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Rapid Review - FA > Classic Presentations Rapid Review > Flashcards

Classic Presentations Rapid Review Flashcards

1
Q

Abdominal pain, ascites, hepatomegaly

A

Budd-Chiari syndrome (posthepatic venous thrombosis)

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2
Q

Achilles tendon xanthoma

A

Familial hypercholesterolemia (decreased LDL receptor signaling)

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3
Q

Adrenal hemorrhage, hypotension, DIC

A

Waterhouse-Friderichsen syndrome (meningococcemia)

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4
Q

Arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints

A

Marfan’s syndrome (fibrillin defect)

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5
Q

Athlete with polycythemia

A

Secondary to erythropoietin syndrome

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6
Q

Back pain, fever, night sweats, weight loss

A

Pott’s disease (vertebral TB)

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7
Q

Bilateral hilar adenopathy, uveitis

A

Sarcoidosis (noncaseating granuloma)

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8
Q

Blue sclera

A

Osteogenesis Imperfecta (type I collagen defect)

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9
Q

Bluish line on gingiva

A

Burton’s line (lead poisoning)

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10
Q

Bone pain, bone enlargement, arthritis

A

Paget’s disease of bone (increased osteoblastic and osteoclastic activity)

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11
Q

Bounding pulses, diastolic heart murmur, head bobbing

A

Aortic regurgitation

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12
Q

Butterfly” facial rash and Raynaud’s phenomenon in a young female”

A

SLE

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13
Q

Cafe’-au-lait spots, Lisch nodules (iris hamartoma)

A

NFT-I (+pheochromocytoma, optic gliomas)

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14
Q

Cafe’-au-lait spots, polyostotic fibrous dysplasia, precocious puberty, MEN

A

McCune-Albright syndrome (mosaic G protein signaling mutation)

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15
Q

Calf pseduohypertrophy

A

DMD: X-linked recessive deletion of the dystrophin gene

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16
Q

Cherry red spot on macula

A

Tay Sachs (ganglioside accumulation) or Niemann-Pick (sphingomyelin accumulation), central retinal artery occlusion

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17
Q

Chest pain on exertion

A

Angina (stable: with moderate exertion; unstable: with minimal exertion)

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18
Q

Chest pain, pericardial effusion/friction rub, persistent fever following MI

A

Dressler’s syndrome (autoimmune mediated post-MI fibrinous pericarditis, 1-2 weeks after acute episode)

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19
Q

Child uses arms to stand up from squat

A

Gowers sign (DMD)

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20
Q

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

A

Slapped cheeks of erythema infectiosum/fifth disease; agent is parvovirus B19

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21
Q

Chorea, dementia, caudate degeneration

A

Huntington’s disease (autosomal-dominant CAG repeat expansion)

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22
Q

Chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria

A

McArdle’s disease (muscle glycogen phosphorylase deficiency)

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23
Q

Cold intolerance

A

Hypothyroidism

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24
Q

Conjugate lateral gaze palsy, horizontal diplopia

A

Internuclear ophthalmoplegia (damage to MLF; bilateral [MS], unilateral [stroke])

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25
Q

Continuous machinery” heart murmur”

A

PDA (close with indomethacin; open or maintain with misoprostol)

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26
Q

Cutaneous dermal edema due to connective tissue deposition

A

Myxedema (caused by hypothyroidism, Graves’ disease)

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27
Q

Dark purple skin/mouth nodules

A

Kaposi’s sarcoma (usually AIDS patients [MSM]: associated with HHV-8)

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28
Q

Deep, labored breathing/hyperventilation

A

Kussmaul breathing (DKA)

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29
Q

Dermatitis, dementia, diarrhea

A

Pellagra– niacin (vitamin B3) deficiency

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30
Q

Dilated cardiomyopathy, edema, alcoholism or malnutrition

A

Wet beriberi–thiamine (vitamin B1) deficiency

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31
Q

Dog or cat bite resulting in infection

A

Pasteurella multocida (cellulitis at inoculation site)

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32
Q

Dry eyes, dry mouth, arthritis

A

Sjogren’s syndrome (autoimmune destruction of exocrine glands)

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33
Q

Dysphagia (esophageal webs), glossitis, iron deficiency anemia

A

Plummer-Vinson syndrome (may progress to esophageal squamous cell carcinoma)

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34
Q

Elastic skin, hypermobility of the joints

A

Ehlers-Danlos syndrome (type III collagen defect)

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35
Q

Enlarged, hard left supraclavicular node

A

Virchow’s node (abdominal mets)

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36
Q

Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells

A

Sezary syndrome (cutaneous T cell lymphoma) or mycosis fungoides

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37
Q

Facial muscle spasm upon tapping

A

Chvostek’s sign (hypocalcemia)

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38
Q

Fat, female, forty, fertile

A

Cholelithiasis

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39
Q

Fever, chills, headache, myalgia following antibiotic treatment for syphilis

A

Jarisch-Herxheimer reaction (rapid lysis of spirochetes results in toxin release)

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40
Q

Fever, cough, conjunctivitis, coryza, diffuse rash, koplik spots

A

Measles (Morbillivirus)

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41
Q

Fever, night sweats, weight loss

A

B symptoms of lymphoma

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42
Q

Fibrous plaques in soft tissue of penis

A

Peyronie’s disease (connective tissue disorder)

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43
Q

Gout, mental retardation, self-mutilating behavior in a boy

A

Lesch-Nyan syndrome (HGPRT deficiency, X linked recessive)

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44
Q

Green yellow rings around the peripheral cornea

A

Kayser-Fleisher rings– copper accumulation from Wilson’s disease

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45
Q

Hamartomatous polyps, hyperpigmentation of the mouth, feet, and hands

A

Peutz-Jeghers syndrome

Inherited benign polyposis can cause bowel obstruction; increased cancer risk; mainly GI cancer

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46
Q

Hepatosplenomegaly, osteoperosis, neurologic symptoms

A

Gaucher’s disease (glucocerebrosidase deficiency)

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47
Q

Hereditary nephritis, sensorineural hearing loss, cataracts

A

Alport’s syndrome (mutation in the alpha chain of collagen type IV)

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48
Q

Hyperphagia, hypersexuality, hyperorality, hyperdocility

A

Kluver-Bucy syndrome (bilateral amygdala lesion)

49
Q

Hyperreflexia, hypertonia, Babinski’s sign present

A

UMN damage

50
Q

Hyporeflexia, hypotonia, atrophy, fasciculations

A

LMN damage

51
Q

Hypoxemia, polycythemia, hypercapnia

A

Blue bloater (chronic bronchitis– hyperplasia of mucous cells)

52
Q

Indurated, ulcerated genital lesion

A

Nonpainful: chancre of primary syphilis caused by treponema pallidum

Painful with exudate: chancroid caused by Haemophilus ducreyi

53
Q

Infant with cleft lip/palate, microcephaly or holoprosencephaly, polydactyly, cutis aplasia

A

Patau’s syndrome (trisomy 13)

54
Q

Infant with failure to thrive, hepatosplenomegaly, and neurodegeneration

A

Niemann-Pick disease (genetic sphingomyelinase deficiency)

55
Q

Infant with hypoglycemia, failure to thrive, and hepatomegaly

A

Cori’s disease (debranching enzyme deficiency)

56
Q

Infant with microcephaly, rocker-bottom feet, clenched hands, and structural heart defect

A

Edward’s syndrome (trisomy 18)

57
Q

Jaundice, palpable distended non-tender gallbladder

A

Courvoisier’s sign (distal obstruction of the biliary tree)

58
Q

Large rash with bull’s eye appearance

A

Erythema chronicum migrans from Ixodes tick bite

Lyme disease caused by Borrelia burgdorferi

59
Q

Lucid interval after traumatic brain injury

A

Epidural hematoma (middle meningeal artery rupture)

60
Q

Male child, recurrent infections, no mature B cells

A

Bruton’s disease (X linked agammaglobulinemia)

61
Q

Mucosal bleeding and prolonged bleeding time

A

Glanzmann’s thrombasthenia (defect in platelet aggregation due to lack of GPIIb/IIIa)

62
Q

Muffled heart sounds, distended neck veins, hypotension

A

Beck’s triad of cardiac tamponade

63
Q

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

A

Gardners syndrome (subtype of FAP)

64
Q

Myopathy (infantile hypertrophic cardiomyopathy), exercise intolerance

A

Pompe’s disease (lysosomal alpha-1,4-glucosidase deficiency)

65
Q

Neonate with arm paralysis following difficult birth

A

Erb-Duchenne palsy (superior trunk, C5-C6, brachial plexus injury); waiter’s tip” injury”

66
Q

No lactation postpartum, absent menstruation, cold intolerance

A

Sheehan’s syndrome (pituitary infarction)

67
Q

Nystagmus, intention tremor, scanning speech, bilateral internuclear ophthalmoplegia

A

MS

68
Q

Oscillating slow/fast breathing

A

Cheyne-Stokes respirations (central apnea in CHF or increased intracranial pressure)

69
Q

Painful blue fingers/toes, hemolytic anemia

A

Cold agglutinin disease (autoimmune hemolytic anemia cuased by M. pneumoniae or infectious mono)

70
Q

Painful, pale, cold fingers/toes

A

Raynaud’s phenomenon (vasospasm of extremities)

71
Q

Painful, raised red lesions on pad of fingers/toes

A

Osler’s node (infective endocarditis, immune complex deposition)

72
Q

Painless erythematous lesions on palms and soles

A

Janeway lesions (infective endocarditis, septic emboli/microabscesses)

73
Q

Painless jaundice

A

Cancer of the pancreatic head obstructing the common bile duct; increased Alk phos and GGT

74
Q

Palpable purpura on the buttocks/legs, joint pain, abdominal pain (child), hematuria

A

Henoch-Schonlein purpura (IgA vasculitis affecting skin and kidneys)

75
Q

Pancreatic, pituitary, parathyroid tumors

A

MEN 1 syndrome (AD disorder)

76
Q

Periorbital and/or peripheral edema, proteinuria, hypoalbuminemia, hypercholesterolemia

A

Nephrotic syndrome

77
Q

Pink complexion, dyspnea, hyperventilation

A

Pink Puffer”

78
Q

Polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances, hypophosphatemic rickets

A

Fanconi’s syndrome (proximal tubular reabsorption defect)

79
Q

Positive anterior drawer sign””

A

ACL injury

80
Q

Pruritic, purple, polygonal papules and plaques

A

Lichen planus

81
Q

Ptosis, miosis, anhidrosis

A

Horner’s syndrome (sympathetic chain lesion)

82
Q

Pupil accomodates but doesn’t react

A

Argyll Robertson pupil (neurosyphilis)

83
Q

Rapidly progressive leg weakness that ascends following GI/upper respiratory tract infection

A

Guillain-Barre syndrome–acute autoimmune inflammatory demyelinating polyneuropathy

84
Q

Rash on palms and soles

A

Cosxackie A, secondary syphilis, RMSF

85
Q

Recurrent colds, unusual eczema, high serum IgE

A

Hyper IgE syndrome – Job’s syndrome causing a defect in neutrophil chemotaxis

86
Q

Red currant jelly sputum in alcoholics or diabetic patients

A

Klebsiella pneumonia

87
Q

Red currant jelly stools

A

Acute mesenteric ischemia (adults) or intussusception (infants)

88
Q

Red, itchy, swollen rash of nipple/areola

A

Paget’s disease of the breast–represents underlying neoplasm

89
Q

Red urine in the morning, fragile RBC’s

A

Paroxysmal nocturnal hemoglobinuria

90
Q

Renal cell carcinoma (bilateral), hemangioblastomas, angiomatosis, pheochromocytoma

A

von Hippel-Lindau disease (dominant tumor suppressor gene mutation)

91
Q

Resting tremor, rigidity, akinesia, postural instability

A

Parkinson’s disease- nigrostriatal dopamine depletion

92
Q

Retinal hemorrhages with pale centers

A

Roth’s spots- bacterial endocarditis

93
Q

Severe jaundice in the neonate

A

Crigler-Najjar syndrome (congenital unconjugated hyperbilirubinemia)

94
Q

Severe RLQ pain with palpation of the LLQ

A

Rovsing’s sign (acute appendicitis)

95
Q

Severe RLQ pain with rebound tenderness

A

McBurney’s sign–appendicitis

96
Q

Short stature, increased incidence of tumors/leukemia, aplastic anemia

A

Fanconi’s anemia; genetic loss of DNA crosslink repair; often progresses to AML

97
Q

Single palmar crease

A

Simian crease characteristic of Down’s syndrome

98
Q

Situs inversus, chronic sinusitis, bronchiectasis, infertility

A

Kartagener’s syndrome- dynein arm defect affecting cilia

99
Q

Skin hyperpigmentation, hypotension, fatigue

A

Addison’s disease– primary adrenocortical insufficiency causes increased ACTH and increased alpha-MSH production

100
Q

Slow, progressive muscle weakness in boys

A

Becker’s muscular dystrophy: X linked recessive mutation in dystrophin; less severe than Duchenne’s

101
Q

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

A

Koplik spots (measles; rubeola virus)

102
Q

Smooth, flat, moist, painless white lesions on the genitals

A

Condyloma lata (secondary syphilis)

103
Q

Splinter hemorrhages in fingernails

A

Bacterial endocarditis

104
Q

Strawberry tongue

A

Scarlet fever, Kawasaki disease, toxic shock syndrome

105
Q

Streak ovaries, congenital heart disease, horseshoe kidney, cystic hygroma at birth, short stature, webbed neck, lymphedema

A

Turner syndrome (45XO)

106
Q

Sudden swollen/painful big toe joint, tophi

A

Gout/podagra (hyperuricemia)

107
Q

Swollen gums, mucosal bleeding, poor wound healing, spots on skin

A

Scurvy– vitamin C deficiency; can’t hydroxylate proline/lysine for collagen synthesis

108
Q

Swollen, hard, painful finger joints

A

Osteoarthritis– osteophytes on PIP (Bouchard’s nodes), DIP (Heberden’s nodes)

109
Q

Crescendo-decrescendo systolic ejection murmur

A

Aortic valve stenosis

110
Q

Thyroid and parathyroid tumors, pheochromocytoma

A

MEN 2A (autosomal dominant ret mutation)

111
Q

Thyroid tumors, pheochromocytoma, ganglioneuromatosis

A

MEN 2B (autosomal dominant ret mutation)

112
Q

Toe extension/fanning upon plantar scrape

A

Babinski sign (UMN)

113
Q

Unilateral facial drooping involving forehead

A

Facial nerve– LMN CN VII palsy

114
Q

Urethritis, conjunctivitis, arthritis in males

A

Reactive arthritis associated with HLA-B27 linked conditions; Reiter’s syndrome (can’t see, pee, or bend the knee)

115
Q

Vascular birthmark (port-wine stain)

A

Hemangioma- benign, but associated with Sturge-Weber syndrome

116
Q

Vomiting blood following gastroesophageal lacerations

A

Mallory-Weiss syndrome– alcoholic and bulimic patients

117
Q

Weight loss, diarrhea, arthritis, fever, adenopathy

A

Whipple’s disease (Tropheryma whipplei)

118
Q

Worst headache of my life

A

Subarachnoid hemorrhage

Rapid Review - FA (4 decks)

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