CLASSIC PRESENTATIONS III

Question 1

painless erythematous lesions on palms and soles

Answer 1

janeway lesions (infective endocarditis, septic emboli/microabscesses)

Question 2

splinter hemorrhages in fingernails

Answer 2

bacterial endocarditis

Question 3

retinal hemorrhages with pale centers

Answer 3

Roth spots (bacterial endocarditis)

Question 4

distant heart sounds, distended neck veins, hypotension

Answer 4

beck triad of cardiac tamponade

Question 5

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

Answer 5

kawasaki disease

Question 6

palpable purpura on buttocks/legs, joint pain, abdominal pain, hematuria

Answer 6

immunoglobin A vasculitis

Question 7

telangiectasia, recurrent epistaxis, skin discoloration, arteriovenous malformations, GI bleeding, hematuria

Answer 7

hereditary hemorrhagic telangiectasia

Question 8

skin hyperpigmentation, hypotension, fatigue

Answer 8

primary adrenocortical insufficiency

Question 9

cutaneous flushing, diarrhea, bronchospasm

Answer 9

carcinoid syndrome

Question 10

cold intolerance, weight gain, brittle hair

Answer 10

hypothyroidism

Question 11

cutaneous/dermal edema due to deposition of mucopolysaccharides in CT

Answer 11

myxedema

Question 12

facial muscle spasm upon tapping

Answer 12

chvostek sign

Question 13

no lactation postpartum, absent menstruation, cold intolerance

Answer 13

Sheehan syndrome

Question 14

deep, labored breathing/hyperventilation

Answer 14

DKA

Question 15

pancreatic, pituitary, parathyroid tumors

Answer 15

MEN I

Question 16

thyroid tumors, pheochromocytoma, ganglioneuromatosis, marfanoid habitus

Answer 16

MEN 2B

Question 17

Thyroid and PT tumors, phechromocytoma

Answer 17

MEN 2A

Question 18

jaundice, palpable distended non tender gallbladder

Answer 18

Courvoisier sign

Question 19

vomiting blood following gastroesophageal lacerations

Answer 19

mallory-weiss syndrome

Question 20

dysphagia, glossitis, iron deficiency anemia

Answer 20

plummer-vinson syndrome

Question 21

enlarged, hard left supraclavicular node

Answer 21

virchow node (abdominal metastasis)

Question 22

arthralgias, adenopathy, cardiac and neurological symptoms, diarrhea

Answer 22

Whipple disease

Question 23

severe RLQ pain with palpation of LLQ

Answer 23

rovsing sign (acute appendicitis)

Question 24

severe RLQ pain with deep tenderness

Answer 24

mcburney sign (acute appendicitis)

Question 25

hamartomaotus GI polyps, hyper pigmented macules on mouth, feet, hand, genitalia

Answer 25

peutz-jeghers syndrome

Question 26

multiple colon polyps, osteomas/soft tissue tumors impacted/supernumerary teeth

Answer 26

gardner syndrome (subtype of FAP)

Question 27

abdominal pain, ascites, hepatomegaly

Answer 27

budd chiari syndrome (post hepatic venous thrombosis)