High Yield Illness Scripts

Question 1

Abdominal Pain, Ascites, Hepatomegaly

Answer 1

Budd- Chiari Syndrome - ( Post Hepatic Venous Thrombosis )

Question 2

Achilles Tendon Xanthoma

Answer 2

Familial Hypercholesterolemia –> Decreased LDL Receptor Signaling

Question 3

Adrenal hemorrhage, Hypotension, DIC

Answer 3

Water House- Friderichsen Syndrome ( Meningococcemia )

Question 4

Arachnodactyly, Lens Discoloration, Aortic Dissection, hyperflexible joints

Answer 4

Marfan’s Syndrome (Hyperreflexable Joints )

Question 5

Athlete with Polycytemia

Answer 5

Erythropoietin Injections

Question 6

Back Pain, Fever, Night Sweats, Weight Loss

Answer 6

Potts Disease, Vertebral Tuberculosis

Question 7

Bilateral Hilar adenopathy uveitis

Answer 7

Sarcoidosis -> Noncaseating Granulomas

Question 8

Blue Sclera

Answer 8

Osteogenesis Imperfecta –> Collagen disease

Question 9

Bluish Lines on Gingiva

Answer 9

Burtons Lines, Lead Poisoning

Question 10

Bone Pain, Enlargement, Arthritis

Answer 10

Pagets disease of the bone ( Increased osteoblast and osteoclast activity )

Question 11

Bounding Pulse, Diastolic Murmur, Head bobbing

Answer 11

Aortic Regurgitation

Question 12

Butterfly Rash and Raynauds Phenomena in a woman

Answer 12

Systemic Lupus erythematosis

Question 13

Cafe- au-lair spots , Lisch nodules ( Iris Hamartoma )

Answer 13

Neurofibramatosis Type 1 ( + Pheochromocytoma, optic Glioma )

Question 14

Cafe - au - lair spots, polystoid fibrous dysplasia, precocious puberty, multiple endocrine abnormalities

Answer 14

McCune - Albright Syndrome ( mosaic G-Protein signaling mutation )

Question 15

Calf Pseudohypertrophy

Answer 15

Muscular dystrophy - most commonly duchenne’s: X-linked recessive deletion of dystrophin gene

Question 16

Cherry red spot on the macula

Answer 16

Tay- Sachs (Gangloside accumulation ) or newman Picks (Sphingomyelin accumulation) central retinal artery occlusion.

Question 17

Chest Pain on exertion

Answer 17

Angina ( Stable after moderate exertion. Unstable with minimal exertion )

Question 18

Chest Pain , pericardial effusion / Friction rub, persistant fever following MI

Answer 18

Dressler’s syndrome- autoimmune mediated post-MI fibrinous pericarditis 1-12 weeks after acute episode)

Question 19

Child uses arms to stand up from a squat

Answer 19

Gowers’ sigh. Duchenne Muscular Dystrophy

Question 20

Child with a fever develops a rash that starts on his face and spreads to his body

Answer 20

Slapped Cheeks ( Errhythemia Infectiosum/ Fifth disease, Parvovirus B-19)