COMQUEST Wrongs 2.0 Flashcards

1
Q

signs and symptoms of Waardenburg syndrome?

A
  • deafness
  • hypopigmented irises (blue)
  • white forelock
  • flat nasal bridge
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2
Q

what is the genetic karyotype of Turner syndrome?

A

45, XO

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3
Q

signs and sx of Turner syndrome?

A
  • webbed neck or swollen hands and feet (lymphedema)
  • short stature
  • primary amenorrhea
  • high-arched palate
  • coarctation of aorta
  • shield chest with wide spaced nipples
  • excessive nevi
  • low hairline
  • pubic hair but no breasts (androgens but no estrogen due to no ovaries)
  • streak ovaries
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4
Q

newborn with dismorphic featrues and a “mewing” cry

A

Cri-du-chat

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5
Q

2-4 years of age, coarse facies, NO CORNEAL CLOUDING, short stature, skeletal abnormalities, hepatosplenomegaly, hearing loss, retinal degeneration, mental retardation

A

Hunter syndrome

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6
Q

born normal. sx develop over 1st year of life. coarse facies, corneal clouding, protuberant tongue,inguinal hernias, hepatomegaly, heart disease, kidney disease, skeletal deformities, developmental delay

A

Hurler syndrome

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7
Q

Microcephaly with holoprosencephaly, cleft lip/palate, cutis aplasia, microopthalmia, omphalocele, postaxial polydactyly, rocker bottom feet, cardiac defects,(patent ductus areteriosus, ventricular septal defect, atrial septal defect, dextrocardia)

A

Patau syndrome

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8
Q

What are the signs and sx of Tay Sachs?

A

a child born normal, then in months 4-5 of life who develops:

  • progressive neurologic delay in the absence of hepatosplenomegaly
  • exaggerated response to sound
  • cherry red spot in retina
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9
Q

signs and sx of Neimann-Pick disease?

A

normal at birth, but areound 3 months of age develop:

  • hepatosplenomegaly
  • cherry red retinal spots

after 3 months:

  • failure to thrive
  • respiratory tract infections
  • irritability

age 6:

  • hypotonia
  • spasticity, rigidity, unable to react with environment
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10
Q

signs and sx of Kawasaki Disease?

A
  • HIGH temp of 104 or higher
  • rash on trunk
  • cervical lymphadenopathy
  • red palms and soles, swollen hands and feet
  • bright red mouth
  • dry cracked lips
  • conjunctivitis
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11
Q

complication opf kawasaki disease?

A

coronary artery aneurysm–> heart attack

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12
Q

treatment of kawasaki disease?

A
  1. aspirin or tylenol for inflammation
  2. IVIG to prevent coronary artery aneurysms
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13
Q

Signs and sx of Goodpasture syndrome?

A
  • pulmonary alveolar hemorrhage (hemoptysis)
  • acute glomerulonephritis (hematuria)
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14
Q

Pathology of Goodpasture syndrome?

A

anti-glomerular basement membrane (IgG) antibodies

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15
Q

What are the signs and sx of Berger’s syndrome?

A

recurrent episodes of hematuria, often starting within a day or two of an URI

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16
Q

What is the pathogenesis of BErger’s syndrome?

A

deposition of IgA on capillary surfaces

17
Q

Signs and sx of Granulomatosis with Polyangiitis (Wegner’s)?

A
  • necrotizing granulomatous inflammation and small and medium vessel vasculitis
  • upper airway abnormalities: saddle nose deformity
  • lung involvement: hemoptysis
  • renal involvement: hematuria
18
Q

Pathology of Granulomatosis with Polyangiitis?

A

deposition on small vessels of anti-neutrophil cytoplasmic antibodies (ANCA)

19
Q

Signs and sx of Compliment (C6, C7, C8) deficiency?

A

repeated infections with encapsulated bacteria, especially neisseria meningitidis;

C5-9 MAC ATTACK

20
Q

Signs and sx of chronic granulomatous disease?

A

frequent infections with abscess formation (Staph skin infections), osteomyelitis

cant get rid of catalase+ organisms

21
Q

albino skin, ocular albinism, and frequent infections:

A

Chediak-Higashi syndrome

(abnormal natural killer cell function)

22
Q

regular (~21 days) fever, aphthous ulcer, stomatitis, and pharyngitis corresponding to periods of neutropenia

A

cyclic neutropenia

23
Q

delayed umbilical cord separation, chronic skin infections without pus formation, and leukocytosis

A

Leukocyte-adhesion deficiency

24
Q

family history of multiple males hospitalized or died as children,pt has recurrent severe infections with encapsulated organisms, tonsils and adenoids absent

A

X-linked “Bruton” agammaglobulinemia