9/15/12 Flashcards

1
Q

A bicuspid aortic valve is most frequently associated w/ development of what valvulopathy?

A

aortic stenosis

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2
Q

Describe the murmur of aortic stenosis: timing, location, radiation.

A

mid-systolic ejection murmur best heard at the right second intercostal space and radiating to the neck

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3
Q

Describe the murmur of mitral stenosis: timing, location.

A

diastolic opening snap and mid-diastolicc rumble heard best at cardiac apex

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4
Q

What murmur sounds like WHOOP-dee-doo?

A

mitral stenosis

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5
Q

Chronic rejection of lung transplant resulting in fibrosis of the small airways and obstructive lung disease is referred to as _______?

A

bronchiolitis obliterans

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6
Q

Several weeks post-lung transplant, a pt. presents with dry cough, dyspnea, and fever. Histologic examination shows mononuclear infiltrates and CXR shows parenchymal infiltrates. What process is occurring?

A

acute graft rejection

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7
Q

A cystic tumor in the cerebellum, brainstem, hypothalamus, or optic pathways of a child is most likely what tumor?

A

juvenile pilocytic astrocytoma

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8
Q

What are the histological characteristics of pilocytic astrocytoma?

A

Well-differentiated spindle cells w/ hair-like projections. Associated w/ cysts. Mixed w/ Rosenthal fibers and granular eosinophilic bodies.

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9
Q

What is the most common cause of death among lung transplant recipients? (Be specific.)

A

Infection, esp. w/ CMV

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10
Q

Activation of the PTH-receptor causes osteoblasts to release what 2 factors?

A

RANK-L and M-CSF

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11
Q

Where does glioblastoma multiforme occur most often?

A

subcortical white matter

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12
Q

Posterior fossa tumor in child. Small, prroly differentiated cells with scant cytoplasm and little stroma.

A

medulloblastoma

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13
Q

What is the difference between the ependymomas of adults and children?

A

Children: usu. in 4th ventricel
Adults: usu. in spinal cord

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14
Q

What marker is usu. expressed by the processes of ependymomas?

A

GFAP

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15
Q

What tumors usu stain (+) for NSE, chromogramin, synaptophysin, and S-100, cause high urine levels of HVA and VMA, and express N-MYC? Where are they found?

A

Neuroblastomas; extracranially

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