Rapid Review - Set 02 - Sheet1

Question 1

Dark purple skin/mouth nodules

Answer 1

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

Question 2

Deep, labored breathing/hyperventilation

Answer 2

Kussmaul breathing (DKA)

Question 3

Dermatitis, dementia, diarrhea

Answer 3

Pellagra (Niacin [B3] deficiency)

Question 4

Dog or cate bite resulting in an infection

Answer 4

Pasteurella multocida (cellulitis at innoculation site)

Question 5

Dry eyes, dry mouth, arthritis

Answer 5

Sjogren’s Syndrome (autoimmune destruction of exocrine glands)

Question 6

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

Answer 6

Plummer-Vinson Syndrome (may progress to esophageal squamous cell ca.)

Question 7

Elastic skin, hypermobility of joints

Answer 7

Ehler’s Danlos syndrome (type III collagen defect)

Question 8

Enlarged, hard left supraclavicular node

Answer 8

Virchow’s node (abdominal metastasis)

Question 9

Erythroderma, lymphadenophathy, hepatosplenomegaly, atypical T cells

Answer 9

Sezary syndrome (cutaneous T-cell lymphoma) or Mycosis Fungoides

Question 10

Facial muscle spasm upon tapping

Answer 10

Chvostek’s sign (hypocalcemia)

Question 11

Fat, female, 40, fertile

Answer 11

Cholelithiasis (gallstones)

Question 12

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

Answer 12

Jarish-Herxheimer reaction (rapid lysis of spirochetes resulting in toxin release)

Question 13

Fever, cough, conjunctivitis, coryza, diffuse rash

Answer 13

Measles (morbillivirus)

Question 14

Fever, night sweats, weight loss

Answer 14

B symptoms (staging) of lymphoma

Question 15

Fibrous plaques in soft tissue of penis

Answer 15

Peyronie’s disease (Connective tissue disorder)

Question 16

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

Answer 16

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

Question 17

Green-yellow rings around peripheral cornea

Answer 17

Kayser-Fleischer rings (copper accumulation from Wilson’s disease/hepatolenticular degeneration)

Question 18

Hamartomatous GI polyps, hyperpigmentation of mouth/feet/hands

Answer 18

Peutz-Jegers syndrome (inherited, benign polypopsis can cause bowel obstruction; increase GI cancer risk)

Question 19

Hepatosplenomegaly, osteoporosis, neurologic symptoms

Answer 19

Gaucher’s disease (glucocerbrosidase deficiency)

Question 20

Hereditary nephritis, sensorineural hearing loss, cataracts

Answer 20

Alport syndrome (mutation in alpha chain of collagen IV)

Question 21

Hyperphagia, hypersexuality, hyperorality, hyperdocility

Answer 21

Kluver-Bucy syndrome (bilateral amygdala lesion)

Question 22

Hyperreflexia, hypertonia, Babinski sign present

Answer 22

UMN damage

Question 23

Hyporeflexia, hypotonia, atrophy, fasciculations

Answer 23

LMN damage

Question 24

Hypoxemia, polycythemia, hypercapnia

Answer 24

“Blue bloater” (chronic Bronchitis: hyperplasia of mucous cells)

Question 25

Indurated, ulcerated genital lesion

Answer 25

Nonpainful: chancre (Primary Syphilis, Treponema Pallidum); Painful, with exudate: chancroid (Haemophilus ducreyi)

Question 26

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

Answer 26

Patau’s Syndrome (Trisomy 13)