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Rapid Review Flashcards

1
Q

Adrenal hemorrhage, hypotension, DIC

A

Waterhouse-Friderickson syndrome (meningococcemia)

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2
Q

Arachnodactyly, lens dislocation, aortic dissection, hyperflexible joints

A

Marian Syndrome

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3
Q

Athlete with polycythemia

A

2* to erythropoietin injection

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4
Q

Back pain, fever, night sweats, weight loss

A

Pott dz (vertebral TB)

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5
Q

Bilateral hilar adenopathy, uveitis

A

Sarcoidosis

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6
Q

Blue sclera

A

Osteogenesis imperfecta

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7
Q

Bluish line on gingiva

A

Burton line (Lead poisoning)

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8
Q

Bone pain, bone enlargement, arthritis

A

Paget dz of bone (Collagen Type I defect)

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9
Q

Butterfly rash and raynaud phenomenon

A

SLE

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10
Q

Cafe au lait spots, lisch nodules

A

Neurofibromatosis type I

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11
Q

Cafe au lait spots, polyostotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities

A

McCune Albright Syndrome

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12
Q

Calf pseudohypertrophy

A

Muscular dystrophy (Duchenne) X linked recession deletion of dystrophin gene

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13
Q

Cherry red spots on macula

A

Tay -Sachs dz (ganglioside accumulation) or Neimann pick dz (sphingomyelin accumulation)

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14
Q

Chest pain on exertion

A

Angina

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15
Q

Child uses arms to stand up from squat & calf pseudohypertophy

A

Growers sign (Duchenne muscular dystrophy)

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16
Q

Chorea, dementia, caudate degeneration

A

Hungtingtons (autosomal dominant CAG repeat)

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17
Q

Cold intolerance

A

Hypothyroidism

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18
Q

“Machine like” murmur

A

PDA (close with indomethacin or keep open with misoprostol)

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19
Q

Dark purple skin mouth nodules in AIDS pts

A

Kaposi sarcoma (HHV8)

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20
Q

Deep, labored breathing/hyperventilation

A

Kussmaul respirations (diabetic ketoacidosis)

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21
Q

Dermatitis, dementia, diarrhea

A

Pellagra (niacin B3 deficiency)

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22
Q

Dilated cardiomyopathy, edema, alcoholism or malnutrition

A

Wet beriberi thiamine B1 deficiency

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23
Q

Dysphasia (esophageal webs), glossitis, iron deficiency, anemia

A

Plummer Vinson syndrome (may progress to esophageal cancer). “Plummer cleans one big tube (esophagus)..”

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24
Q

Elastic skin, hypermobility of joints

A

Euler Dahnlos syndromes (collagen type III defect)

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25
Q

The four F”s as risk factors for gallstones

A

Fat, female, forty, fertile

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26
Q

Fever, cough, conjunctivitis, diffuse rash

A

Measles

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27
Q

Fibrous plaques on soft tissue of penis

A

Peyronie dz

28
Q

Gout, intellectual disability, self mutiliating behavior in boy

A

Leach Nyhan syndrome (HGPRT deficiency) X linked recession

29
Q

Green-yellow rings around peripheral Corina

A

Copper accumulation from Wilson dz (what is Wilson dz?!.. Copper is Hella BAD hemolytic anemia, basal ganglia degen, asterexis, dementia,dyskinesia, dysarthria. Copper in brain etc.

30
Q

GI polyps, hyperpigmentation of mouth/feet/hands

A

Pests, jeghers syndrome (benign polpyosis can cause bowel obstruction).

31
Q

Hereditary nephrItis, sensorineural hearing loss, cataracts

A

Alpert syndrome (mutation in collagen IV)

32
Q

Hyperphagia, hypersexuality, hyperorality, hyperdocity

A

Kluver bucy syndrome (bilateral amygdala lesion)

33
Q

Hyperflexia, hypertonic, babinski sign

A

UMN damage

34
Q

Hyporeflexia, hypotonia, atrophy, fasciculations

A

LMN damage

35
Q

Infant with cleft lip, microcephalic, polydactyl

A

Palau syndrome (trisomy 13)

36
Q

Infant with failure to thrive, hepatosplenomegly, and neurdodegeneration

A

Niemann Pick dz (sphingomyelinase deficiency, planter picking polyps

37
Q

Infant with hypoglycemia, failure to thrive, hepatomegaly

A

Cori dz, or von gierke dz (pickle dz). Glucose 6 phosphatase deficiency

38
Q

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

A

Edwards syndrome (trisomy 18)

39
Q

Large rash with bulls eye appearance

A

Lyme dz (borrelia)

40
Q

Lucid interval after TBI

A

Epidural hematoma (middle meningeal artery, doesnt cross suture line)

41
Q

Male child, recurrent infections, no mature B cells

A

Bruton dz (agammaglobulinemia)

42
Q

Coagulation cascade dz

A

Von willebrand vWF
Glansmann thrombasthenia (GPIIb/GPIIa)
Bernard shoulder syndrome (GPIb)

43
Q

Beck triad includes.. and associated with what?

A

Muffled heart sounds, distended neck veins, hypotension. Cardiac tapenade

44
Q

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

A

Gardners syndrome (gardener picking the polyps and impacted supernumerary teeth, and tumors)

45
Q

Describe MS. Describe Charcot triad

A

Inflammation of demyelination of CNS. Triad is a SIN: Scanning speech, Intention tremor, nystagmus

46
Q

Painful raised red lesions on pad and fingers/toes. Painless erthematous lesions on palms/soles

A

Osler nodes (IE). Janeway lesions (IR)

47
Q

Palpable pura pura on buttocks, legs, joint pain, abdominal pain, hematuria

A

Henoch scholein pura pura (small vessel vasculitis, IgA affecting skin and kidneys)

48
Q

Elastic vessel disease leading to pulseless dz, associated with asian women. Fever, myalgia, night sweats, INCREASE EST, BP different in arms, ocular disturbances

A

Large vasculitis TAKAYASU (taco sushi)

49
Q

Perioorbital, peripheral edema, proteinuria, hypoalbumminemia, hypercholesterolemia

A

Nephrotic syndrome

50
Q

6 P’s of lichen planus

A

Purple, planar, polygonal, pruruitic, papules, plaques

51
Q

Pupil accommodates but doesn’t react

A

Argyle robertson pupil (neurosphyillis)

52
Q

Rash on palms and soles

A

RMSP, coxsackie, secondary syphilis

53
Q

Red current sputum jelly in alcoholics or diabetic pts

A

Klebsiella pneumoniae (clubbing seal is an alcoholic and diabetic and throws red sputum jelly at you ).

54
Q

Red current jelly other than in klebsiella

A

Acute mesenteric ischemia (adults), intussusception (infants)

55
Q

Red, itchy, swollen rash of nipple/Arellano

A

Paget dz of breast

56
Q

Red urine in the morning, fragile RBC

A

Paroxysmal norcturnal hemoglobinuria

57
Q

Resting tremor, rigidity, akinesia, postural instability assocaited with.. and drugs for

A

Parkinson’s dz (decrease in Dopamine, increase in Ach, 5HT). Tx: BALSA bromocriptine, amantadine, levodopa,selegiline,antimuscarinics)

58
Q

Retinal hemorrhages with pale centers

A

Roth spots (bacterial endocarditis)

59
Q

This type of hereditary hyperbilirubinemia causes severe jaundice in neonate

A

Critter Najjar syndrome (conjugation in liver). Others include Gilbert, crigler najj, Dublin, rotor.

60
Q

Severe RLQ pain with palpation of LLQ

A

Acute appendicitis

61
Q

Single palmar crease

62
Q

Skin hyperpigmentation, hypotension, fatigue

A

Addison dz (primary adrenocortical insufficiency causes INCREASE ACTH and INCREASE MSH production)

63
Q

Smooth flat, moist painless white lesions on genitals

A

Condylomata lata (secondary syph including maculopapular rash). Tertiary gummy

64
Q

Bacterial endocarditis aka FROM JANE and Rheumatic fever FEVERSS

A

Fever, rothspots, oslernodes, murmur, janewaylesions, anemia, nail bed hemorrhage,emboli….fever, erythema marginatum, valvular damage, ESR increase, red hot joints, subcutaneous nodes, Sydenham chorea.

65
Q

Strawberry tongue

A

Scarlett fever, Kawasaki dz, toxic shock syndrome

66
Q

“Worst headache of my life”

A

Subarachnoid hemorrhage. In addition to epidural, subdural, subarachnoid..

EXAM (13 decks)

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