Classic Presentations

Question 1

Abdominal pain, diarrhea, leukocytosis, recent antibiotic use.

Answer 1

Clostridium difficile infection

Question 2

Black eschar on face of patient with diabetic ketoacidosis

Answer 2

Mucor or Rhizopus fungal infection

Question 3

Chorioretinits, hydrocephalus, intracranial calcification

Answer 3

Congenital toxoplasmosis

Question 4

Distant heart sounds, distended neck veins, hypotension

Answer 4

Beck triad of cardiac tamponade

Question 5

Telangiectasis, recurrent epistaxis, skin discoloration, arteriovenous malformations, GI bleeding, hematuria.

Answer 5

Hereditary hemorrhage telangiectasias (Osler-Weber-Rendu syndrome)

Question 6

Cervical lymphadenopathy, desquamating rash, coronary aneurysms, red conjunctivae and tongue, hand-foot changes

Answer 6

Kawasaki disease (mucocutaneous lymph node syndrome, treat with IVIg and aspirin)

Question 7

Cutaneous flushing, diarrhea, bronchospasm

Answer 7

Carcinoid syndrome(RIGHT sided cardiac valvular lesions, increase 5HIAA)

Question 8

Severe RLQ pain with palpation of LLQ

Answer 8

Rovsing sign(acute appendicitis)

Question 9

WBCs that look “smudged”

Answer 9

CLL

Question 10

Anti-desmoglein (anti-desmosome) antibodies

Answer 10

Pemphigus vulgaris (blistering)

Question 11

Pruritic, purple, polygonal, planar, papules and plaques (6Ps)

Answer 11

Lichen Planus

Question 12

Increase AFP in amniotic fluid/ maternal serum

Answer 12

Dating error, anencephaly, spina bifida,(open neural tube defects)

Question 13

Ataxia, nystagmus, vertigo, dysarthria

Answer 13

Cerebellar lesion

Question 14

Anticentromere antibodies

Answer 14

Scleroderma (CREST)

Question 15

Cafe Au Lait spots, Lisch nodules,(iris hamartoma), cutaneous neurofibromas, pheochromocytomas, optic gliomas.

Answer 15

NFT Type 1

Question 16

Episodic vertigo, tinnitus, hearing loss

Answer 16

Meniere disease