Extra Q Flashcards
Example for Dysplasia
Cervical Intraepithelial Neoplasia
Edema=
Increased in interstitial fluid
Virchow’s triad
Hypercuagulability
Endothelail injury
Stasis
Inflammation that causes blood clot to block a vein=
Thrombophlebitis
Systemic HTN= ______ mmHg
> 140/90mmHg
Etiology of primary HTN
95% unknown
Common cause of secondary HTN
Renal artery stenosis
How does Renal artery stenosis leads to HTN
Stenosis decreases blood flow to glomeruli
Renin secretion
AT-2 raises BP
Release of Aldos.
Commonly afected by atherosclerosis
Abdominal aorta
Coronary a
Internal carotid
Popliteal
Complication of atherosclerosis 4
Stenosis
Thrombosis
Enbolism
Weakening and aneurysm
Arteriolosclerosis is devided into 2
Hyaline
Htperplastic
Htperplastic Arteriolosclerosis=
Thickening of vessel wall by hyperplasia of SMC
Calcification of the media of muscular vessels is called
Monckeberg medial sclerosis
Aortic dissection=
Intimal tear with dissection of blood through media of the aortic wall
In Polyarteritis Nodosa what types of lesions are present?
Lesions of varying stages are present.
What is the treatment for Kawasaki disease?
Aspirin
Polyarteritis Nodosa classic presentation
HTN in young adults
How does the early lesion of Polyarteritis Nodosa appear on imaging?
String on pearls
Buerger disease treatment
Stop smoking
What is Churg-Strauss Syndrome?
Necrotizing granulomatous inflammation with eosinophils involving multiple organs, especially lungs and heart
Asthma!!
In which vasculitis can we find eosinophilia?
Churg-Strauss Syndrome
In Kawasaki disease involvement of what is common and what does this usually lead to?
MI
ילד שנוסע על אופנוע זה באח יגרום לאמא שלו לחטוף התקף לבב
What is Henoch-Schönlein Purpura?
Vasculitis due to IgA immune complex deposition
What are fatty streaks?
flat yellow lesions of the intima consisting of lipid-laden macrophages
How can HTN lead to aortic dissection?
Hypertension results in hyaline arteriosclerosis of the vasa vasorum; decreased flow causes atrophy of the media.
What is hyperplasia driven by?
Breast during pregnancy
estrogen and progesterone produced by the corpus luteum
Inflammation of the breat (4)
Acute mastitis, periductal mastitis, mammary duct ectasia, fat necrosis
Breast fibrocystic change will present as what in physical exam?
Lumpy breast
For what type of fibrocystic change is there no increased risk for carcinoma?
Fibrosis, cysts, and apocrine metaplasia
For what type of fibrocystic change is there 2x increased risk for carcinoma?
Ductal hyperplasia and sclerosing adenosis
For what type of fibrocystic change is there 5x increased risk for carcinoma?
Atypical hyperplasia
What is phyllodes tumor?
Fibroadenoma-like tumor with overgrowth of the fibrous component
biopsy of phyllodes tumor histo features?
Leaf like structure
What are the histologic subtypes of DCIS based on?
architecture; comedo type is characterized by high-grade cells with necrosis and dystrophic calcification in the center of ducts
Breast cancer
DCIS Invasive ductal carcinoma Lobular Carcinoma In Situ Invasive lobular carcinoma Hereditary breast cancer
Subtypes of Invasive ductal carcinoma
Tubular
Mucinus
Medullary
Inflammatory
Which cancer is the most common invasive cancer of the breast?
Invasive ductal carcinoma
What is the most important predictive factor for breast cancer?
estrogen receptor (ER), progesterone receptor (PR), and HER2/neu gene amplification (overexpression) status
Antiestrogenic agent=
Temoxifen
What is HER2/neu?
Growth factor-R present on the cell surface
Common screening methods include
- Pap smear 2. Mammography 3. PSA and DRE 4. Hemoccult test and colonoscopy
Categories of oncogenes include
growth factors, growth factor receptors, signal transducers, nuclear regulators, and cell cycle regulators
Nitrosamines
Where are they found and what cancer they produce?
Stomach carcinoma, Found in smoked foods, responsible for high rate of stomach carcinoma in japan
Naplithylamine
Where are they found and what cancer they produce?
Urothelial carcinoma of bladder. Derived from cigarette smoke
The cyclin D / CDK4 complex does what?
phosphorylates the retinoblastoma protein, which promotes progression through the G-S checkpoint
RET
Neural growth factor receptor, Point mutation MEN 2A, MEN 2B and sporadic medullary carcinoma of thyroid
RET
Neural growth factor receptor, Point mutation MEN 2A, MEN 2B and sporadic medullary carcinoma of thyroid
How does p53 induce apoptosis?
upregulates BAX, which disrupts Bcl2 leading to cytochrome c leaks from the mitochondria activating apoptosis
p53 Germline mutation results in
Li-Fraumani syndrome
Hematogenous spread is characteristic of what?
sarcomas and some carcinomas
What are some examples of hematogenous spread?
renal cell carcinoma, hepatocellular carcinoma, follicular carcimoma of the thyroid, choriocarcinoma
What is the target cell type for the immunohistochemical stain of chromogranin?
neuroendocrine cells (small cell carcinoma of lung and carcinoid tumors)
What is the target cell type for the immunohistochemical stain of S-100?
Melanoma
Schwannomas
Neurofibromas
What is aspirin-intolerant asthma characterized by?
the triad of asthma, aspirin induced bronchospasms, and nasal polyps
What is usually the difference between papillomas in adults children?
Single in adults
Multiple in children
What are the risk factors for laryngeal carcinoma?
Alcohol
Smoking
Rarely laryngeal papilloma
laryngeal carcinoma cancer type
Squamous cell carcinoma
What are the most common causes for lobar pneumonia?
Strep. Pneumo
Klebsiella
What are the classic gross phases of lobar pneumonia? (4)
Congestion
Red hepatization
Grey hepatization
Rezolution