Classical Clinical Presentations 3

Question 1

Midsystolic click and atypical chest pain

Answer 1

Mitral Valve Prolapse

Question 2

Mole with irregular margins, change in color or size.

Answer 2

Malignant melanoma

Question 3

Mucoid urethral discharge in a sexually active male.

Answer 3

Chlamydia urethritis

Question 4

Muscle cramps with a positive Chvostek test

Answer 4

hypoparathyroidism

Question 5

Newborn with paralyzed arm after difficult vertex delivery

Answer 5

Erb-Duchesne palsy

Question 6

Newborn with claw hand after difficult breech delivery.

Answer 6

Klumpke’s palsy

Question 7

Night blindness, dry eyes, and dry skin

Answer 7

Vitamin A deficiency

Question 8

Nocturnal back pain, recurrent infections and fatigue

Answer 8

Multiple myeloma

Question 9

Obesity, hirsutism, and irregular periods

Answer 9

Polycystic Ovarian Disease

Question 10

Osler nodes, Janeway nodules, or Roth Spots

Answer 10

Subacute Bacterial Endocarditis

Question 11

Painful, pale, cold fingers and toes

Answer 11

Raynaud’s syndrome

Question 12

Painful fingers, wrist bilaterally with morning stiffness >1 hour

Answer 12

Rheumatoid arthritis

Question 13

Painful hip with a limp in a young child

Answer 13

Legg-Calves-Perches disease

Question 14

Painful hip with a limp in an overweight teenager

Answer 14

Slipped Capital Femoral Epiphysis

Question 15

Painful, pulseless, pale perishingly cold limb

Answer 15

Arterial embolism

Question 16

Painful yellow genital ulcer

Answer 16

Chancroid

Question 17

Painless beef-red genital ulcer

Answer 17

Granuloma inguinale

Question 18

Painless jaundice and weight loss

Answer 18

Cancer of the head of the pancreas

Question 19

Pale mucous membranes with spoon shaped nails

Answer 19

Iron deficient anemia

Question 20

Palpitations, sweating and pressure headaches

Answer 20

pheochromocytoma

Question 21

Pancreatic, pituitary, and parathyroid tumors

Answer 21

Wermer’s syndrome

Question 22

Pectus excavatum

Answer 22

Rickets

Question 23

Pheochromocytoma, mucosal tumors, and thyroid CA

Answer 23

MEN 2b

Question 24

Pink color, purse-lip breathing and barrel chest

Answer 24

Emphysema

Question 25

Polyuria, polydipsia but no polyphagia or glycosuria

Answer 25

Diabetes insipidis

Question 26

Polyuria, polydipsia, polyphagia, and glycosuria

Answer 26

Diabetes mellitus

Question 27

Ptosis, anydrosis, and miosis on one side

Answer 27

Horner's syndrome

Question 28

Puffy eyelids, smoky urine, and hypertension in a child

Answer 28

Glomerulonephritis

Question 29

Purplish lesions on the arms, legs, and oral cavity

Answer 29

Kaposi Sarcoma

Question 30

Prudent urethral discharge in a sexually active male

Answer 30

Gonorrhea

Question 31

Rachitic rosary

Answer 31

Rickets

Question 32

Rash in palms and soles, oral ulcers and fever in a child

Answer 32

Hand, foot, mouth disease

Question 33

Radiofemoral delay

Answer 33

Coarctation of the aorta

Question 34

Recurrent crops of painful vesicles on the face

Answer 34

Herpes Simplex Type 1

Question 35

Recurrent crops of painful vesicles on the genitals

Answer 35

Herpes Simplex Type 2

Question 36

Recurrent episodes of wheezing in a child

Answer 36

asthma

Question 37

Recurrent peptic ulcers

Answer 37

Zollinger-Ellison Syndrome

Question 38

Red-current jelly sputum with fever and cough

Answer 38

Klebsiella pneumonia

Question 39

Regularly irregular breathing - increase with apneic spells.

Answer 39

Cheyne-Stokes breathing

Question 40

Resting tremors, mask-like fancies, and shuffling gait

Answer 40

Parkinson's disease

Question 41

Rose-colored spots on trunk, fever, diarrhea

Answer 41

Typhoid fever

Question 42

Rust-color sputum, cough, fever, and pleuritic chest pain

Answer 42

Streptococcal pneumonia

Question 43

Scanning speech, intention tremor, and nystagmus

Answer 43

Multiple myeloma

Question 44

Shortness of breath, fatigue and erythema nodosum

Answer 44

Sarcoidosis

Question 45

Short stature, web neck, and widely spaced nipples

Answer 45

Turner's syndrome

Question 46

Single transverse palmar crease, and mental retardation

Answer 46

Down syndrome

Question 47

Severe sore throat and swollen postauricular lymph nodes

Answer 47

mononucleosis

Question 48

Situs inversus, chronic sinusitis, and bronchiectasis

Answer 48

Kartagener's syndrome

Question 49

Skin rash along a dermatome with a prodrome of local pain

Answer 49

Herpes Zoster

Question 50

Splinter hemorrhages

Answer 50

Subacute bacterial endocarditis