USMLE REVIEWED QUESTIONS AND
ANSWERS
Abdominal pain, ascites, hepatomegaly, (also high D dimer,
CHF without JVD) - CORRECT ANSWER-Budd-Chiari
syndrome
Achilles tendon xanthoma - CORRECT ANSWER-Familial
hypercholesterolemia
Adrenal hemorrhage, hypotension, DIC - CORRECT ANSWER-
Waterhouse-Friderichsen syndrome (meningococcemia)
Arachnodactyly, lens dislocation, aortic dissection, hyperflexible
joints - CORRECT ANSWER-Marfan's (fibrillin defect)
Athlete with polycythemia - CORRECT ANSWER-
Erythropoietin injection
Back pain, fever, night sweats, weight loss - CORRECT
ANSWER-Pott's (TB to the vertebrae)
Bilateral hilar adenopathy, uveitis - CORRECT ANSWER-
Sarcoid
Blue sclera - CORRECT ANSWER-Osteogenesis imperfecta
,Bluish line on gingiva - CORRECT ANSWER-Burton's line -
lead poisoning
Bone pain, bone enlargement, arthritis, (also increased hat
size, fracture, increased alk phos) - CORRECT ANSWER-
Paget's
Bounding pulses, diastolic hear murmur, head bobbing -
CORRECT ANSWER-Aortic regurg
Café-au-lait spots, Lisch nodules - CORRECT ANSWER-NF (1
= optic glimoas and pheo, 2 = acoustic Schwannomas)
Café-au-lait spots, polyostotic fibrous dysplasia, precocious
puberty - CORRECT ANSWER-McCune-Albright syndome (G
protein problem)
Calf pseudohypertrophy - CORRECT ANSWER-Duchenne's
muscular dystrophy
Cherry-red spot on macula - CORRECT ANSWER-Tay-Sachs,
Niemann-Pick, central retinal artery occlusion
Chest pain, pericardial effusion/friction rub, persistent fever
following MI - CORRECT ANSWER-Dressler's (autoimmune
post-MI)
Child uses arms to stand up from squat - CORRECT
ANSWER-Gower's sign (Duchenne's)
Child with fever develops red rash on face that spreads to body
- CORRECT ANSWER-Slapped cheek - B19
Chorea, dementia, caudate degeneration - CORRECT
ANSWER-Huntington's
, Chronic exercise intolerance with myalgia, fatigue, painful
cramps - CORRECT ANSWER-McArdle's (muscle
phosphorylase deficiency)
Cold intolerance - CORRECT ANSWER-Hypothyroidism
Conjugate lateral gaze palsy, horizontal diplopia - CORRECT
ANSWER-Internuclear ophthalmoplegia (MS or stroke)
Continuous machinery heart murmur - CORRECT ANSWER-
PDA
Cutaneous/dermal edema due to CT expansion - CORRECT
ANSWER-Myxedema
Dark purple skin / mouth nodules - CORRECT ANSWER-
Kaposi's sarcoma
Deep, labored breathing / hyperventilation - CORRECT
ANSWER-Kussmaul breathing, DKA
Dermatitis, dementia, diarrhea - CORRECT ANSWER-Pellagra
(B3 / niacin deficiency)
Dilated cardiomyopathy, edema, polyneuropathy - CORRECT
ANSWER-Wet beriberi (B1 / thiamine deficiency)
Dog or cat bite resulting in infection - CORRECT ANSWER-
Pasteurella multocida (local cellulitis)
Dry eyes, dry mouth, arthritis - CORRECT ANSWER-Sjogren's
syndrome
Dysphagia (esophageal webs), glossitis (smooth tongue), iron
deficiency anemia - CORRECT ANSWER-Plummer-Vinson
syndrome
