First Aid Rapid Review Week 3

Front 1

pupil accomodates but doesn't react

Back 1

argyll robertson (neurosyphilis)

Front 2

rapidly progressive lef wekaness that ascends (following GI/upper respiratory infection)

Back 2

Guillain-Barre syndrome (autoimmune acute inflammatory demylenating polyneuropathy)

Front 3

rash on palms and soles

Back 3

Coxsackie A, secondary syphilis, rocky mountain spotted fever

Front 4

recurrent colds, unusual eczema, high serum IgE

Back 4

hyper IgE synrome (Job's syndrome: neutrophil chemotaxis abnormality)

Front 5

red "currant jelly" sputum in alcoholic or diabetes patients

Back 5

klebsiella pneumoniae

Front 6

red, itchy, swollen rash of nipple/areola

Back 6

paget's disease of the breast (represent underlying neoplasm)

Front 7

red urine in he morning, fragile RBCs

Back 7

paroxysmal nocturnal hemoglobinuria

Front 8

renal cell carcinoma (bilateral), hemangioblastomas, angiomastosis, pheochromocytoma

Back 8

van hippel-lindau disease (dominant tumor suppressor gene mutation)

Front 9

resting tremor, rigidity, akinesia, postural instability

Back 9

parkinson's disease (nigrostriatal dopamine depletion)

Front 10

retinal hemorrhages with pale centers

Back 10

roth's spots (bacterial endocarditis)

Front 11

severe jaundice in neonate

Back 11

Crigler-Najjar syndrome (congenital unconjugated hyperbilirubinemia)

Front 12

severe RLQ pain with rebound tenderness

Back 12

McBurney's sign (appendicitis)

Front 13

short stature, inc incidence of tumors/leukemia, aplastic anemia

Back 13

fanconi's anemia (genetic loss of DNA crosslink repair; often progress to AML)

Front 14

single palm crease

Back 14

down syndrome

Front 15

situs inversus, chronic sinusitis, bronchiesctasis, infertility

Back 15

Kartagener's syndrome (dynein arm defect affecting ciliar)

Front 16

skin hyperpigmentation

Back 16

addison's disease (primary adrenocortical insufficiency causes inc ATCH and slpha-MSH production

Front 17

slow, progressive muscle weakness in boys

Back 17

becker's muscular dystrophy (X-linked missense mutation in dystrophin; less severe than duchenne's

Front 18

small, irregular red spots on buccal/lingual mucosa with blue-white centers

Back 18

koplik spots (measles; rubeola virus)

Front 19

smooth, flat, moist white lesions on genitals

Back 19

condylomata lata (secondary syphillis)

Front 20

splinter hemorhages in fingernals

Back 20

bacterial endocarditis

Front 21

strawberry tongue

Back 21

scarlet fever, kawasaki disease, toxic shock syndrome

Front 22

streak ovaries, congenital heart disease, horseshoe kidney, cystic hygroma at birth

Back 22

turner syndrome (45XO, short stature, webbed neck, lymphedma)

Front 23

sudden swollen/painful big toe joint

Back 23

gout/podagra (hyperuricemia)

Front 24

swollen gums, mucous bleeding. poor wound healing, spots on skin

Back 24

scurvy (vit C deficiency; can't hydroxylate proline/lysine for collagen synthesis)

Front 25

swollen hard, painful finger joints

Back 25

osteoarthritis (osteophytes on PIP (bouchard's nodes), DIP [heberden's nodules]

Front 26

systolic ejection murmur (crescendo-decrescendo)

Back 26

aortic valve stenosis

Front 27

thyroid parathyroid tumors, pheochromocytoma

Back 27

MEN 2A (autosomal dominant ret mutation)

Front 28

thyroid tumors, pheochromocytoma, ganglioneuromatosis

Back 28

MEN 2B (autosomal dominant rest mutation)

Front 29

toe extension/fanning upon planar scrape

Back 29

Babinski sign (UMN lesion)