48 PANCE Medical Syndrome Questions 150605

Question 0

This patient presents with mouth sores, skin rashes, uveitis, arthralgia, small vessel vasculitis, and confusion leading you to a diganosis of ____.

Answer 0

Behcet’s Syndrome

Question 1

A patient presents with irregular periods, pain during menstruation, repeated miscarriage, infertility and endometrial adhesions leading you to a diagnosis of ____.

Answer 1

Asherman’s Syndrome

Question 2

A patient presents with loss of pain and temperature sensation on contralateral side of body and loss of proprioception and discriminatory touch on the ipsilateral side of the body leading you to a diagnosis of ____.

Answer 2

Brown-sequard Syndrome

Question 3

A patient presents with burning sensation in the chest, food regurgitation, weight loss and a history of GERD leading you to suspect ____.

Answer 3

Barret’s Syndrome (Esophagus)

Question 4

A patient presents with Mackler’s triad and excruciating retrosternal chest pain after an episode of straining leading you to suspect ____.

Answer 4

Boerhaaves Syndrome

Question 5

A patient presents with a classic triad of abdominal pain, ascites, and hepatomegaly and evidence of hepatic vein thrombosis leads you to suspect ____.

Answer 5

Bud-chiari Syndrome

Question 6

A patient presents with diarrhea, flushing, ascites, and bronchospasm with elevated urine 5HIAA, elevated serum Serotonin and Kallikrein leading you to suspect ____.

Answer 6

Carcinoid Syndrome

Question 7

A patient presents numbness and tingling in the first three and a half digits with a history of hypothyroidism leading you to suspect _____.

Answer 7

Carpal Tunnel Syndrome

Question 8

This syndrome also goes by the name of eosinophilic granulomatosis with polyangiitis which occurs in three stages, allergic stage, eosinophilic stage and vasculitic stage suggesting ____.

Answer 8

Churg-strauss Syndrome

Question 9

An inherited disorder affecting the conjugation of bilirubin that lethargy, jaundice and confusion. Biopsy and serum bilirubin testing may suggest ____.

Answer 9

Crigler-Najjar Syndrome

Question 10

A patient presents with abdominal obesity, thinning skin, poor wound healing, proximal muscle weakness, hypertension, buffalo hump, moon facies and elevated serum cortisol levels suggest a diagnosis of ____.

Answer 10

Cushing’s Syndrome

Question 11

Deletion of a portion of the 22nd chromsome resulting in cleft palette, tetrology of Fallot and failure to thrive should make you think of ____.

Answer 11

Digeorge Syndrome

Question 12

A genetic mutation that causes short ears, hypotonia, large tongue, epicanthal folds, mental retardation and a Karyotype that reveals trisomy 21 suggests a diagnosis of ____.

Answer 12

Down Syndrome

Question 13

An asymptomatic syndrome that is autosomal recessive and causes elevation serum bilirubin without elevation of LFTs suggests ____.

Answer 13

Dubin-johnson Syndrome

Question 14

Patient is born with a small, abnormally shaped head, MR and a karyotype that has trisomy 18 suggests ____.

Answer 14

Edward’s Syndrome

Question 15

Connective tissue disorder and a patient presenting with stretchy skin, hx of osteoarthritis, and valvular heart disease suggests a diagnosis of ____.

Answer 15

Ehlers-danlos Syndrome

Question 16

Symptoms of polyuria, polydipsia, dehydration and growth retardation due to proximal renal tubule disease that inhibits reabsorption of glucose, amino acids, uric acid, phosphate and bicarbonate suggests ____.

Answer 16

Fanconi Syndrome

Question 17

A patient presents with symptoms of arthralgias, morning stiffness, splenomegaly and neutropenia suggesting a diagnosis of ____.

Answer 17

Felty’s Syndrome

Question 18

A patient presents with abdominal pain aggravated by breathing that radiates to the right shoulder with a history of pelvic inflammatory disease suggesting a diagnosis of ____.

Answer 18

Fitz-hugh-curtis Syndrome

Question 19

An infant arrives at the clinic that demonstrates below average height/weight, low birth weight, developmental delay, smooth philtrum, and congenital heart defects suggesting a diagnosis of ____.

Answer 19

Fetal Alcohol Syndrome

Question 20

A peripheral nervous system disorder that starts with weakness at the extremities spreading towards the trunk suggests a diagnosis of ____.

Answer 20

Guillain-barre Syndrome

Question 21

Also known as anti-glomerular basement antibody disease, a patient may present with hematuria, hemoptysis, and shortness of breath due to lung and kidney injury leading you to a diagnosis of ____.

Answer 21

Goodpasture’s Syndrome

Question 22

Miosis, Ptosis, anhirdosis, on the same side as the lesion suggests a diagnosis of ____.

Answer 22

Horner’s Syndrome

Question 23

A patient comes in with chronic or recurrent abdominal discomfort along with either predominantly diarrhea or constipation leading you towards a diagnosis of ____.

Answer 23

Irritable Bowel Syndrome

Question 24

A patient presents with chronic upper and lower respiratory tract infections in conjunction with sinus congestion, otorrhea and sterility in males suggesting a diagnosis of _____.

Answer 24

Kartagner's Syndrome

Question 25

A patient presents with hypogonadism, sterility, low energy, lean body, developed breat tissue, with a karyotype of 47, XXY suggesting a diagnosis of ____.

Answer 25

Klinefelter's Syndrome

Question 26

This patient presents with short term memory loss and difficulty learning new information with a tendency to confabulate leading you to draw a thiamine level which is decreased suggesting a diagnosis of ____.

Answer 26

Korsakoff Syndrome

Question 27

This patient presents with proximal muscle weakness that makes climbing stairs and rising from sitting extremely difficult. The patient does report that stength improves with repeated testing.

Answer 27

Lambert-eaton Syndrome

Question 28

Patient reports palpitations, lightheadedness and SOB with an EKG suggesting atrioventricular re-entrant tachycardia suggesting a diagnosis of ____.

Answer 28

Lown-ganong-levine syndrome

Question 29

A patient presents with a medical history that seems inconsistent and dramatic and you suspect that they are here for second gain leading you to a diagnosis of _____.

Answer 29

Munchausen Syndrome

Question 30

A tall skinny basketball player has incidental findings of heart valve defects and aortic aneurism suggesting a diagnosis of ____.

Answer 30

Marfan Syndrome

Question 31

A patient with a history of lung cancer comes to you with severe sholder pain radiating to the axilla with upper extremity atrophy and horner's syndrome suggesting a diagnosis of ____.

Answer 31

Pancoast Syndrome

Question 32

A young patient has a history of multiple polyps of the stomach and intestines during childhood with a high risk of developing cancers of GI tract, pancreas, cervix, ovary and breast leading you to the diagnosis of ____.

Answer 32

Peutz-jeghers Syndrome

Question 33

This child presents with a several day history of rash, hyperventilation, and confusion several days after having been given aspirin during a viral illness leading you to a diagnosis of ____.

Answer 33

Reye's Syndrome

Question 34

This patient comes in with several month history of joint pain, red eyes and painful urination leading you to a diagnosis of ____.

Answer 34

Reiter's Syndrome

Question 35

A patient comes in with irresistable sensations of having to move her legs while reading or trying to sleep suggesting a diagnosis of ____.

Answer 35

Restless Leg Syndrome

Question 36

A young infant presents to the hospital with lesions of bullous impetigo, erythema and redness over most the body and you suspect a complication of staphylococcal infection known as ____.

Answer 36

Scalded Skin Syndrome

Question 37

A patient comes into the clinic complaining of dry eyes, dry mouth, dry skin and joint pain prompting you to add ____ to your differential.

Answer 37

Sjogren's Syndrome

Question 38

A female comes in with irregular periods, hirsutism, acne, dark skin markings and male pattern baldness swaying you towards a diagnosis of ____.

Answer 38

Stein-levanthal syndrome, Polycystic Ovarian Syndrome

Question 39

A patient with a history of depression comes in agitated, confused, tachycardic, shivering and with dilated pupils suggesting a diagnosis of ____.

Answer 39

Serotonin Syndrome

Question 40

A patient comes in with symptoms of lightheadedness, fatigue, shortness of breath and repeated episodes of unexplained syncope leading you to a diagnosis of _____.

Answer 40

Sick sinus syndrome

Question 41

This patient presents with swelling of the face and tongue with a blistering red rash and painful shedding of skin. He reports recent medication changes leading you to worry about a life-threatening diagnosis of _____.

Answer 41

Steven-Johnson Syndrome

Question 42

A patient with a history of lung cancer, tuberculosis and syphilis presents with SOB, HA, JVD, and facial and upper extremity edema making you suspicious for ____.

Answer 42

Superior Vena Cava Syndrome

Question 43

This patient presents with fatigue, chest pain, shortness of breath, extremity weakness/pain, joint pain and syncope. MRA reveals a large vessel vasculitis leading you to conclude the patient has ____.

Answer 43

Takayasu's Syndrome

Question 44

I say fever, hypotension, elevated white count and tampon, then you say ____.

Answer 44

Toxic Shock Syndrome

Question 45

This female patient comes in with a short webbed neck, short stature, obesity, broad chest and widely spaced nipples along with infertility and amenorrhea. You are not surprised that karyotyping reveals 45X, a missing X chromsome. You are absolutely convinced she has ____.

Answer 45

Turner Syndrome

Question 46

This dude comes into the hospital with palpitations and dizziness. EKG reveals an SVT of the atrioventricular reciprocating type along with some fairly diagnostic delta waves. You impress the on call cardiologist by correctly diagnosing ____.

Answer 46

Wolff-Parkinson White Syndrome

Question 47

This patient arrives in your clinic with a long history of peptic ulcer disease and reflux. You correctly order ____ to confirm your diagnosis of ____.

Answer 47

Gastrin, Zollinger-Ellison Syndrome