CLASSIC PRESENTATIONS II

Question 1

recurrent cold abscesses, eczema, high serum IgE, increase eosinophil

Answer 1

Hyper IgE syndrome

Question 2

strawberry tongue

Answer 2

scarlet fever

kawasaki disease

Question 3

abdominal pain, diarrhea, leukocytosis, recent Abx use

Answer 3

C dif infection

Question 4

back pain, fever, night sweats

Answer 4

pott disease (vertebral TB)

Question 5

adrenal hemorrhage, hypotension, DIC

Answer 5

Waterhouse Friderichsen syndrome (meningococcemia)

Question 6

red currant jelly sputum in alcoholic or diabetic patients

Answer 6

klebsiella pneumoniae pneumonia

Question 7

large rash with bulls eye appearance

Answer 7

erythema migrant from ixodes tick bite (Lyme disease; borrelia)

Question 8

ulcerated genital lesion

Answer 8

non painful, indurated: chancre

painful, with exudate: chancroid (haemophibus ducreyi)

Question 9

pupil accommodates but doesn’t react

Answer 9

neurosyphilis (Argyll Robertson pupil)

Question 10

smooth, moist, painless, wart like white lesion on genitals

Answer 10

condylomata lata (2 syphilis)

Question 11

fever, chills, headache, myalgia following abx tx for syphilis

Answer 11

jarisch herxheimrer reaction

Question 12

dog or cat bite resulting in infection

Answer 12

pasteurella multocida (cellulitis at inoculation site)

Question 13

rash on palms and soles

Answer 13

coxsackie A, 2 syphilis, Rocky Mountain spotted fever

Question 14

black eschar on face of patient with diabetic keto acidosis

Answer 14

mucor or rhizopus fungal infection

Question 15

chorioretinitis, hydrocephalus, intracranial calcifications

Answer 15

congenital toxoplasmosis

Question 16

child with fever later develops red rash on face that spreads to body

Answer 16

erythema infectiosum/fifth disease

Question 17

fever, cough, conjunctivitis, coryza, diffuse rash

Answer 17

measles

Question 18

small, irregular red spots on buccal/lingual mucosa with blue white centers

Answer 18

koplik spots

Question 19

bounding pulses, wide pulse pressure, diastolic heart murmur, head bobbing

Answer 19

aortic regurgitation

Question 20

systolic ejection murmur (crescendo-descendo)

Answer 20

aortic stenosis

Question 21

continuous machine like heart murmur

Answer 21

PDA

Question 22

chain pain on exertion

Answer 22

angina

Question 23

chain pain with ST depression on ECG

Answer 23

angina (-troponin) or NSTEMI(+troponin)

Question 24

chest pain, pericardial effusion, persistent fever following MI

Answer 24

Dressler syndrome

Question 25

painful, raised red lesions on pads of fingers/toes

Answer 25

osler nodes (infective endocarditis, immune complex deposition)