Science Quiz / Internal Medicine COMAT- Rheum, MSK, Neuro

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Can you name the Internal Medicine COMAT- Rheum, MSK, Neuro?

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X Xxx
55 year old male presents with slowly progressive weakness in his left upper extremity and later his right, associated with fasciculations and atrophy, but without bladder disturba
5 A's of Guillain-Barre Syndrome
SLE can cause a + VDRL or ____ test.
4 D's of posterior circulation stroke
______ fracture: Diaphyseal fracture of the radius with dislocation of the distal radioulnar join. Results from a direct blow to the radius.
Oral _______ are associated with an increased risk of tendon rupture and tendinitis.
A significant difference between the gait abnormalities of Parkinson's and that of NPH is preservation of _______ in NPH.
In the United States, macular ________ is the leading cause of permanent bilateral visual loss in the elderly.
If you see infantile spasms in the setting of a hypopigmented lesion on the child's trunk, consider _______
_____ glaucoma headaches are triggered by darkness due to pupillary dilation.
______ syndrome: characterized by RA, splenomegaly, and neutropenia.
Bowel or bladder dysfunction, impotence, and saddle-area anesthesia are consistent with ________ syndrome, which is a surgical emergency.
For optic neuritis, give ____, not oral corticosteroids.
_______ endocarditis: Noninfectious vegetations often seen on the mitral valve in association with SLE and antiphospholipid syndrome.
Beware of _____ artery entrapment in supracondylar humerus fracture.
CREST syndrome
If a patient presents with an episode of lip smacking associated with an impaired level of consciousness and followed by confusion, think ____ seizures
SLE and RA both affect the MCP and PIP joints, the difference is that ____ is nondeforming.
Most common benign bone tumor
If a 30-year old female complains of headaches at the end of the day that worsen with stress and improve with relaxation or massage, think ______ headache
______ palsy with pupillary involvement is associated with berry aneurysms.
Hydroxychloroquine causes _____ toxicity.
_____ tumor of bone: a female 20-40 years of age presenting with knee pain and a mass along with a 'soap-bubble' appearance on x-ray in the epiphyseal/metaphyseal region of long bo
If a male infant is brought to the hospital with muscular jerks and an uncle who had the same problem, think infantile spasms (_______ syndrome)
If a 25-year old male wakes up repeatedly during the night with unilateral periorbital pain associated with ipsilateral lacrimation, think _____ headache.
X Xxx
MS classic triad: scanning speech, intranuclear ophthalmoplegia, and _______
Volkmann's contracture of the wrist and fingers is caused by compartment syndrome, which can be associated with __________ humerus fractures.
Symptoms of increased ICP
Most common primary CNS tumors in children
Keratoconjunctivitis sicca secondary to Sjogren's syndrome is a common ocular manifestation of _____
In a child with gout and inexplicable injuries, consider ______ syndrome
Artificial life support can be discontinued only after _____ physicians have declared the patient legally brain dead
'CHANGes' in MCA stroke
____ arthritis: can see, can't pee, can't climb a tree (uveitis, urethritis, arthritis)
Rule out vertebral artery ______ in those with persistent headache or neck pain and intermittent isolated dizziness or vertigo.
______ inhibits neutrophil chemotaxis and is most effective when used early during a gout flare. It can cause diarrhea and bone marrow suppression (neutropenia).
If a patient presents with progressive jerking of successive body regions and hallucinations but without loss of consciousness, think _____ seizures.
A 'blown pupil' suggests impending brainstem ____
____ is the third most common cause of death and the leading cause of major disability in the United States.
______ nodes: PIP enlargement
If a 43 year old male patient presents with a sudden onset of chorea, irritability, and antisocial behavior and his father experienced these symptoms at a slightly older age, think
Repetitive nerve stimulation reveals a characteristic incremental response in Lambert-Eaton myasthenic syndrome but shows a decremental response in _______
_____ nodes: DIP enlargement
Most common primary CNS tumors in adults
Gout crystals appear _____ when parallel to the condenser.
The _____ joint is spared in RA but is involved in OA
Open angle glaucoma generally occurs bilaterally, but ______ glaucoma occurs unilaterally
If a 20-year old female develops headaches after drinking red wine, think ______
_____ sarcoma: a child 10-20 years of age with a multilayered 'onion-skinning' finding on x-ray in the diaphyseal regions of the femur.
'MAKE SAH' Conditions associated with berry aneurysms

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