7/29 Flashcards

1
Q

most specific sign for pyelonephritis

A

WBC casts

they’re formed only in the tubules

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2
Q

liver, lung, PAS positive

A

Alpha-1 antitrypsin deficiency!!!

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3
Q

what cardiac abnormality has an increased stroke volume, wide pulse pressure, and bounding pulses

A

aortic regurgitation

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4
Q

what is histology for medullary thyroid cancer

A

nests of polygonal cells with CONGO RED deposits

it’s a neuroendocrine tumor that arises from parafollicular C cells that secrete calcitonin

nests or sheets of polygonal or spindle-shaped cells with extracellular amyloid deposits derived from calcitonin

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5
Q

when do you see:

enlarged, rounded cells with peripherally located nuclei and dispersed finely granular Nissl substance

A

axonal reaction

it happens in the body of a neuron after an axon has been severed

it reflects increased protein synthesis that facilitates axon repair

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6
Q

how do combination OCPs treat hirsutism

A

suppress pituitary LH secretion, subsequently decreasing ovarian androgen production

“decreased androgen production”

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7
Q

how are lungs damaged in sclerosis

A

intimal thickening of pulmonary arterioles

going to show signs of R heart failure

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8
Q

what tumor shows:
Call-Exner bodies (cuboidal granulosa cells in rosette pattern with coffee bean nuclei)
yellow theca cells with lipid

grossly, a large unilateral adnexal mass with HIGH ESTROGEN and high inhibin

A

granulosa cell tumor of the ovary

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9
Q

what marker is used with:
HCC
nonseminomatous testicular carcinoma
ovarian carcinoma

A

alpha-fetoprotein

normally produced by fetal liver and yolk sac

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10
Q

what marker is used with:
gestational trophoblastic disease
germ cell tumors

A

beta-HCG

normally confirms pregnancy

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11
Q

what marker is used with:

epithelial carcinomas of the ovary

A

CA-125

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12
Q

what are the 2 highly sensitive initial tests for giant cell arteritis

A

ESR and CRP

then undergo temporal artery biopsy

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13
Q

what neuro description is used for Friedreich ataxia

A

degeneration of the spinocerebellar tracts

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14
Q

what are the skin “target lesions” called, and what are they commonly associated with

A

erythema multiforme

associated with herpes simplex virus

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