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Part 1 Boards > Classical Clinical Presentations > Flashcards

Classical Clinical Presentations Flashcards

1
Q

Abdominal pain, blue gum line and constipation

A

Lead poinosing

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2
Q

Beefy-red tongue and fatigue

A

Vitamin B12 deficiency

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3
Q

Cafe-au-lait spots and skin nodules

A

Neurfibromatosis Type 1

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4
Q

Deep labored breathing and acetone smell on breath

A

Diabetic ketoacidosis

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5
Q

Abdominal pain and tenderness in the right iliac fossa

A

Appendicitis

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6
Q

Bilateral hilar lymphadenopathy, erythema nodosum

A

Sarcoidosis

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7
Q

Calf pseudohypertrophy and a positive Gower sign

A

Duchenne’s muscular dystrophy

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8
Q

Dermatitis, diarrhea and dimentia

A

Pellagra (B3 deficiency)

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9
Q

Elastic skin with hypermobile joints

A

Ehlers-Danlos Syndrome

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10
Q

Fair, fat fertile woman over 40 with abdominal pain

A

Cholecystitis

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11
Q

Abdominal pain following and alcoholic binge

A

Pancreatitis

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12
Q

Bilateral ptosis, diplopia, and difficulty chewing in female

A

Myasthenia Gravis

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13
Q

Cape-like distribution of loss of pain

A

Syringomyelia

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14
Q

Enlarged nerves and anesthetic hypopigmented rashes

A

Leprosy

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15
Q

Fever, cough, chest pain in a parrot breeder

A

Bird fancier’s disease

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16
Q

Abdominal pain in right iliac fossa and diarrhea

A

Crohn’s disease

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17
Q

Bitot’s spots in the eye

A

Vitamin A deficiency

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18
Q

Bladder or bowel control problems

A

Cauda Equina syndrome

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19
Q

Caput Medusa

A

Cirrhosis with portal hypertension

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20
Q

Dry eyes, dry mouth and arthritis

A

Sjogren’s syndrome

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21
Q

Dysphagia, glossitis and iron deficiency anemia

A

Plummer-Vinson syndrome

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22
Q

Abdominal pain in the left iliac fossa, blood in stool, young female

A

Ulcerative colitis

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23
Q

Bleeding swollen gums

A

Scurvy

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24
Q

Carditis, chorea, polyarthritis and subcutaneous nodules

A

Rheumatic fever

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25
Q

Dyspepsia worse with eating food

A

Gastric type of peptic ulcer disease

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26
Q

Abdominal pain in left iliac fossa, bloood in stool, older male

A

Diverticulitis

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27
Q

Blue lips, swollen ankles, and dyspnea

A

Chronic Bronchitis

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28
Q

Blue sclera and frequent fractures as an infant

A

Osteogenesis imperfecta

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29
Q

Casal’s necklace

A

Pellagra (vitamin B3 deficiency)

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30
Q

Painful, pale, cold fingers and toes

A

Raynaud’s syndrome

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31
Q

Fever, headache and skin rash on wrists and feet

A

Rocky Mountain Spotted Fever (ricket ricket)

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32
Q

Galactorrhea and amenorreha

A

Prolactinoma

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33
Q

Haygarth’s nodes

A

Rheumatoid arthritis

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34
Q

Indurated painless penile lesion

A

Primary syphilis

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35
Q

Jaundice, chills and fever

A

Ascending cholangitis

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36
Q

Large spatulate hands, protruding jaw

A

Acromegaly

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37
Q

Koilonychia and pale mucous membranes

A

Iron deficiency anemia

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38
Q

Magenta colored tongue

A

Vitamin B12 deficiency

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39
Q

Newborn with paralyzed arm after difficult vertex delivery

A

Erb-Duchenne palsy

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40
Q

Obesity, hirsutism and irregular periods

A

Polycystic Ovarian syndrome

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41
Q

Painful fingers, wrists bilaterally with morning stiffnesss greater than 1 hour

A

Rheumatoid arthritis

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42
Q

Fever, conjunctivitis, coryza and a fine rash on trunk

A

Measles

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43
Q

Gumma

A

Tertiary syphilis

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44
Q

Heartburn worse on lying down after meals

A

GERD

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45
Q

Infant with red hair and swollen abdomen

A

Kwashiorkor

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46
Q

Jaundice, ascites and firm, non-tender hepatomegaly

A

Cirrhosis

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47
Q

Low back pain, bamboo spine in young adult male

A

Ankylosing spondylitis

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48
Q

Male child with recurrent infection and no B-cells

A

Bruton’s disease

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49
Q

Night blindness, dry eyes and dry skin

A

Vitamin A deficiency

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50
Q

Osler nodes, Janeway nodules or Roth spots

A

Subacute bacterial endocarditis

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51
Q

Painful hip with a limp in a young child

A

Legg-Calve-Perthe disease

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52
Q

Fever, neck stiffness and headache

A

Meningitis

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53
Q

Gottron’s papules and heliotrope eyelids

A

Dermatomyositis

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54
Q

Heat intolerace, fine tremors, weight loss or exophthalmos

A

Hyperthyroidism

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55
Q

Infant with microcephaly and rocker-bottom feet

A

Trisomy 18, Edwards syndrome

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56
Q

Jaundice with tender hepatomegaly

A

Hepatitis

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57
Q

Loss of outer 1/3 of eyebrows and slow reflexes

A

Hypothyroidism

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58
Q

Koplik spots and fever followed by a fine maculopapular rash

A

Measels

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59
Q

Mental retardation, large scrotal tongue, umbilical hernia

A

Trisomy 21 Downs syndrome

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60
Q

Newborn with claw hand after difficult breech delivery

A

Klumpke’s palsy

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61
Q

Painful hip with a limp in an overweight teenager

A

Slipped Capital Femoral Epiphysis

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62
Q

Fever, night sweats, weight loss, cough or hemoptysis

A

Tuberculosis

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63
Q

Gout and self mutilation in a child due to pain insensitivity

A

Lesch-Nyhan syndrome

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64
Q

Heberden’s and Bouchard’s nodes

A

Osteoarthritis

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65
Q

Hematemesis following protracted vomiting and retching

A

Mallory Weiss syndrome

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66
Q

Infant with microcephaly and indistinct philtrum

A

Fetal Alcohol Syndrome

67
Q

Lower abdominal pain and 6-8 weeks of amenorrhea

A

Ectopic pregnancy

68
Q

Middle aged male smoker with intermittent claudication

A

Buerger’s disease

69
Q

Midsystolic click and atypical chest pain

A

Mitral valve prolapse

70
Q

Nocturnal back pain, recurrent infections and fatigue

A

Multiplle Myeloma

71
Q

Painful, pulseless, pale perishingly cold limb

A

Arterial embolism

72
Q

Fever, maculopapulovesicular rash on trunk

A

Chicken pox

73
Q

Foul, floating feces, fatigue and weightloss

A

Celiac disease

74
Q

Hemoptysis in a chronic cigarette smoker

A

Lung cancer

75
Q

Infant with mongoloid eyes and mental retardation

A

Trisomy 21 Downs syndrome

76
Q

Irregularly irregular breathing

A

Biot’s respiration

77
Q

Mole with irregular margins, change in color or size

A

Malignant Melanoma

78
Q

Frequent urination with burning on micturition

A

Urinary tract infection

79
Q

Hemoptysis and Hematuria

A

Goodpasture syndrome

80
Q

Mucoid urethral discharge in a sexually active male

A

Chlamydia urethritis

81
Q

Frothy urine, recurrent infections with normal blood pressure

A

Nephrotic syndrome

82
Q

Honey colored crusts on face near the mouth and nose

A

Impetigo

83
Q

Muscle cramps with a positive Chvostek test

A

Hypoparathyroidism

84
Q

Hyperpigmented oral cavity and intestinal polyps

A

Peutz-Jegher syndrome

85
Q

Abdominal pain, splenomegaly in a black child

A

Sickle Cell Disease

86
Q

Bone pain, head enlargement and deafness

A

Paget’s disease of bone

87
Q

Cat scratch, fever and local lymphadenitis

A

Cat Scratch Disease

88
Q

Coryza, conjunctivitis and “C”oplik spots

A

Measels

89
Q

Hyperpigmented skin creases, bronze skin and fatigue

A

Addison disease

90
Q

Adrenal hemorrhage and shock

A

Waterhouse-Friderichsen syndrome

91
Q

Bronze skin, cirrhosis, and diabetes mellitus

A

Hemochromatosis

92
Q

Cauliflower like lesions on the hands or genitals

A

HPV

93
Q

Cherry red spot on the macula

A

Tay-Sachs disease

94
Q

Condylomata lata

A

Secondary syphilis

95
Q

Hypertension, hypokalemia and metabolic acidosis

A

Conn’s disease

96
Q

Amenorrhea, no lactation after postpartum hemorrhage

A

Sheehan’s syndrome

97
Q

Buffalo hump, obesity and purplish abdominal striae

A

Cushing’s syndrome

98
Q

Cherry red skin and headaches

A

Carbon monoxide poisoning

99
Q

Hypertension, exophthalmos and goiter

A

Graves disease

100
Q

Buboes in the groin, sign of the groove

A

Lymphogranuloma venereum

101
Q

Arachnodactyl, lens dislocation hypermobile joints

A

Marfan’s syndrome

102
Q

Chest pain worse on lying down and better on sitting forward

A

Pericarditis

103
Q

Argyll-Robertson pupil, aortic aneurysm and angina pectoris

A

Tertiary syphilis

104
Q

Bull’s eye rash

A

Lyme disease

105
Q

Chest pain worse with exertion, better with rest

A

Angina pectoris

106
Q

Ataxia, heart problems and scoliosis

A

Friedreich’s disease

107
Q

Butterfly rash and multiple painful joints in a young female

A

Systemic Lupus Erythematosus

108
Q

Painful yellow genital ulcer

A

Chancroid

109
Q

Rachitic rosary

A

Rickets

110
Q

Scanning speech, intention tremor and nystagmus

A

Multiple myeloma

111
Q

Tall, thin male with gynecomastia and small testis

A

Klinefelter’s syndrome

112
Q

Unilateral facial palsy with hyperacusis

A

Bell’s palsy

113
Q

Vomiting blood in a jaundiced patient

A

Ruptured esophageal varices

114
Q

Web neck, widely spaced nipples, underdeveloped breasts

A

Turner’s syndrome

115
Q

Weight loss and change in bowel habits

A

Carcinoma of the colon

116
Q

Painless beef-red genital ulcer

A

Granuloma inguinale

117
Q

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

A

Hand, Foot Mouth disease

118
Q

Shortness of breath, fatigue, erythema nodosum

A

Sarcoidosis

119
Q

Thyroid, parathyroid and adrenal tumors

A

Sipple’s syndrome (Multiple Endocrine Neoplasia 2a)

120
Q

Unilateral facial palsy with vesicles in the ear

A

Ramsey Hunt syndrome

121
Q

Weight loss, diarrhea, fever and arthritis

A

Whipple’s disease

122
Q

Painless jaundice and weightloss

A

Cancer of the head of the pancreas

123
Q

Radiofemoral delay

A

Coarctation of the aorta

124
Q

Recurrent crops of painful vesicles on the face

A

HHV 1

125
Q

Unilateral facial palsy with deafness on the same side

A

Acoustic neuroma

126
Q

Weight loss, recurrent infections in young adult

A

HIV/AIDS

127
Q

Pale mucous membranes and spoon shaped nails

A

Iron deficiency anemia

128
Q

Worst headache of my life

A

Ruptured berry aneurysm

129
Q

Palpitations, sweating and pressure headaches

A

Pheochromocytoma

130
Q

Pancreatic, pituitary and parathyroid tumors

A

Wermer’s Syndrome (MEN1)

131
Q

Recurrent episodes of wheezing in a child

A

Asthma

132
Q

Single transverse palmar crease and mental retardation

A

Down syndrome

133
Q

Unilateral facial weakness with weakness in the arm and leg

A

Cerebrovascular Accident

134
Q

Wet, wacky and wonky (incontinence, dementia, ataxia)

A

Normal pressure hydrocephalus

135
Q

Pectus excavatum

A

Rickets

136
Q

Recurrent crops of painful ulcers on the genitals

A

HHV 2

137
Q

Severe sore throat and swollen post auricular lymph nodes

A

Mononucleosis

138
Q

Unilateral ptosis, anhydrosis and miosis

A

Horner’s syndrome

139
Q

Pheochromocytoma, mucosal tumors and thyroid cancer

A

MEN 2b

140
Q

Pink color, pursed lip breathing and barrel chest

A

Emphysema

141
Q

Recurrent peptic ulcers

A

Zollinger-Ellison syndrome

142
Q

Situs inversus, chronic sinusitis and bronchiectasis

A

Kartagener’s syndrome

143
Q

Unilateral throbbing head with aura

A

Classic migraine

144
Q

Polyuria, polydypsia, but no polyphagia or glycosuria

A

Diabetes insipidus

145
Q

Red-currant jelly sputum with fever and cough

A

Klebsiella pneumonia

146
Q

Skin rash along dermatome with prodrome of local pain

A

HHV

147
Q

Unilateral throbbing headaches without an aura

A

Common migraine

148
Q

Polyuria, polydypsia, polyphagia, and gycosuria

A

Diabetes mellitus

149
Q

Puffy eyelids, smoky urine and hypertension in a child

A

Glomerulonephritis

150
Q

Regularly irregular breathing-increase with apneic spells

A

Cheyne-Stokes breathing

151
Q

Splinter hemorrhages

A

Subacute bacterial endocarditis

152
Q

Unilateral swollen leg after long travel

A

Deep vein thrombosis

153
Q

Strawberry tongue, fever, rash

A

Scarlet fever

154
Q

Resting tremors, mask like face and shuffling gait

A

Parkinson’s disease

155
Q

Purplish lesions on arms, legs and oral cavity

A

HHV 8 Karposi sarcoma AIDS

156
Q

Sudden tearing chest pain, sweating, feeling of doom

A

Dissecting thoracic aneurysm

157
Q

Purulent urethral discharge in a sexually active male

A

Gonorrhea

158
Q

Swollen ankles, shortness of breath and distended neck veins

A

Congestive heart failure

159
Q

Rose-colored spots on trunk, fever and diarrhea

A

Typhoid fever

160
Q

Sudden onset of dyspnea, hemoptysis and chest pain

A

Pulmonary embolism

161
Q

Urethritis, conjunctivitis and arthritis

A

Reiter’s syndrome

162
Q

Rust colored sputum, cough, fever and pleuritic chest pain

A

Streptococcal pneumonia

163
Q

Swollen bleeding gums and painful joints in a child

A

Scurvy

164
Q

Sudden onset of sever painful swollen big toe

A

Gout

Part 1 Boards (4 decks)

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