triad

Question 1

hypotension, pulsatile abdominal mass, flank pain

Answer 1

Abdominal aortic aneurysm

Question 2

increased lower esophageal sphincter (LES) tone, decreased LES relaxation, aperistalsis

Answer 2

Achalasia

Question 3

Subcutaneous emphysema, rapid respirations, and abdominal rigidity

Answer 3

Esophageal rupture (likely intra-abdominal)

Question 4

Muffled heart sound, Distended neck veins, Hypotension

Answer 4

Cardiac tamponade

Question 5

abdominal pain, ascites, hepatomegaly

Answer 5

Budd–Chiari syndrome

Question 6

Right Upper Quadrant Pain, Fever, Jaundice

Answer 6

Ascending cholangitis

Question 7

scanning speech, intention tremor, nystagmus

Answer 7

Multiple sclerosis

Question 8

Tachycardia, Tachypnoea, Tender hepatomegaly

Answer 8

Congestive heart failure

Question 9

Bradycardia, Bradypnea, Hypertension

Answer 9

Head injuries

Question 10

hyperesthesia of the skin, exquisite tenderness and guarding over McBurney’s point

Answer 10

Acute appendicitis

Question 11

Goiter, exophthalmos, pretibial myxedema

Answer 11

Graves’ disease

Question 12

Respiratory depression, pinpoint pupils, CNS depression

Answer 12

Opioid overdose

Question 13

Focal necrotizing vasculitis, necrotizing granulomas in the lung and upper airway, necrotizing glomerulonephritis

Answer 13

Granulomatosis with polyangiitis

Question 14

Urinary incontinence, Gait disturbance, Dementia

Answer 14

Normal pressure hydrocephalus

Question 15

Anaemia, Thrombocytopenia, Kidney failure (But see Pentad of TTP below)

Answer 15

Hemolytic–uremic syndrome

Question 16

ptosis (eyelid), miosis, anhydrosis

Answer 16

Horner’s syndrome

Question 17

Triad of bilateral hip, thigh, and buttock claudication, impotence, and symmetric atrophy of the bilateral lower extremities due to chronic ischemia

Answer 17

Leriche’s syndrome

Question 18

vomiting, pain and subcutaneous emphysema

Answer 18

Boerhaave syndrome

Question 19

Urethritis, conjunctivitis and anterior uveitis, arthritis

Answer 19

Reactive arthritis

Question 20

Aspirin sensitivity, Nasal polyps, Asthma

Answer 20

Aspirin exacerbated respiratory disease

Question 21

Sensorineural deafness, Progressive kidney failure, Ocular anomalies

Answer 21

Alport syndrome

Question 22

Recurrent oral ulcers, Genital ulcers, Iridocyclitis

Answer 22

Behçet’s disease

Question 23

Palpable purpura on buttock/legs, arthralgias, abdominal pain

Answer 23

IgA vasculitis

Question 24

Iron deficiency anemia, dysphagia, esophageal webs

Answer 24

Plummer–Vinson syndrome

Question 25

Stasis, Hypercoagulability, Vessel injury

Answer 25

Venous thrombosis

Question 26

Confusion, ophthalmoplegia, ataxia

Answer 26

Wernicke encephalopathy

Question 27

Chest pain, Heart failure, Syncope

Answer 27

Aortic stenosis

Question 28

Pain-> Vomiting -> Fever

Answer 28

Acute appendicitis

Question 29

small bowel obstruction, a gallstone outside the gallbladder, and air in the bile ducts

Answer 29

Gallstone ileus

Question 30

Fever, Anemia (microangiopathic hemolytic anemia), Thrombocytopenia, Renal failure, Neurologic disturbances

Answer 30

Thrombotic thrombocytopenic purpura

Question 31

“Stones”, “Bones”, “Abdominal groans”, “Thrones”, “Psychiatric overtones”

Answer 31

Primary hyperparathyroidism

Question 32

Right Upper Quadrant Abdominal pain, Fever, Jaundice, Shock and Depression of central nervous system function

Answer 32

Acute suppurative cholangitis

Question 33

• purpuric rash on buttocks and extensors of lower limbs
• abdo pain
• arthralgia

Answer 33

henoch schonlein purpura

Question 34

• glomerulonephritis
• haemoptysis
• Anti-GBM antibodies

Answer 34

goodpasture’s syndrome