Classic Clinical Presentations Flashcards

1
Q

Abdominal pain, blue gum line, constipation

A

Lead poisoning

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2
Q

Abdominal pain, tenderness in R iliac fossa

A

Appendicitis

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3
Q

Abdominal pain following alcoholic binge

A

Pancreatitis

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4
Q

Abdominal pain in R iliac fossa, diarrhoea

A

Crohn’s disease

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5
Q

Abdominal pain in L iliac fossa, blood in stool, young female

A

Ulcerative colitis

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6
Q

Abdominal pain in L iliac fossa, blood in stool, older male

A

Diverticulitis

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7
Q

Abdominal pain, splenomegaly, black child

A

Sickle cell disease

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8
Q

Arachnodactyl, lens dislocation, hypermobile joints

A

Marfan’s disease

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9
Q

Beef-red tongue, fatigue

A

Vit B12 deficiency

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10
Q

BL ptosis, diplopia, difficulty chewing, female

A

Myasthenic gravis

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11
Q

Bitot’s spots in eye

A

Vit A deficiency

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12
Q

Blue lips, swollen ankles, dyspnea

A

Chronic bronchitis

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13
Q

Blue sclera, frequent fractures, infant

A

OI

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14
Q

Bone pain, head enlargement, deafness

A

Pagets

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15
Q

Bronze skin, cirrhosis, diabetes mellitus

A

Hemochromatosis

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16
Q

Buffalo hump, obesity, purplish abdominal striae

A

Cushings

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17
Q

Bull’s eye rash

A

Lyme disease

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18
Q

Butterfly rash, multiple painful joints, young female

A

SLE

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19
Q

Cafe-au-lait spots, skin nodules

A

Neurofibromatosis

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20
Q

Calf pseudo hypertrophy, + Gower’s sign

A

Duchenne’s MD

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21
Q

Cape-like distribution of loss of pain

A

Syringomyelia

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22
Q

Caput medusa

A

Cirrhosis with portal hypertension

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23
Q

Carditis, chorea, polyarthritis, subcutaneous nodules

A

Rheumatic fever

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24
Q

Cauliflower-like lesions on hands/genitals

A

HPV

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25
Q

Cherry-red spot on macula

A

Tay-Sachs

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26
Q

Cherry-red skin, HA

A

CO poisoning

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27
Q

Chest pain worse on lying down, better sitting forward

A

Pericarditis

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28
Q

Chest pain wise with exertion, better with rest

A

Angina pectoris

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29
Q

Chest pain, sweating, feeling of apprehension

A

MI

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30
Q

Chills, fever, vomiting, costovertebral angle tenderness

A

Pyelonephritis

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31
Q

Chroea, dementia

A

Huntingtons

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32
Q

Chronic non-healing ulcer on ear/nose

A

Basal cell carcinoma

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33
Q

Cirrhosis, Kayser-Fleisher rings

A

Wilson’s disease

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34
Q

Clubbing, cyanosis, heart murmur, infant

A

Fallots tetralogy

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35
Q

Cold intolerance, slow reflexes

A

Hypothyroidism

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36
Q

Condylomata accuminata

A

HPV

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37
Q

Coryza, conjunctivitis, “C”oplick spots

A

Measles

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38
Q

Deep laboured breathing, acetone smell on breath

A

Diabetic ketoacidosis

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39
Q

Dry eyes, dry mouth, arthritis

A

Sjogren’s syndrome

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40
Q

Elastic skin, hyper mobile joints

A

EDS

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41
Q

Enlarged nerves, painless hypopimigmented rashes

A

Leprosy

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42
Q

Fair, fat, fertile, female, >40, abdominal pain

A

Cholecystitis

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43
Q

Fever, HA, skin rash in wrists/feet

A

Rocky Mountain spotted fever

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44
Q

Fever, conjunctivitis, coryza, fine rash on trunk

A

Measles

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45
Q

Fever, neck stiffness, HA

A

Meningitis

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46
Q

Fever, night sweats, weight loss, cough, hemoptysis

A

TB

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47
Q

Fever, macrulopapulovesicular rash on trunk

A

Chickenpox

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48
Q

Foul floating feces, fatigue, weight loss

A

Celiac disease

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49
Q

Frequent urination, burning urination

A

UTI

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50
Q

Frothy urine, recurrent infections, normal BP

A

Nephrotic syndrome

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51
Q

Frothy malodorous vaginal discharge

A

Trichomonas vaginitis

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52
Q

Gout, self-mutilation in child due to pain insensitivity

A

Lesch-Nyhan syndrome

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53
Q

Haygarth’s nodes

A

RA

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54
Q

Heartburn worse on lying down after meals

A

GERD

55
Q

Heat intolerance, fine tremors, weight loss, exophthalmos

A

Hyperparathyroidism

56
Q

Heberdens nodes, Bouchards nodes

A

OA

57
Q

Hematemesis following protracted vomiting and retching

A

Mallory-Weiss syndrome

58
Q

Hemoptysis and hematuria

A

Goodpasture syndrome

59
Q

Hemoptysis, chronic smoker

A

Lung cancer

60
Q

Honey coloured crests on face near mouth/nose

A

Impetigo

61
Q

Hyperpigmented oral cavity, intestinal polyps

A

Peutz-Jegher syndrome

62
Q

Hyperpigmented skin creases, bronze skin, fatigue

A

Addison disease

63
Q

Hypertension, hypokalaemia, metabolic acidosis

A

Conn’s disease

64
Q

Hypertension, exophthalmos, goiter

A

Graves

65
Q

Infant, red hair, swollen abdomen

A

Kwashiorkor

66
Q

Infant, microcephaly, rocker bottom feet

A

Trisomy 18 (Edwards syndrome)

67
Q

Infant, microcephaly, indistinct philtrum

A

FAS

68
Q

Infant, mongoloid eyes, mental retardation

A

Trisomy 21 (Down syndrome)

69
Q

Jaundice, ascites, firm non tender hepatomegaly

A

Cirrhosis

70
Q

Jaundice, tender hepatomegaly

A

Hepatitis

71
Q

Large spatulate hands, protruding jaw

A

Acromegaly

72
Q

Loss of outer third eyebrows, slow reflexes

A

Hypothyroidism

73
Q

LBP, bamboo spine, young male adult

A

AS

74
Q

Koilonychia (spoon shaped nails)

A

Iron deficient anaemia

75
Q

Kopek spots, fever, followed by maculopapular rash

A

Measels

76
Q

Male child, recurrent infection, no B cells

A

Bruton disease

77
Q

Mental retardation, large scrotal tongue, umbilical hernia

A

Trisomy 21 (Down)

78
Q

Middle aged male, smoker, intermittent claudication

A

Buerger’s disease

79
Q

Midsystolic click, atypical chest pain

A

Mitral valve prolapse

80
Q

Mole with irregular margins, change in coloraturas or size

A

Malignant melanoma

81
Q

Muscle cramps, + Chvostek test

A

Hypoparathyroidism

82
Q

Newborn, paralysed arm after difficult breech delivery

A

Erb-Duchenne palsy

83
Q

Newborn, claw hand after difficult breech delivery

A

Klumpke palsy

84
Q

Night blindness, dry eyes, dry skin

A

Vit A deficiency

85
Q

Nocturnal back pain, recurrent infections, fatigue

A

MM

86
Q

Obesity, hirsutism, irregular periods

A

Polycystic ovarian syndrome

87
Q

Osler nodes, Janeway nodules, Roth spots

A

Subacute bacterial endocarditis

88
Q

Painful pale cold fingers/toes

A

Raynauds syndrome

89
Q

Painful fingers/wrists BL, morning stiffness > 1 hour

A

RA

90
Q

Painful limp, young child

A

LCP

91
Q

Painful limp, overweight teenager

A

SCFE

92
Q

Painful, pulseless, pale, perishingly cold limb

A

Arterial embolism

93
Q

Painless, jaundice, weight loss

A

Cancer head of pancreas

94
Q

Pale mucous membranes, spoon shaped nails

A

Iron deficiency anaemia

95
Q

Palpitations, sweating, pressure headaches

A

Pheochromocytoma

96
Q

Pectus excavatum

A

Rickets

97
Q

Pink, purse lipped breathing, barrel chest

A

EMphysema

98
Q

Polyuria, polydipsia, no polyphagia, no glycosuria

A

Diabetes insipidus

99
Q

Polyuria, polydipsia, polyphasic, glycosuria

A

Diabetes mellitus

100
Q

Unilateral ptosis, anhydrosis, miosis

A

Horner’s

101
Q

Puffy eyelids, smoky urine, hypertension, child

A

Glomerulonephritis

102
Q

Purplish lesions on arms/legs/oral cavity

A

Kaposi’s sarcoma

103
Q

Purlulent urethral discharge in sexually active male

A

Gonorrhea

104
Q

Rachitic rosary

A

Rickets

105
Q

Rash in palms/soles, oral ulcers, fever, child

A

Hand foot and mouth disease

106
Q

Radiofemoral delay

A

Coarctation of aorta

107
Q

Recurrent crops of painful vesicles on face

A

HSV type 1

108
Q

Recurrent crops of painful ulcers on genitals

A

HSV type 2

109
Q

Recurrent episodes of wheezing, child

A

Asthma

110
Q

Regularly irregular breathing, increase apneic spells

A

Cheyne stokes breathing

111
Q

Resting tremors, mask like facies, shuffling gait

A

Parkinsons

112
Q

Rose coloured spots on trunk, fever, diarrhoea

A

Thyphoid fever

113
Q

Rust coloured sputum, cough, fever, pleuritic chest pain

A

Streptococcal pneumonia

114
Q

Scanning speech, intention tremor, nystagmus

A

MM

115
Q

Shortness of breath, fatigue, erythema nodosum

A

Sarcoidosis

116
Q

Short stature, web neck, widely spaced nippes

A

Turner’s syndrome

117
Q

Single transverse palmar crease, mental retardation

A

Trisomy 21 (Down)

118
Q

Severe sore that, swollen post auricular lymph nodes

A

Mononucleosis

119
Q

Skin rash along dermatome, prodrome of local pain

A

Herpes zoster

120
Q

Splinter haemorrhages

A

Subacute bacterial endocarditis

121
Q

Strawberry tongue, fever, rash

A

Scarlet fever

122
Q

Sudden onset dyspnea, hemoptysis, chest pain

A

Pulmonary embolism

123
Q

Sudden onset severe painful swollen big toe

A

Gout

124
Q

Sudden tearing chest pain, sweating, feeling of doom

A

Dissecting thoracic aneurysm

125
Q

Swollen ankles, shortness of breath, distended neck veins

A

CHF

126
Q

Swollen bleeding gums, painful joints, child

A

Scurvy

127
Q

Tall thin male, gynecomastia, small testes

A

Klinefelter syndrome

128
Q

Unilateral facial palsy, hyperacusis

A

Bells palsy

129
Q

Unilateral facial palsy, deafness

A

Acoustic neuroma

130
Q

Unilateral throbbing HA, aura

A

Classic migraine

131
Q

Unilateral throbbing HA, no aura

A

Common migraine

132
Q

Weight loss, change in bowel habits

A

Colon cancer

133
Q

Weight loss, diarrhoea, fever, arthritis

A

Whipple’s disease

134
Q

Weight loss, recurrent infections, young adult

A

HIV/AIDS