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NBME FIRST AID RAPID REVIEW CLINICAL PRESENTATION (2024 version) Latest Update Questions and 100% Verified Correct Answers Actual Exam Guaranteed A+$20.49
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"Boot-shaped" heart on x-ray - CORRECT ANSWER: Tetralogy of Fallot (due to RVH)
"Brown" tumor of bone - CORRECT ANSWER: Hyperparathyroidism or osteitis fibrosa
cystica (deposited hemosiderin from hemorrhage gives brown color)
"Butterfly" facial rash and Raynaud phenomenon in a young female - CORRECT
ANSWER: Systemic lupus erythematosus
"Cherry-red spots" on macula - CORRECT ANSWER: Tay-Sachs (ganglioside
accumulation) or Niemann-Pick (sphingomyelin accumulation), central retinal artery
occlusion
"Chocolate cyst" of ovary - CORRECT ANSWER: Endometriosis (frequently involves
both ovaries)
"Delta wave" on EKG, short PR interval, supraventricular tachycardia - CORRECT
ANSWER: Wolf-Parkinson-White syndrome (Bundle of Kent bypasses AV node)
"Hair on end" ("Crew-cut") appearance on x-ray - CORRECT ANSWER: β -thalassemia,
sickle cell disease (marrow expansion)
,"Honeycomb lung" on x-ray or CT - CORRECT ANSWER: Interstitial pulmonary fibrosis
"Lead pipe" appearance of colon on abdominal imaging - CORRECT ANSWER:
Ulcerative colitis (loss of haustra)
"Lumpy bumpy" appearance of glomeruli on immunofluorescence - CORRECT
ANSWER: Poststreptococcal glomerulonephritis (due to deposition of IgG, IgM, and C3)
"Nutmeg" appearance of liver - CORRECT ANSWER: Chronic passive congestion of
liver due to right heart failure or Budd-Chiari syndrome
"Onion skin" periosteal reaction - CORRECT ANSWER: Ewing sarcoma (malignant
small blue cell tumor)
"Soap bubble" in femur or tibia on x-ray - CORRECT ANSWER: Giant cell tumor of bone
(generally benign)
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