Biochemistry
Deficiency of this vitamin can cause macrocytic anemia
WHAT IS B12/folate
If there is a murmur during this phase of the cardiac cycle, it can NEVER be normal
WHAT IS Diastole
Both hypothyroidism and THIS toxin can lead to acute heart failure from dilated cardiomyopathy
WHAT IS Alcohol
On the USMLE, patients coming from Eastern Europe, typically often have this disease
WHAT IS TB
Patients with familial hypercholesterolemia may present with this skin finding (Image 1)
WHAT IS Eruptive Xanthoma
Patients who have lung cancer, or any intrapulmonary process, can develop deficiency of this electrolyte
WHAT IS sodium
Patients with aortic stenosis will have a harsh murmur that radiates to the carotids during THIS phase of the cardiac cycle
WHAT IS Systole
Overdose with this medication can lead to fulminant liver failure
WHAT IS Acetaminophen
On the USMLE, patients returning from Africa with infectious symptoms typically have this infection
WHAT IS Malaria
This acquired dermatological condition is due to separation of the epidermal basement membrane because of the formation of antibodies. It typically looks like this (Image 2)
WHAT IS Bullous Pemphigoid
Insulin excess can cause a “shift” of this electrolyte into cells
WHAT IS potassium
This extra heart sound appears because of a hyperdynamic state. It can be normal in young people but in the elderly, it is useful to predict congestive heart failure
WHAT IS S3
A patient who presents with an anti-cholinergic syndrome and a psychiatric history. EKG shows an arrhythmia. Patient may have had an overdose of this drug and what is the antidote of choice?
WHAT IS TCA
On the USMLE, if you are from the Middle East, you are likely going to have this enzyme deficiency that can lead to hemolysis when certain foods or medications are ingested
WHAT IS G6PD
This pre-malignant skin condition is associated with sun exposure. It is associated with squamous cell carcinoma (Image 6)
WHAT IS Actinic keratosis
Deficiency of this vitamin can cause CHF
WHAT IS Vitamin B1 (thiamine)
It is normal for young people to have a splitting of this heart sound on inspiration
WHAT IS S2
This drug can be used to treat patients who overdose on morphine
WHAT IS Naloxone
On the USMLE, patients having returned from a recent trip to Arizona who present with respiratory infectious complaints, typically have this infection
WHAT IS Coccidiomycosis
This viral exanthema is from a poxvirus. It can be found in patient typically with HIV or young children. It is spread by physical contact (Image 4)
WHAT IS Molluscum Contagiosum
Metastatic prostate cancer, can cause a severe elevation of this electrolyte
WHAT IS calcium
This heart sound will never be heard if the patient has atrial fibrillation
WHAT IS S4
You can use the drug flumazanil to reverse patients who may be over treated with this class of sedating medications
WHAT IS Benzodiazepines
On the USMLE, patients who are from South America who develop conduction abnormalities (cardiac arrhythmias) typically have had this infection
WHAT IS Chagas disease
This skin condition typically occurs in the intertriginous zones of the skin and causes a hyperkeratotic, velvety-looking skin. Most commonly in association with diabetes mellitus but can also be a paraneoplastic condition (Image 5)
WHAT IS Acanthosis Nigricans