INFECTIOUS
DISEASE
CARDIOLOGY
NEUROLOGY
HEM/ONC
RHEUMATOLOGY
100

Fever + murmur + splinter hemorrhages: Diagnosis?

Infective endocarditis

100

Syncope + harsh systolic murmur + LVH:Diagnosis?

Aortic stenosis

100

Aphasia + right face/arm weakness: Affected artery?

Left MCA stroke

100

Anemia + renal failure + M-spike?

Multiple myeloma

100

MCP synovitis + anti-CCP positive?

Rheumatoid arthritis

200

AIDS + multiple ring-enhancing brain lesions:Diagnosis?

Toxoplasmosis

200

Inferior STEMI + hypotension + clear lungs + JVD:Diagnosis?

RV infarction

200

Ptosis + diplopia worsening throughout the day:Diagnosis?

Myasthenia gravis

200

Thrombocytopenia + schistocytes + normal PT/PTT?

TTP

200

Asthma + eosinophilia + neuropathy?

EGPA

300

S. aureus bacteremia + focal back pain + weakness:Diagnosis?

Spinal epidural abscess

300

MI + pulmonary edema + new apical systolic murmur:Diagnosis?

Papillary muscle rupture

300

Vertigo + hoarseness + crossed sensory loss: Diagnosis?

Wallenberg syndrome

300

Leukocytosis + basophilia + splenomegaly + t(9;22)?

CML

300

Hemoptysis + RPGN + PR3-ANCA?

GPA

400

Culture-negative endocarditis + farm-animal exposure:organism?

Coxiella burnetii

400

Syncope + short PR + delta wave:Diagnosis?

Wolff-Parkinson-White

400

Hyponatremia + faciobrachial dystonic seizures:Diagnosis?

LGI1 encephalitis

400

Thrombosis + erythrocytosis + low EPO?

Polycythemia vera

400

Proximal weakness + Gottron papules + ↑CK?

Dermatomyositis

500

Pneumonia + diarrhea + hyponatremia + relative bradycardia:organism?

Legionella

500

Wide-complex tachycardia + capture/fusion beats:Diagnosis?

Ventricular tachycardia

500

Rapid dementia + myoclonus + periodic sharp waves:Diagnosis?

CJD

500

DIC + abnormal promyelocytes + t(15;17)?

APL

500

Recurrent oral ulcers + genital ulcers + uveitis + pathergy?

Behçet disease

600

Bacteremia+ colon mass association: organism?

Streptococcus gallolyticus and Clostridium septicum

600

Post-MI shock + harsh holosystolic LSB murmur + step-up in RV O₂: Diagnosis?

Ventricular septal rupture

600

Ophthalmoplegia + areflexia + ataxia:antibody?

Anti-GQ1b

600

Hemolysis + thrombosis + pancytopenia + CD55/CD59 deficiency?

PNH

600

Pulmonary hemorrhage + GN + anti-GBM negative + MPO-ANCA positive?

Microscopic polyangiitis

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