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WVSOM FA -- 2
WVSOM -- First Aid Classic Presentations Page 2
| Question | Answer |
|---|---|
| Dilated cardiomyopathy, edema, polyneuropathy | wet beriberi (thiamine [vitamin B1] deficiency) |
| Dog or cat bite resulting in infection | Pasteurella multocida |
| Dry eyes, dry mouth, arthritis | sjogren’s syndrome (autoimmune destruction of exocrine glands) |
| Dysphagia (esophageal webs), glossitis, iron deficiency anemia | Plummer-Vinson syndrome (may progress to esophageal squamous cell carcinoma) |
| Elastic skin, hypermobility of joints | Ehlers-Danols syndrome 9collagen defect) |
| Enlarged, hard left supraclavicular node | virchow’s node (abdominal metastasis) |
| Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells | Sezary syndrome (cutaneous T-cell lymphoma) or mycosis fungoides |
| Facial muscle spasm upon tapping | Chvostek’s sign (hypocalcemia) |
| Fat, female, forty, and fertile | acute cholecystitis |
| Fever, chills, headache, myalgia following antibiotic treatment for syphallis | Jarisch-herxheimer reaction (rapid lysis of spirochetes results in toxin release) |
| Fever, cough, conjunctivitis, coryza, diffuse rash | Measles (morbillivirus) |
| Fever, night sweats, weight loss | B symptoms (lymphomas) |
| Fibrous plaques in soft tissue of the penis | peyronie’s disease (CT disorder) |
| Gout, mental retardation, self-mutilation in a boy | Lexch-Nyhan syndrome (HGPRT deficiency) |
| Green-yellow rings around peripheral cornea | Kayer-Fleischer rings (copper accumulation from Wilson’s disease) |
| Hamartomatous Gi polyps, hyperpigmentation of mouth/feet/hands | Peutz-Jeghers Syndrome (genetic benign polyposis can cuase bowel obstruction, ↑cancer risk) |
| Hepatosplenomegaly, osteoporosis, neurologic symptoms | gaucher’s disease (glucocerebrosidase deficiency) |
| Heredity nephritis, sensorineural hearing loss, cataracts | Alports syndrome (collagen mutation) |
| Hypercoagulability (leading to migrating DVTs and vasculitis) | trousseau’s sign (adenocarcinoma of pancreas or lungs) |
| Hypertension, hypokalemia, metabolic alkalosis | Conn’s Syndrome (primary hyperaldosteronism); actually says metabolic acidosis in book but is a misprint. Verified from textbook as well as Qbank. |
| Hypoxemia, polycythemia, hypercapnia | “blue boater” (chronic bronchitis: hyperplasia of mucous cells) |
| Indurated, ulcerated genital lesions (nonpainful) | chancre (primary syphilis) |
| Infant with failure to thrive, hepatosplenomegaly, neurodgeneration | Neimann-Pick disease (genetic sphingomyelinase deficiency) |