9/16/12 c Flashcards

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1
Q

The less a woman _______ in her lifetime, the lower her chance of developing ovarian cancer.

A

ovulates

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2
Q

What are the neoplastic cells in multiple myeloma? What is secreted by these cells?

A

B-cells –> plasma cells; Ig (or Ig light chain)

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3
Q

What are the effects of multiple myeloma on other blood cells? MSK? Kidneys?

A

normocytic normochromic anemia;
lytic bone lesions –> back pain, path. fractures;
kidney failure due to hypercalcemia and AL amyloid

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4
Q

What are the findings of multiple myeloma in the peripheral blood smear?

A

erythrocyte roleaux formation

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5
Q

What are the classic findings of multiple myeloma in the urine?

A

Bence-Jones protein

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6
Q

What is Bence-Jones protein (makes up AL amyloid)?

A

Ig light chains

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7
Q

What 2 diseases can AL amyloidosis indicate?

A

multiple myeloma or Waldenstrom’s macroglobulinemia

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8
Q

What are the neoplastic cells in Waldenstrom’s macroglobulinemia? What is secreted by these cells?

A

B-cells; IgM

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9
Q

Pt w/ hematologic malignancy presents with facial/periorbital pain, headaches, and purulent nasal discharge. Biopsy of paranasal sinus shows fungi w/ broad, non-septate hyphae branching at wide angles. Dx? Tx?

A

Mucormycosis. Amphotericin B and debridement.

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10
Q

Smoking most greatly increases the risk of developing _______, the #1 killer of the asbestos-exposed population.

A

bronchogenic carcinoma

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11
Q

Asbestosis is characterized by the development of fibrocalcific plaques in the _______.

A

parietal pleura

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12
Q

What are asbestos bodies composed of?

A

asbestos fibers coated with a protein-iron matrix

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13
Q

What is the most common primary cardiac tumor in children?

A

rhabdomyoma

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14
Q

What are the 2 dominant cardiac anomolies in DiGeorge syndrome?

A

ToF; aortic arch anomalies

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15
Q

What cardiac condition is sometimes associated w/ Friedreich’s ataxia?

A

hypertrophic cardiomyopathy

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16
Q

What is the most common CV complication of ankylosing spondylitis?

A

ascending aortitis –> aortic valve ring expansion –> aortic regurg

17
Q

What causes vitiligo?

A

loss of melanocytes, likely autoimmune

18
Q

What is the defect in albinism?

A

inability of melanocytes to produce melanin d/t defective tyrosinase