2nd Exam

Question 1

Granulomas are seen with:

Answer 1

T-cell mediated vasculitis, (granulomatous inflammation with Termporal Aretritis), Wegener’s Granulomatosis, Churg-Strauss syndrome, NOT RF!

Question 2

Inc ESR seen with:

Answer 2

systemic vasculitits, temporal arteritis,

Question 3

Segmental diseases:

Answer 3

temporal arteritis, polyarteritis nodosa

Question 4

polymyalgia rheumatica is assoc w:

Answer 4

temporal arteritis

Question 5

Nodular diseases:

Answer 5

temporal arteritis, polyarteritis nodosa, Churg-Strauss syndrome, RF, lymphadenopathy, nodular sclerosis Hodgkin’s Disease,

Question 6

Diseases that involve immune complexes:

Answer 6

polyarteritis nodosa, systemic vasculitis, H-S Purpura

Question 7

D. assoc w Hep B:

Answer 7

polyarteritis nodosa

Question 8

PMN infiltrate is seen with:

Answer 8

polyarteritis nodosa, H-S purpura, sinusitis, whooping cough

Question 9

neuropathy is related to:

Answer 9

polyarteritis nodosa, Churg-Strauss

Question 10

Is kidney d. in polyarteritis nodosa due to glomerulonephritis or arteritis?

Answer 10

arteritis

Question 11

D.’s that present with GI issues:

Answer 11

PAN, H-S Purpura,

Question 12

purple skin lesions, assoc with:

Answer 12

PAN, RF (erythema marginatum)

Question 13

ANCA related vascuolopathies

Answer 13

Wegener’s granulomatosis, Microscopic polyangitis, Churg-Strauss syndrome

Question 14

c-ANCA, Abs against:

Answer 14

proteinase 3

Question 15

p-ANCA, Ab’s against:

Answer 15

myeloperoxidase

Question 16

Involve polyangitis:

Answer 16

Microscopic polyangitis, Wegener’s Granulomatosis,

Question 17

Necrotizing vasculitis:

Answer 17

Wegener’s Granulomatosis, H-S Purpura

Question 18

Is kidney d. in Wegener’s Granulomatosis glomerular or related to arteritis?

Answer 18

glomerular

Question 19

Crescentic, RPGN, pauci-immune, all related to:

Answer 19

Wegener’s Renal Disease

Question 20

Eosinophils prominent:

Answer 20

Churg-Strauss syndrome, Hodgkin’s Disease,

Question 21

Prodromes:

Answer 21

Churg-Strauss syndrome, Whooping cough, viral myocarditis

Question 22

Common cause of death with Churg-Strauss syndrome:

Answer 22

myocarditis

Question 23

D’s that may have renal involvement:

Answer 23

H-S Purupura, PAN, Wegener’s Granulomatosis, Multiple myeloma

Question 24

D’s that can be vascular or extravascular:

Answer 24

Wegene’s Granulomatosis, Chrug-Strauss syndrome

Question 25

Related to URI:

Answer 25

H-S purpura (esp strep infection), Otitis media, laryngitis,

Question 26

Proteinuria:

Answer 26

H-S Purpura

Question 27

Inc Serum IgA:

Answer 27

H-S Purpura, Multiple Myeloma

Question 28

Related to Leukoclastic vacsulitis:

Answer 28

H-S Purpura

Question 29

Organism connected to Otitis Media and acute Sinusitis:

Answer 29

strep pneumonia, H. influenza, Moraxella (sinusitis: also allergic rhinitis, oral infection, obstruction of ostia)

Question 30

Etiology of chronic sinusitis:

Answer 30

anaerobes like bacteroides

Question 31

Reactive:

Answer 31

nasal polyps, nodular sclerosis Hodgkin's Disease,

Question 32

Homer-Wright rosettes are assoc. w.:

Answer 32

Olfactory Neuroblastoma

Question 33

hyperplasia is related to:

Answer 33

singer's nodes, NOT HEART!

Question 34

Acute bronchitis, bacterial or viral?

Answer 34

viral, influenza, adenovirus

Question 35

exotoxins are related to:

Answer 35

whooping cough/ bordetella pertusis,

Question 36

murmurs are related to:

Answer 36

RF, mitral stenosis

Question 37

Endocarditis is related to:

Answer 37

Infective: mitral stenosis

Question 38

Related to strep infections:

Answer 38

H-S Purpura, RF,

Question 39

Stenosis is related to:

Answer 39

RF, acute or chronic, age

Question 40

Jones Criteria is related to:

Answer 40

RF

Question 41

3 parts of Jones Criteria:

Answer 41

inflammation w rheumatic component, heart disease, recent GAS infection

Question 42

3 parts of Jones Criteria:

Answer 42

inflammation w rheumatic component, heart disease, recent GAS infection

Question 43

Arrythmia, EKG abnormalities, related to:

Answer 43

RF,

Question 44

Arrythmia, EKG abnormalities, related to:

Answer 44

RF, mitral stenosis, dilated cardiomyopathy, myocarditis, hypertrophic cardiomyopathy, Arrhythmogenic RV Cardiomyopathy

Question 45

CHF related to:

Answer 45

RF, atrial fibrillation, dilated cardiomyopathy, myocarditis, hypertrophic cardiomyopathy

Question 46

Fibrinoid necrosis is related to:

Answer 46

RF

Question 47

Giant cells are related to:

Answer 47

RF, myocarditis

Question 48

Signature lesion of RF:

Answer 48

mitral stenosis

Question 49

Inc L atrial P:

Answer 49

RF,

Question 50

nidus of IE:

Answer 50

fibrin deposition

Question 51

Malignant diseases assoc w NBTE:

Answer 51

adenocarcinomas of pancreas, GI tract, and lung

Question 52

Affect normal valves:

Answer 52

acute IE and NBTE

Question 53

Endocarditis most likely to give rise to emboli:

Answer 53

NBTE, non-destructive often

Question 54

L-ven hypertrophy is related to:

Answer 54

CHF, aortic stenosis

Question 55

Angina is related to:

Answer 55

aortic stenosis, fixed coronary obstruction

Question 56

Most common heart tumor in adults:

Answer 56

cardiac myxoma

Question 57

Acutre phase reactants:

Answer 57

cardiac myxoma

Question 58

Related to embolism:

Answer 58

cardiac myxoma

Question 59

Lymphoplasmacytoid Lymphoma

Answer 59

Waldenstrom’s Macroglobulinemia

Question 60

plasma cell dyscrasia, MGUS:

Answer 60

IgA or IgG producing

Question 61

Lymphoid neoplasm, MGUS:

Answer 61

IgM producing

Question 62

When to do SPEP:

Answer 62

whenever a monoclonal serum protein is uspected

Question 63

m protein in seurm:

Answer 63

MGUS, MM,

Question 64

Rouleau is related to:

Answer 64

MM

Question 65

Bence-Jones Proteins:

Answer 65

mm

Question 66

Beriberi is related to:

Answer 66

dilated cardiomyopathy