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Pathognomonic Signs

Pathognomonic signs for challenge bowl

QuestionAnswer
Pt is a 70 year old male patient complaining of shortness of breath on physical exam it is noted that he has a barrell chest and has been smoking 1 pack/day for the last 50 years what is he most likely suffering from COPD
Pt is coughing up greenish rusty colored sputum on physical exam consolidation is noted in the right lower lobe Pneumonia of the Right lower lobe
Pt has a beefy red tongue what is the patient suffering from and what test would you run Pernicious anemai; schilling's test to check for pernicious anemia cause
Pt has a stepladder fever what are they suffering from Malaria
Pt is positive for cullen sign (bluish discolorization of umbilicus) what are they suffering from Pancreatitis
Pt has rebound tenderness at mcburney's point what are they suffering from Appendicitis
Pt has RLQ pain w/ palpation in the LLQ what is this sign and what does it indicate Positive Rovsing sign indicative of Appendicitis
Pt has a positive homan's sign what are they likely suffering from thrombophlebitis
You suspect your patient has a deep vein thrombosis DVT what physical exam test could you perform to check for this Homan's sign
Pt has a positive kernigs sign what is this indicative of meningitis
Pt has a positive burdzinski sign what is this indicative of meningitis
Pt has exopthalmus what is this indicative of hyperthyroidism
Pt has bronze like skin especially in the skin folds what is this indicative of addison's disease
Pt has a buffalo hump, moon face, and central obesity what is this indicative of cushings syndrome
Pt has brings in a stool sample that looks like rice water what are they suffering from cholera
Pt has butterfly rashes what are they likely suffering from Systemic Lupus Erythematosa
Pt has a feline looking face (leoning face) what are they suffering from Leprosy
Pt has a chipmunk face what are they likely suffering from bulemia nervosa
Pt has several spider angiomas on their body what could they likely be suffering from liver cirrhosis
baby has a single crease in their palm what is this indicative of down syndrome
What is the tetralogy of fallot ventricular septal defect, pulmonary stenosis, overriding aorta, right ventricular hypertropy
A newborn is found to have a ventricular septal defect a pulmonary stenosis, overriding aaorta and right ventricular hypertrophy what do they have Tetralogy of Fallot
Pt comes in complaining of tunnel like vision what do you want to check them for Glaucoma
Patient has blurry/ Hazzy vision what would you check them for cataract
Patient has been having low grade fevers in the afternoon what could this be indicative of pulmonary TB
Pt has a positive murphy's sign what does this likely indicate Cholecystitis
Patient has bilateral Ptosis (they can't open their upper eyelids) what does this likely indicate Mysathenia Gravis
Pt presents clutching their chest (levignes sign) what does this most likely indicate MI (myocardial infarction)
Patient has Koplick's spots (clustered white lesions on the buccal mucosa) what do they have measle's
You are looking at a histology slide from your patient and see what looks like an owl's eye looking back at you what does your pt likely have cytomegalovirus
Pt has a positive chvosteks sign (twitching with taping on the facial nerve at the angle of the jaw) what do they have hypocalcemia
PT has a positive trousseau sign (blood pressure cuff is inflated on arm and then the hand and fingers flex) what do they likely have hypocalcemia
pt has a adherent gray membrane on their tonsils, pharynx and when you try and scrape it off it bleeds what do they likely have Diptheria
Pt has positive grey-turner's sign (ecchymosis in flank area) what do they likely have chronic hemorrhagic pancreatitis
Pt has rose spots on the abdomen what do they likely have typhoid fever
You are listening to your Pt's heart and hear a machine like murmur what is causing that sound patent ductus arteriosus
On percussing your pt's chest you hear a stony dull sound what does this most likely indicate pleural effusion
Pt has pill rolling tremors what do they liekly have parkinson's disease
You see auer rods on histology sample from a patient what does this indicate Acute Myeloid Leukemia
You hear a third heart sound while listening to the heart what could this indicate congestive heart failure
You hear a friction rub (sand paper) like sound while listening to the heart what is the patient likely suffering from pericarditis
You see Reed-Sternberg cells (giant mono and multinucleated cells) on histology sample of pt what do they have hodgkin's lymphoma
Pt has aschoff nodules on histology of heart tissue what are they suffering from Rheumatic Fever
what is the most common primary tumor arising from bone in adults Multiple Myeloma
What is the most common adrenal meddulary tumor in adults Pheochromocytoma
What is the most common adrenal medullary tumor in children Neuroblastoma
What is the most common cause of bacterial meningitis in adults S. Pneumoniae
What is the most common cause of bacterial meningitis in newborns E. Coli
What is the most common cause of bacterial meningitis in elderly Strep Pneumoniae
What is the most common cause of bacterial meningitis in Toddlers E. Coli
What is the most common bone tumor Metasteses from breast and Prostate
What is the most common brain tumor in children Medulloblastoma (cerebellum)
What is the most common brain tumor in adult, second most common, 3rd most common and 4th most common brain tumors Astrocytoma (including glioblastoma multiforme), Then Metastasis, then meningioma, then schwannoma
What is the most common breast carcinoma Invavsive duct carcinoma
What is most common breast mass Fibrocystic Change (carcinoma is the most common in post menopausal women)
What is the most common bug in acute endocarditis Staph Aureus
What is the most common bug in debilitated hospitalized pneumonia pt Klebsiella
what is the most common bug in epiglottitis HIB
What is the most common bug in GI tract Bacteriodes (2nd is ecoli)
What is the most common bug in IV drug user with bacteremia or pneumonia Staph Aureus
What is the most common bug in PID N. Gonnorrhoeae
what is the most common bug in subacute endocarditis Strep Viridans
What is the most common primary cardiac tumor in adults Myxoma (ball Valve)
What is the most common primary cardiac tumor in children Rhabdomyoma
What is the most common cardiac tumor in adults Metasteses
What is the most common cardiomyopathy Dilated (congestive) Cardiomyopathy
What is the most common cause of secondary HTN Renal Disease
What is the most common cause of addison's disease Autoimmune (2nd MC is Infection)
What is the most common cause of congenital adrenal hyperplasia (CAH) 21-Hydroxylase Deficiency often called salt wasting CAH (then 11-hydroxylase deficiency)
What is the most common cause of cushings Exogenous Steroid Therapy (then primary ACTH, Adrenal adenoma, Ectopic ACTH)
What is the most common cause of death in alzheimers pts Pneumonia
What is the most common cause of death in diabetics MI (myocardial infarction)
What is the most common cause of death in SLE pt Lupus Nephropathy type IV (diffuse proliferative)
What is the most common cause of dementia Alzheimers
What is the second most common cause of dementia Multi infarct dementia
What is the most common cause of food poisoning Staph Aureus
What is the most common cause of mental retardation Downs Trisomy 21
What is the second most common cause of mental retardation Fragile X
What is the most common cause of preventable blindness Chlamydia
What is the most common cause of pulmonary HTN COPD
What is the most common cause of SIADH Small Cell carcinoma of the lung
What is the most common chromosomal disorder Down's trisomy 21
What is the most common Congenital Cardiac Anomaly VSD (membranous>Muscular)
What is the most common congenital cause of early cyanosis Tetralogy of Fallot
What is the most common coronary artery thrombosis LAD (Left Anterior Descending)
What is the most common demyelinating disease Multiple Sclerosis
What is the most common dietary deficiency Iron
What is the most common cause of disseminated opportunistic infection in AIDS CMV (pneumocystics carinii is most common overall)
What is the msot common esophageal Cancer SCCA
What is the most common Fatal Genetic defect in caucasians Cystic Fibrosis
What is the most common female tumor Leimyoma
What is the most common form of amyloidosis Immunologic (bence jones protein in multiple myeloma is also called the amyloid light chain)
What is the most common form of tularemia ulceroglandular
What is the most common heart murmur Mitral Valve Prolapse
What is the most common heart valve in bacterial endocarditis Mitral
What is the most common heat valve involved in bacterial enodcarditis in IV drug users Tricuspid
What ist he most coomon heart vlave involved in Rheumatic Fever Mitral then Aaortic
What ist he most common heridtary bleeding disorder Von Wildebrand's Disease
What is the most common primary liver tumor Hepatoma
What ist he most common liver disease Alcoholic LIver Disease
What ist he most common location of adult brain tumors Above Tentorium
what is the most common location of childhood brain tumors Below tentorium
What is the most common lysosomal storage disease Gaucher's
What is the most common motor neuron disease ALS
What is the most common neoplasm of child Leukemia
what ist he most 2nd most comon neoplasm in child Medulloblastoma of Brain (cerebellum)
What is the most common cause of nephrotic syndrome Membranous Glomerulonephritis
What is the most common opportunistic infection over all in AIDS (not necessarily disseminated) PCP (pneumocistis carini pneumoniae
What is the most common ovarian malignancy Serous Cystademona
What is the most common ovarian tumor Hamartoma
What in the most common pancreatic tumor Adeno
what is the most common pt to present with ALL Child
What is the most comon pt to present with CLL Adult over 60
What is the most common pt to present with AML Adult Over 60
What is the most common pt to present with CML Adult 35-50
What is the most common pt to present with Goodpasteurs Young Male
What is the most common pt to present with reiters Male
What ist he most common pituitary tumor Prolactinoma (2nd somatotropic "acidophilic" adenoma)
What is the most common primary hyperparathyroidism Adenomas (then hyperplasia then carcinoma)
What is the most common pt with hodkins YOung Male (except nodular scelrosis type then Female)
What is the most common pt with minimal change disease Young Child
What ist he most common secondary hyperparathyoidism Hypocalcemia of chronic renal failure
What is the most common sexually trasmitted infection Chlamydia
What is the most common site of diverticula Sigmoid Colon
What is the most common site of metastaiss Regional Lymph Node
What is the 2nd most common site of mestatsasis Liver
What is the most common site of atherosclerosis Abdominal Aorta>Coronary> Popliteal> carotid
What is the most common skin cancer Basal Cell Carcinoma
what is the most common stomach cancer Adeno
what ist he most comon testicular tumor Seminoma
what is the most common thyroid cancer Papillary Carcinoma
what ist he most common tracheoesophageal fistula Lower esophagus joins trachea/ upper esophagus blind pouch
What is the most common tumor of infancy Hemangioma
What is the most common type of hodgkins Mixed Cellularity (versus lympocytic predominance, lymphocytic depletion, nodular sclerosis)
What is the most common tpe of non hodgkins Follicular Small Cleaved
What ist he most common vasculitis of medium and small arteries Temporal Arteritis
What ist he most common viral encephalitis HSV
What is the most comon worm infeciton in the US PInworm (2nd is Ascaris)
Albumino-Cytologic Dissociation is a hallmark finding in what Guillain-Barre (markedly increased protein in CSf with only modest increase in cell count)
Created by: smaxsmith