        "answer_idx": "C",
        "answer": "Obtain a computed tomography (CT) scan of the chest and abdomen"
    },
    {
        "id": 1254,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2441241",
        "answer_idx": "B",
        "answer": "The elevated platelet count most likely resulted from a transient and not reproducible finding"
    },
    {
        "id": 1255,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2293161",
        "answer_idx": "B",
        "answer": "Trichomycosis axillaris"
    },
    {
        "id": 1256,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2301156",
        "answer_idx": "C",
        "answer": "Eruptive syringoma"
    },
    {
        "id": 1257,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2319714",
        "answer_idx": "C",
        "answer": "Chrysiasis"
    },
    {
        "id": 1258,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2319719",
        "answer_idx": "C",
        "answer": "C. Intravitreal anti\u2013vascular endothelial growth factor therapy"
    },
    {
        "id": 1259,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2363071",
        "answer_idx": "B",
        "answer": "Continue giving the patient topical corticosteroids and/or cyclosporine"
    },
    {
        "id": 1260,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2432139",
        "answer_idx": "D",
        "answer": "Obtain a whole-body fluorodeoxyglucose positron emission tomography (FDG-PET)/CT scan and paraneoplastic antibody evaluation"
    },
    {
        "id": 1261,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2430939",
        "answer_idx": "B",
        "answer": "Ulcerated segmental infantile hemangioma"
    },
    {
        "id": 1262,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2422190",
        "answer_idx": "D",
        "answer": "Metastatic breast carcinoma"
    },
    {
        "id": 1263,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2426962",
        "answer_idx": "C",
        "answer": "Juvenile xanthogranuloma"
    },
    {
        "id": 1264,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2426963",
        "answer_idx": "C",
        "answer": "Ameloblastic carcinoma"
    },
    {
        "id": 1265,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2429577",
        "answer_idx": "C",
        "answer": "Localized laryngeal amyloidosis"
    },
    {
        "id": 1266,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2430627",
        "answer_idx": "C",
        "answer": "Dermoid cyst"
    },
    {
        "id": 1267,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2383138",
        "answer_idx": "B",
        "answer": "Shingles"
    },
    {
        "id": 1268,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2362334",
        "answer_idx": "D",
        "answer": "Ectopic pancreas"
    },
    {
        "id": 1269,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2389259",
        "answer_idx": "C",
        "answer": "Cavernous hemangioma"
    },
    {
        "id": 1270,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2429692",
        "answer_idx": "D",
        "answer": "The positive ANA test result is nonspecific and may be related to autoimmune thyroid disease"
    },
    {
        "id": 1271,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2425720",
        "answer_idx": "B",
        "answer": "Perform a bone marrow biopsy"
    },
    {
        "id": 1272,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2212242",
        "answer_idx": "B",
        "answer": "Iododerma"
    },
    {
        "id": 1273,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2214156",
        "answer_idx": "A",
        "answer": "Nocardia brasiliensis skin infection"
    },
    {
        "id": 1274,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2280383",
        "answer_idx": "B",
        "answer": "Axillary acne agminata"
    },
    {
        "id": 1275,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2423035",
        "answer_idx": "C",
        "answer": "Excise the lesion"
    },
    {
        "id": 1276,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2423036",
        "answer_idx": "C",
        "answer": "Perform fluorescein angiography"
    },
    {
        "id": 1277,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2399490",
        "answer_idx": "C",
        "answer": "Plexiform neurofibroma"
    },
    {
        "id": 1278,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2301021",
        "answer_idx": "A",
        "answer": "Lymphoepithelial carcinoma of parotid gland"
    },
    {
        "id": 1279,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2319344",
        "answer_idx": "D",
        "answer": "Calcinosis cutis"
    },
    {
        "id": 1280,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2319345",
        "answer_idx": "C",
        "answer": "Sialolipoma"
    },
    {
        "id": 1281,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2388776",
        "answer_idx": "C",
        "answer": "Eagle syndrome"
    },
    {
        "id": 1282,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2293941",
        "answer_idx": "B",
        "answer": "Pulmonary artery sarcoma"
    },
    {
        "id": 1283,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2300756",
        "answer_idx": "D",
        "answer": "The patient is likely to have unfavorable cytogenetic features, positive ZAP-70 protein expression/promoter unmethylated status, and clonal evolution."
    },
    {
        "id": 1284,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2300994",
        "answer_idx": "C",
        "answer": "Intraductal papillary mucinous neoplasm"
    },
    {
        "id": 1285,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2330648",
        "answer_idx": "C",
        "answer": "Innominate artery pseudoaneurysm"
    },
    {
        "id": 1286,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2411259",
        "answer_idx": "C",
        "answer": "Check a rapid plasma reagin (RPR) test"
    },
    {
        "id": 1287,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2382954",
        "answer_idx": "A",
        "answer": "Rule out PE and perform a work up for alternative diagnoses."
    },
    {
        "id": 1288,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2174891",
        "answer_idx": "B",
        "answer": "Secondary syphilis"
    },
    {
        "id": 1289,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2174931",
        "answer_idx": "D",
        "answer": "Cutaneous mucormycosis"
    },
    {
        "id": 1290,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2203842",
        "answer_idx": "C",
        "answer": "Cold agglutinin disease"
    },
    {
        "id": 1291,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2343070",
        "answer_idx": "C",
        "answer": "Perform an eyelid nodule biopsy"
    },
    {
        "id": 1292,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2343071",
        "answer_idx": "A",
        "answer": "Perform a serum test for autoantibodies"
    },
    {
        "id": 1293,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2337225",
        "answer_idx": "C",
        "answer": "Recurrent painful ophthalmoplegic neuropathy"
    },
    {
        "id": 1294,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2290609",
        "answer_idx": "C",
        "answer": "Melanin-pigmented oncocytic metaplasia of the nasopharynx"
    },
    {
        "id": 1295,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2291042",
        "answer_idx": "C",
        "answer": "Myositis ossificans traumatica"
    },
    {
        "id": 1296,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2293311",
        "answer_idx": "C",
        "answer": "Chronic invasive fungal sinusitis"
    },
    {
        "id": 1297,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2297057",
        "answer_idx": "C",
        "answer": "Radiation-induced neurofibroma"
    },
    {
        "id": 1298,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2301020",
        "answer_idx": "D",
        "answer": "Laryngeal sarcoidosis"
    },
    {
        "id": 1299,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2239090",
        "answer_idx": "B",
        "answer": "Refer for ophthalmologic examination and orbital computed tomography."
    },
    {
        "id": 1300,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2277723",
        "answer_idx": "C",
        "answer": "Fibrolamellar hepatocellular carcinoma"
    },
    {
        "id": 1301,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2293066",
        "answer_idx": "B",
        "answer": "Meckel diverticulum"
    },
    {
        "id": 1302,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2320293",
        "answer_idx": "C",
        "answer": "Order a complete blood cell count with differential to rule out a hematologic disorder"
    },
    {
        "id": 1303,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2319148",
        "answer_idx": "C",
        "answer": "Mixed obstructive and restrictive abnormality"
    },
    {
        "id": 1304,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2300573",
        "answer_idx": "D",
        "answer": "Do nothing now but repeat CT scan in 3 to 6 months"
    },
    {
        "id": 1305,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2119343",
        "answer_idx": "B",
        "answer": "Infantile myofibromatosis"
    },
    {
        "id": 1306,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2168934",
        "answer_idx": "B",
        "answer": "Cytomegalovirus ulcer"
    },
    {
        "id": 1307,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2169317",
        "answer_idx": "C",
        "answer": "Type I cryoglobulinemia associated with multiple myeloma"
    },
    {
        "id": 1308,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2319756",
        "answer_idx": "D",
        "answer": "Treat with combined systemic chemotherapy and pars plana vitrectomy"
    },
    {
        "id": 1309,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2319757",
        "answer_idx": "C",
        "answer": "Photodynamic therapy "
    },
    {
        "id": 1310,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2299689",
        "answer_idx": "B",
        "answer": "Lymphatic malformation"
    },
    {
        "id": 1311,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2210370",
        "answer_idx": "D",
        "answer": "Fungal ball and invasive squamous cell carcinoma"
    },
    {
        "id": 1312,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2210371",
        "answer_idx": "B",
        "answer": "Well-differentiated liposarcoma of the larynx"
    },
    {
        "id": 1313,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2210440",
        "answer_idx": "B",
        "answer": "Venous malformation"
    },
    {
        "id": 1314,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2213734",
        "answer_idx": "B",
        "answer": "Adult rhabdomyoma"
    },
    {
        "id": 1315,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2250428",
        "answer_idx": "B",
        "answer": "Desmoid tumor"
    },
    {
        "id": 1316,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2246278",
        "answer_idx": "C",
        "answer": "Adrenal myelolipoma"
    },
    {
        "id": 1317,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2280710",
        "answer_idx": "C",
        "answer": "Gastric duplication"
    },
    {
        "id": 1318,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2293273",
        "answer_idx": "C",
        "answer": "Reassure the patient"
    },
    {
        "id": 1319,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2281674",
        "answer_idx": "B",
        "answer": "Obtain a biopsy of the skin lesion"
    },
    {
        "id": 1320,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2281677",
        "answer_idx": "C",
        "answer": "Further evaluation is required; measure free testosterone."
    },
    {
        "id": 1321,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2039084",
        "answer_idx": "C",
        "answer": "Propylthiouracil-induced hypersensitivity vasculitis"
    },
    {
        "id": 1322,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2108470",
        "answer_idx": "D",
        "answer": "Polyarteritis nodosa"
    },
    {
        "id": 1323,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2110019",
        "answer_idx": "B",
        "answer": "Apocrine poroma"
    },
    {
        "id": 1324,
        "link": "https://jamanetwork.com/journals/jamaneurology/fullarticle/2212145",
        "answer_idx": "C",
        "answer": "Progressive supranuclear palsy"
    },
    {
        "id": 1325,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2292600",
        "answer_idx": "D",
        "answer": "Observation"
    },
    {
        "id": 1326,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2292601",
        "answer_idx": "A",
        "answer": "Discontinue treatment with chloroquine"
    },
    {
        "id": 1327,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2281580",
        "answer_idx": "C",
        "answer": "Circumscribed juvenile pityriasis rubra pilaris"
    },
    {
        "id": 1328,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2173808",
        "answer_idx": "B",
        "answer": "Nasal alveolar soft part sarcoma"
    },
    {
        "id": 1329,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2195884",
        "answer_idx": "B",
        "answer": "Rhabdomyosarcoma"
    },
    {
        "id": 1330,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2204928",
        "answer_idx": "B",
        "answer": "Chondrodermatitis nodularis chronica helicis"
    },
    {
        "id": 1331,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2204930",
        "answer_idx": "A",
        "answer": "Osteolipoma"
    },
    {
        "id": 1332,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2203827",
        "answer_idx": "D",
        "answer": "Primary central nervous system lymphoma"
    },
    {
        "id": 1333,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2173308",
        "answer_idx": "D",
        "answer": "Spinal extradural arachnoid cyst"
    },
    {
        "id": 1334,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2205900",
        "answer_idx": "B",
        "answer": "Xanthogranulomatous cholecystitis"
    },
    {
        "id": 1335,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2279691",
        "answer_idx": "C",
        "answer": "D-dimer test result is positive but below her age-adjusted cutoff. PE is ruled out."
    },
    {
        "id": 1336,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2275423",
        "answer_idx": "C",
        "answer": "Order immobilization with non\u2013weight-bearing activity"
    },
    {
        "id": 1337,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2214057",
        "answer_idx": "C",
        "answer": "Obtain antineutrophilic cytoplasmic antibodies (ANCA) titers"
    },
    {
        "id": 1338,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2089058",
        "answer_idx": "D",
        "answer": "Adult T-cell leukemia/lymphoma"
    },
    {
        "id": 1339,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2091534",
        "answer_idx": "C",
        "answer": "Paraneoplastic pemphigus"
    },
    {
        "id": 1340,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2091957",
        "answer_idx": "B",
        "answer": "Tumid lupus erythematosus"
    },
    {
        "id": 1341,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2211142",
        "answer_idx": "B",
        "answer": "Computed tomographic scan of the orbit"
    },
    {
        "id": 1342,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2211143",
        "answer_idx": "B",
        "answer": "Consider a diagnosis of choroidal metastasis"
    },
    {
        "id": 1343,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2214030",
        "answer_idx": "D",
        "answer": "Hand-foot-and-mouth disease"
    },
    {
        "id": 1344,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2119039",
        "answer_idx": "B",
        "answer": "Sinonasal teratocarcinosarcoma"
    },
    {
        "id": 1345,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2089807",
        "answer_idx": "B",
        "answer": "Lobular capillary hemangioma"
    },
    {
        "id": 1346,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2108339",
        "answer_idx": "C",
        "answer": "Osteochondroma"
    },
    {
        "id": 1347,
        "link": "https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/2110986",
        "answer_idx": "B",
        "answer": "Pleomorphic adenoma"
    },
    {
        "id": 1348,
        "link": "https://jamanetwork.com/journals/jamaoncology/fullarticle/2118563",
        "answer_idx": "B",
        "answer": "Extramammary Paget disease"
    },
    {
        "id": 1349,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2107541",
        "answer_idx": "C",
        "answer": "Polycystic liver disease"
    },
    {
        "id": 1350,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2130711",
        "answer_idx": "D",
        "answer": "Echinococcal disease"
    },
    {
        "id": 1351,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2208783",
        "answer_idx": "B",
        "answer": "The patient has euvolemic hypotonic hyponatremia."
    },
    {
        "id": 1352,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2203781",
        "answer_idx": "C",
        "answer": "Perform skin biopsy and direct immunofluorescence"
    },
    {
        "id": 1353,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2190967",
        "answer_idx": "D",
        "answer": "The patient has severe aortic valve stenosis with preserved left ventricular systolic function."
    },
    {
        "id": 1354,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2174005",
        "answer_idx": "C",
        "answer": "Order magnetic resonance imaging (MRI) or magnetic resonance venography (MRV) of the brain and orbits"
    },
    {
        "id": 1355,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1938931",
        "answer_idx": "B",
        "answer": "Fibrosis and ulceration caused by meperidine"
    },
    {
        "id": 1356,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2019960",
        "answer_idx": "B",
        "answer": "Condyloma lata"
    },
    {
        "id": 1357,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/2020884",
        "answer_idx": "B",
        "answer": "Primary oral histoplasmosis"
    },
    {
        "id": 1358,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2196034",
        "answer_idx": "D",
        "answer": "Cut-and-push-through technique: cut the lure, make a corneal exit wound next to the distal end of the hook, and rotate the hook through the exit wound"
    },
    {
        "id": 1359,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2196035",
        "answer_idx": "C",
        "answer": "Intravenous vitamin therapy"
    },
    {
        "id": 1360,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2174551",
        "answer_idx": "C",
        "answer": "Esophageal perforation"
    },
    {
        "id": 1361,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2089140",
        "answer_idx": "C",
        "answer": "Xanthogranulomatous cholecystitis"
    },
    {
        "id": 1362,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2091771",
        "answer_idx": "D",
        "answer": "Ovarian cyst with torsion"
    },
    {
        "id": 1363,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2130295",
        "answer_idx": "B",
        "answer": "The patient has lactic acidosis from lymphoma."
    },
    {
        "id": 1364,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2110947",
        "answer_idx": "D",
        "answer": "Observe and provide supplemental oxygen"
    },
    {
        "id": 1365,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2107766",
        "answer_idx": "D",
        "answer": "Order a human immunodeficiency virus (HIV) test"
    },
    {
        "id": 1366,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2107769",
        "answer_idx": "C",
        "answer": "Hyperbilirubinemia due to Gilbert syndrome"
    },
    {
        "id": 1367,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1935476",
        "answer_idx": "B",
        "answer": "Syringomatous adenoma of the nipple"
    },
    {
        "id": 1368,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1937724",
        "answer_idx": "D",
        "answer": "Peeling skin disease"
    },
    {
        "id": 1369,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1939415",
        "answer_idx": "D",
        "answer": "Burkitt lymphoma of the breast"
    },
    {
        "id": 1370,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2108785",
        "answer_idx": "B",
        "answer": "Brain imaging and echocardiography"
    },
    {
        "id": 1371,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2108786",
        "answer_idx": "B",
        "answer": "Check antinuclear antibody level"
    },
    {
        "id": 1372,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2108674",
        "answer_idx": "B",
        "answer": "Kerion celsi"
    },
    {
        "id": 1373,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2020864",
        "answer_idx": "B",
        "answer": "Malignant transformation of an enterogenous cyst"
    },
    {
        "id": 1374,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/2084860",
        "answer_idx": "B",
        "answer": "Stent perforation"
    },
    {
        "id": 1375,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2091287",
        "answer_idx": "C",
        "answer": "Prescribe a topical antifungal"
    },
    {
        "id": 1376,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2089333",
        "answer_idx": "B",
        "answer": "The patient likely has sepsis, possibly with an uncontrolled infectious source, that requires further workup."
    },
    {
        "id": 1377,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2088829",
        "answer_idx": "A",
        "answer": "Obtain a lipid panel"
    },
    {
        "id": 1378,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2088832",
        "answer_idx": "C",
        "answer": "This audiogram depicts a right-sided SNHL and impaired speech discrimination, which necessitate further investigation."
    },
    {
        "id": 1379,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1919436",
        "answer_idx": "B",
        "answer": "Pancreatic panniculitis"
    },
    {
        "id": 1380,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1922023",
        "answer_idx": "C",
        "answer": "Cutaneous cholesterol embolism"
    },
    {
        "id": 1381,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1936089",
        "answer_idx": "C",
        "answer": "Dyshidrosiform pemphigoid"
    },
    {
        "id": 1382,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2086672",
        "answer_idx": "D",
        "answer": "Refer to otolaryngologist for nasal mass biopsy"
    },
    {
        "id": 1383,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2086673",
        "answer_idx": "B",
        "answer": "Serum antibody titer"
    },
    {
        "id": 1384,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/2086435",
        "answer_idx": "C",
        "answer": "Tinea capitis"
    },
    {
        "id": 1385,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1934724",
        "answer_idx": "B",
        "answer": "Free-floating arterial thrombus"
    },
    {
        "id": 1386,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2084867",
        "answer_idx": "D",
        "answer": "The patient has primary hyperparathyroidism."
    },
    {
        "id": 1387,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/2040167",
        "answer_idx": "B",
        "answer": "Treat with intravenous broad spectrum antibiotics"
    },
    {
        "id": 1388,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1983657",
        "answer_idx": "B",
        "answer": "Discontinue diclofenac"
    },
    {
        "id": 1389,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1913668",
        "answer_idx": "C",
        "answer": "Dermatitis herpetiformis"
    },
    {
        "id": 1390,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1916685",
        "answer_idx": "C",
        "answer": "Amyloidosis"
    },
    {
        "id": 1391,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1918744",
        "answer_idx": "C",
        "answer": "Fusarium and Mucormycosis"
    },
    {
        "id": 1392,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2020719",
        "answer_idx": "B",
        "answer": "Treat with prednisolone acetate, 1%, ophthalmic solution 4 times per day"
    },
    {
        "id": 1393,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2020720",
        "answer_idx": "D",
        "answer": "Observe"
    },
    {
        "id": 1394,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1937441",
        "answer_idx": "B",
        "answer": "Streptobacillus moniliformis infection"
    },
    {
        "id": 1395,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1912409",
        "answer_idx": "C",
        "answer": "Gastrocolic fistula"
    },
    {
        "id": 1396,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1917550",
        "answer_idx": "B",
        "answer": "Meckel diverticulum"
    },
    {
        "id": 1397,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1921612",
        "answer_idx": "C",
        "answer": "Lesser sac (omental bursa) internal hernia through the epiploic foramen"
    },
    {
        "id": 1398,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1938539",
        "answer_idx": "B",
        "answer": "The patient most likely has monoclonal gammopathy of undetermined significance (MGUS)."
    },
    {
        "id": 1399,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1938535",
        "answer_idx": "B",
        "answer": "Prescribe systemic corticosteroids"
    },
    {
        "id": 1400,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1935103",
        "answer_idx": "D",
        "answer": "Type II non\u2013ST-elevation MI related to acute increase in myocardial oxygen demand."
    },
    {
        "id": 1401,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1930799",
        "answer_idx": "A",
        "answer": "The patient has latent syphilis and requires 2.4 million U intramuscularly of benzathine penicillin G weekly for 3 doses (total 7.2 million U penicillin)."
    },
    {
        "id": 1402,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1920946",
        "answer_idx": "D",
        "answer": "Biopsy the affected tissue"
    },
    {
        "id": 1403,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1899247",
        "answer_idx": "C",
        "answer": "Hypoplasminogenemia"
    },
    {
        "id": 1404,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1902292",
        "answer_idx": "C",
        "answer": "Neonatal pemphigus vulgaris"
    },
    {
        "id": 1405,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1910345",
        "answer_idx": "C",
        "answer": "Neutrophilic sebaceous adenitis"
    },
    {
        "id": 1406,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1910346",
        "answer_idx": "B",
        "answer": "Erythema ab igne with superimposed chemotherapy effect"
    },
    {
        "id": 1407,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1921334",
        "answer_idx": "B",
        "answer": "Obtain optical coherence tomography"
    },
    {
        "id": 1408,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1921335",
        "answer_idx": "B",
        "answer": "Emergent angiography"
    },
    {
        "id": 1409,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1919898",
        "answer_idx": "D",
        "answer": "Infantile myofibroma"
    },
    {
        "id": 1410,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1900898",
        "answer_idx": "B",
        "answer": "Sclerosing encapsulated peritonitis"
    },
    {
        "id": 1411,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1906146",
        "answer_idx": "B",
        "answer": "Gastrointestinal stromal tumor"
    },
    {
        "id": 1412,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1917411",
        "answer_idx": "A",
        "answer": "The patient has asymptomatic pyuria and bacteriuria."
    },
    {
        "id": 1413,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1915588",
        "answer_idx": "C",
        "answer": "Consult neurosurgery for biopsy"
    },
    {
        "id": 1414,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1911298",
        "answer_idx": "C",
        "answer": "Prescribe oral anthelmintic therapy"
    },
    {
        "id": 1415,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1911306",
        "answer_idx": "B",
        "answer": "The patient has LTBI."
    },
    {
        "id": 1416,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1896524",
        "answer_idx": "B",
        "answer": "Extranodal NK/T-cell lymphoma, nasal type"
    },
    {
        "id": 1417,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1897305",
        "answer_idx": "C",
        "answer": "Generalized essential telangiectasia"
    },
    {
        "id": 1418,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1899262",
        "answer_idx": "C",
        "answer": "Langerhans cell histiocytosis"
    },
    {
        "id": 1419,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1910498",
        "answer_idx": "B",
        "answer": "OCT imaging"
    },
    {
        "id": 1420,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1910499",
        "answer_idx": "C",
        "answer": "Anterior chamber paracentesis for polymerase chain reaction"
    },
    {
        "id": 1421,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1906852",
        "answer_idx": "A",
        "answer": "Microcystic lymphatic malformation"
    },
    {
        "id": 1422,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1893793",
        "answer_idx": "A",
        "answer": "Dropped gallstones"
    },
    {
        "id": 1423,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1899993",
        "answer_idx": "C",
        "answer": "Nodular fasciitis"
    },
    {
        "id": 1424,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1906586",
        "answer_idx": "C",
        "answer": "Perform leishmaniasis polymerase chain reaction testing of biopsied tissue"
    },
    {
        "id": 1425,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1902206",
        "answer_idx": "B",
        "answer": "Order flow cytometry of the peripheral blood sample"
    },
    {
        "id": 1426,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1884295",
        "answer_idx": "A",
        "answer": "Hereditary papulotranslucent acrokeratoderma"
    },
    {
        "id": 1427,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1886696",
        "answer_idx": "D",
        "answer": "Perivulvar neutrophilic eccrine hidradenitis"
    },
    {
        "id": 1428,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1888083",
        "answer_idx": "C",
        "answer": "Porokeratosis ptychotropica"
    },
    {
        "id": 1429,
        "link": "https://jamanetwork.com/journals/jamadermatology/fullarticle/1889533",
        "answer_idx": "B",
        "answer": "Bullous prurigo pigmentosa"
    },
    {
        "id": 1430,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1903126",
        "answer_idx": "D",
        "answer": "Determine Epstein-Barr virus status and consider observation following cessation of methotrexate therapy"
    },
    {
        "id": 1431,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1903127",
        "answer_idx": "C",
        "answer": "Oral propranolol"
    },
    {
        "id": 1432,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1900144",
        "answer_idx": "B",
        "answer": "Incontinentia pigmenti"
    },
    {
        "id": 1433,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1886237",
        "answer_idx": "C",
        "answer": "Small-bowel volvulus"
    },
    {
        "id": 1434,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1888408",
        "answer_idx": "D",
        "answer": "Right thoracotomy with primary closure and mesh placement"
    },
    {
        "id": 1435,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1891295",
        "answer_idx": "B",
        "answer": "Endothelial adrenal cyst"
    },
    {
        "id": 1436,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1896963",
        "answer_idx": "A",
        "answer": "Consult a neurosurgeon to evaluate the brain CT finding; obtain a CT scan of the lung and abdomen and offer genetic counseling for the patient and her family."
    },
    {
        "id": 1437,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1895229",
        "answer_idx": "D",
        "answer": "The patient does not have hepatic encephalopathy so no treatment is necessary."
    },
    {
        "id": 1438,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1892223",
        "answer_idx": "D",
        "answer": "Start systemic immunosuppressive therapy"
    },
    {
        "id": 1439,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1895796",
        "answer_idx": "D",
        "answer": "Perform orbitotomy with biopsy"
    },
    {
        "id": 1440,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1895797",
        "answer_idx": "A",
        "answer": "Observe"
    },
    {
        "id": 1441,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1890720",
        "answer_idx": "C",
        "answer": "Coccidioidomycosis"
    },
    {
        "id": 1442,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1879840",
        "answer_idx": "C",
        "answer": "Splenic lymphangiomatosis"
    },
    {
        "id": 1443,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1883581",
        "answer_idx": "C",
        "answer": "Catheterization of left anomalous pulmonary vein"
    },
    {
        "id": 1444,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1889110",
        "answer_idx": "D",
        "answer": "Prescribe oral prednisone and HSV viral suppression therapy"
    },
    {
        "id": 1445,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1887740",
        "answer_idx": "D",
        "answer": "Obtain a biopsy of the lesion for pathological examination"
    },
    {
        "id": 1446,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1886170",
        "answer_idx": "C",
        "answer": "Primary aldosteronism is suggested; confirmation requires an aldosterone suppression test."
    },
    {
        "id": 1447,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1886867",
        "answer_idx": "B",
        "answer": "Fluorescein angiography"
    },
    {
        "id": 1448,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1886868",
        "answer_idx": "C",
        "answer": "Perform magnetic resonance imaging"
    },
    {
        "id": 1449,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1885673",
        "answer_idx": "C",
        "answer": "Idiopathic orbital inflammatory syndrome"
    },
    {
        "id": 1450,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1867409",
        "answer_idx": "D",
        "answer": "Appendiceal intussusception"
    },
    {
        "id": 1451,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1875622",
        "answer_idx": "D",
        "answer": "Pseudosarcomatous fibromyxoid tumor"
    },
    {
        "id": 1452,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1876613",
        "answer_idx": "B",
        "answer": "Fungal mycetoma"
    },
    {
        "id": 1453,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1882990",
        "answer_idx": "D",
        "answer": "This patient is infected with the most common strain of HCV in the United States and it has lower response rates to interferon-based therapy."
    },
    {
        "id": 1454,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1881291",
        "answer_idx": "B",
        "answer": "Obtain a computed tomography scan of the chest"
    },
    {
        "id": 1455,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1878692",
        "answer_idx": "C",
        "answer": "Perform a punch biopsy of the lesion"
    },
    {
        "id": 1456,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1877185",
        "answer_idx": "D",
        "answer": "Obtain a surgical consultation for splenectomy"
    },
    {
        "id": 1457,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1882146",
        "answer_idx": "B",
        "answer": "Place bandage contact lenses"
    },
    {
        "id": 1458,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1882147",
        "answer_idx": "D",
        "answer": "Surgical removal of the cyst and pathological analysis"
    },
    {
        "id": 1459,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1878253",
        "answer_idx": "C",
        "answer": "Lyme disease"
    },
    {
        "id": 1460,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1857647",
        "answer_idx": "C",
        "answer": "Angiofollicular lymph node hyperplasia"
    },
    {
        "id": 1461,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1862291",
        "answer_idx": "C",
        "answer": "Avulsed uterine fibroid"
    },
    {
        "id": 1462,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1873906",
        "answer_idx": "B",
        "answer": "Ileocolic intussusception"
    },
    {
        "id": 1463,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1872798",
        "answer_idx": "C",
        "answer": "Order observation and cardiac monitoring"
    },
    {
        "id": 1464,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1872800",
        "answer_idx": "A",
        "answer": "The patient is in congestive heart failure and needs a loop diuretic."
    },
    {
        "id": 1465,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1869189",
        "answer_idx": "C",
        "answer": "Perform excisional biopsy"
    },
    {
        "id": 1466,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1866071",
        "answer_idx": "A",
        "answer": "Perform funduscopic examination (under anesthesia)"
    },
    {
        "id": 1467,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1866903",
        "answer_idx": "C",
        "answer": "Further laboratory and imaging studies"
    },
    {
        "id": 1468,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1866048",
        "answer_idx": "A",
        "answer": "Ultrasonography or magnetic resonance imaging (MRI) allowing for characterization of the lesion and its extent"
    },
    {
        "id": 1469,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1840752",
        "answer_idx": "C",
        "answer": "Iatrogenic pancreas transplant thrombosis"
    },
    {
        "id": 1470,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1850876",
        "answer_idx": "D",
        "answer": "Appendiceal intussusception"
    },
    {
        "id": 1471,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1860445",
        "answer_idx": "A",
        "answer": "Do not intervene; the condition is benign"
    },
    {
        "id": 1472,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1853135",
        "answer_idx": "C",
        "answer": "Recommend removal of the entire nail plate with representative biopsy of all areas of pigment"
    },
    {
        "id": 1473,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1857567",
        "answer_idx": "D",
        "answer": "Contact patient\u2019s hepatologist"
    },
    {
        "id": 1474,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1853921",
        "answer_idx": "C",
        "answer": "Scabies"
    },
    {
        "id": 1475,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1820448",
        "answer_idx": "B",
        "answer": "Angioleiomyoma"
    },
    {
        "id": 1476,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1829627",
        "answer_idx": "A",
        "answer": "Hedrocele"
    },
    {
        "id": 1477,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1841949",
        "answer_idx": "D",
        "answer": "Perform a viral culture from a lip lesion"
    },
    {
        "id": 1478,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1835477",
        "answer_idx": "B",
        "answer": "Obtain bacterial culture from both areas and start a systemic antibiotic."
    },
    {
        "id": 1479,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1838721",
        "answer_idx": "A",
        "answer": "Inquire about family cancer history and order genetic testing"
    },
    {
        "id": 1480,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1833810",
        "answer_idx": "D",
        "answer": "Minocycline-induced cutaneous polyarteritis nodosa"
    },
    {
        "id": 1481,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1813315",
        "answer_idx": "C",
        "answer": "Metastatic cystic neuroendocrine tumors"
    },
    {
        "id": 1482,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1816002",
        "answer_idx": "B",
        "answer": "B. Spindle cell sarcoma of the chest wall"
    },
    {
        "id": 1483,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1829659",
        "answer_idx": "C",
        "answer": "Perform an incisional skin biopsy"
    },
    {
        "id": 1484,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1819091",
        "answer_idx": "D",
        "answer": "Tinea incognito"
    },
    {
        "id": 1485,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1788157",
        "answer_idx": "A",
        "answer": "Glucagonoma"
    },
    {
        "id": 1486,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1793207",
        "answer_idx": "C",
        "answer": "Calcific uremic arteriolopathy"
    },
    {
        "id": 1487,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1817769",
        "answer_idx": "C",
        "answer": "Perform angioplasty of the right renal artery and angioplasty with stenting of the right external iliac artery."
    },
    {
        "id": 1488,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1809292",
        "answer_idx": "B",
        "answer": "Ecthyma gangrenosum"
    },
    {
        "id": 1489,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1772375",
        "answer_idx": "C",
        "answer": "C. Internal iliac artery aneurysm"
    },
    {
        "id": 1490,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1782083",
        "answer_idx": "C",
        "answer": "C. Squamous cell carcinoma"
    },
    {
        "id": 1491,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1793772",
        "answer_idx": "D",
        "answer": "Postpone treatment; obtain random skin biopsies and a bone marrow biopsy."
    },
    {
        "id": 1492,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1790871",
        "answer_idx": "C",
        "answer": "Obtain lesional and perilesional skin biopsies for histopathology and direct immunofluorescence stains"
    },
    {
        "id": 1493,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1789766",
        "answer_idx": "C",
        "answer": "Vitreous biopsy"
    },
    {
        "id": 1494,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1787749",
        "answer_idx": "C",
        "answer": "Nevus sebaceous of Jadassohn"
    },
    {
        "id": 1495,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1744441",
        "answer_idx": "C",
        "answer": "Intussusception of the appendix"
    },
    {
        "id": 1496,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1757341",
        "answer_idx": "C",
        "answer": "Type 1 choledochal cyst"
    },
    {
        "id": 1497,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1785434",
        "answer_idx": "C",
        "answer": "Prescribe antibiotic treatment and chlorhexidine mouthwashes, with no surgical intervention"
    },
    {
        "id": 1498,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1775791",
        "answer_idx": "D",
        "answer": "Order serologic tests"
    },
    {
        "id": 1499,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1765801",
        "answer_idx": "C",
        "answer": "Proboscis lateralis"
    },
    {
        "id": 1500,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1737484",
        "answer_idx": "B",
        "answer": "Gossypiboma"
    },
    {
        "id": 1501,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1741858",
        "answer_idx": "B",
        "answer": "Pheochromocytoma"
    },
    {
        "id": 1502,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1758722",
        "answer_idx": "B",
        "answer": "Obtain a biopsy of the lesion for pathology"
    },
    {
        "id": 1503,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1750105",
        "answer_idx": "C",
        "answer": "Do nothing for the CT scan findings"
    },
    {
        "id": 1504,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1745571",
        "answer_idx": "C",
        "answer": "Linear IgA dermatosis"
    },
    {
        "id": 1505,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1732043",
        "answer_idx": "C",
        "answer": "Spontaneous rupture of the spleen"
    },
    {
        "id": 1506,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1724981",
        "answer_idx": "B",
        "answer": "Acute appendiceal diverticulitis"
    },
    {
        "id": 1507,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1741798",
        "answer_idx": "D",
        "answer": "Perform a biopsy of a skin lesion for pathologic evaluation"
    },
    {
        "id": 1508,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1737018",
        "answer_idx": "D",
        "answer": "Obtain a skin biopsy from the pustules"
    },
    {
        "id": 1509,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1734676",
        "answer_idx": "D",
        "answer": "Perform rapid direct fluorescence antibody testing from a vesicle"
    },
    {
        "id": 1510,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1737996",
        "answer_idx": "D",
        "answer": "Obtain a detailed list of the patient\u2019s medications"
    },
    {
        "id": 1511,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1734724",
        "answer_idx": "C",
        "answer": "Virus-associated trichodysplasia spinulosa"
    },
    {
        "id": 1512,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1710509",
        "answer_idx": "D",
        "answer": "Gallbladder volvulus"
    },
    {
        "id": 1513,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1733694",
        "answer_idx": "C",
        "answer": "Perform laparoscopic appendectomy"
    },
    {
        "id": 1514,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1728690",
        "answer_idx": "B",
        "answer": "Proceed with expectant treatment over the next few months"
    },
    {
        "id": 1515,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1724252",
        "answer_idx": "D",
        "answer": "Perform flexible bronchoscopy"
    },
    {
        "id": 1516,
        "link": "https://jamanetwork.com/journals/jamaophthalmology/fullarticle/1726446",
        "answer_idx": "D",
        "answer": "Photocoagulation"
    },
    {
        "id": 1517,
        "link": "https://jamanetwork.com/journals/jamapediatrics/fullarticle/1724816",
        "answer_idx": "D",
        "answer": "Rickettsialpox"
    },
    {
        "id": 1518,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1696124",
        "answer_idx": "C",
        "answer": "Cholecystocolonic fistula"
    },
    {
        "id": 1519,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1700522",
        "answer_idx": "A",
        "answer": "Exophytic solitary giant cavernous hemangioma of stomach"
    },
    {
        "id": 1520,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1719715",
        "answer_idx": "D",
        "answer": "Recommend esophageal resection"
    },
    {
        "id": 1521,
        "link": "https://jamanetwork.com/journals/jama/fullarticle/1710429",
        "answer_idx": "C",
        "answer": "Immunohistochemical testing"
    },
    {
        "id": 1522,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1714669",
        "answer_idx": "C",
        "answer": "Hepatic abscess"
    },
    {
        "id": 1523,
        "link": "https://jamanetwork.com/journals/jamasurgery/fullarticle/1714670",
        "answer_idx": "C",
        "answer": "Primary hyperparathyroidism with multiple brown tumors"
    }
]