Final Exam

Question 1

Rhumatoid arthritis associated with skin disease and what HLA does it have?

Answer 1

Psoriatic Arthritis HLA-B27

Question 2

Which disease is juvenile RA and produces a rash and fever?

Answer 2

Still’s Disease

Question 3

Which disease has unilateral bone lesions, cafe au lait spots, fibrous displasia and percoscious puberty?

Answer 3

McCune Albright

Question 4

Unexplained hematuria, history of unexplained nephritis, end stage renal disease, hearing loss, occular lesions, familial history of nephritis

Answer 4

Alpert Nephritis

Question 5

Which type of diabetes myelitis is found in children and is insulin dependent?

Answer 5

Type I Diabetes Mellitus

Question 6

Which type of diabetes Mellitus is there peripheral neuropathy and HLA-DR3 and HLA-DR4?

Answer 6

Type II Diabetes Mellitus

Question 7

Which type of meningitis has bacteria, turbid CSF with neutrophils, and is treated with antibiotics?

Answer 7

Acute purulent meningitis

Question 8

What are the 4 common symptoms of leptomeningitis?

Answer 8

Nuchal rigidity
Headache
Vomiting
Papiledema

Question 9

Which leptomeningitis is a associated with viruses, clear CSF, lymphocytes?

Answer 9

Acute Lymphocytic Meningitis

Question 10

Which type of meningitis is associated with TB, chronic granulomatous inflammation, insidious onset, personality changes?

Answer 10

Chronic meningitis

Question 11

Disease in which patient has epigastric pn. Radiates to back, increase in amalase lipase and peptidase.

Answer 11

Acute Pancreatitis

Question 12

Destroying of all the cells, enzymatic fat necrosis, development of diabetes, risk of pancreatic adenocarcinoma in the head of pancreas.

Answer 12

Chronic pancreatitis

Question 13

What two diseases have cafe au lait spots?

Answer 13

Neurofibromatosis (Von recklinghause disease)

And

McCune Albright Disease

Question 14

Which arthritis is associated with IBD?

Answer 14

Enteropathic arthritis

Question 15

Congenital disease causing hydrocephalus in which the cerebellar tonsils extend down into the foramen magnum

Answer 15

Arnold Chiari malformation

Question 16

What two congenital diseases cause noncommunicating hydrocephalus?

Answer 16

Stenosis of Cerebral Aqueduct

Arnold Chiari malformation

Question 17

Which two tumors can cause acquired, non-communicating hydrocephalus?

Answer 17

Ependomoma

Meduloblastoma

Question 18

Most common disorder of the female breast

Answer 18

Fiborcystic disease

Question 19

Breast lesion, benign, no risk of cancer, fibrosis, cystic dilation, no epithelial hyperplasia

Answer 19

Nonproliferative fibrocystic disease

Question 20

Breast lesion that has 5x increased risk of cancer in atypical ductal epithelial cells, epithelial hyperplasia with cysts and fibrosis

Answer 20

Proliferative Fibrocystic Disease

Question 21

Breast lesion that can look like cancer but it is not, back to back glands (like adenocarcinoma), slight risk for cancer

Answer 21

Sclerosing adenosis

Question 22

What are the two benign tumors of the breast?

Answer 22

Fibroadenoma

Intraductal papilloma

Question 23

Most common benign tumor of the breast, young females, estrogen dependent, loose fibroblast in stroma with ducts and acini with one layer of cuboidal cells

Answer 23

Fibroadenoma

Question 24

Benign tumor of the breast, subareolar, bloody nipple discharge, unilateral

Answer 24

Intraductal Papilloma

Question 25

Most common malignant tumor of the breast, prolonged exposure to estrogen

Answer 25

Ductal carcinoma

Question 26

Noninvasive malignant tumor of the breast, confined to the ducts, calcification and central necrosis - ccc is funny to me

Answer 26

Comedocarcinoma

Question 27

Malignant tumor of the breast that has lymphocytic infiltrates

Answer 27

Medullary carcinoma

Question 28

Malignant tumor of the breast with cells with clear halo due to mucopolysacharides, with tumor cells in epidermis beneath nipple

Answer 28

Paget’s disease of the breast

Question 29

Malignant tumor of the breast in which cells line up in a row “Indian file”

Answer 29

Invasive lobular adenocarcinoma

Question 30

What kind of nodules will you have with alcoholic cirrhosis?

Answer 30

Micronodular | Macrovasicular

Question 31

What kind of nodules are found with non-alcoholic cirrhosis?

Answer 31

Macronodular

Question 32

What kind of nodules would you find in the liver with Wilson’s disease - hint, upside down W

Answer 32

Mixed micronodular and macronodular

Question 33

What is the most common cause for chronic liver disease in the US?

Answer 33

Hepititis C

Question 34

What is the most common cause for chronic liver disease in the western world?

Answer 34

Alcohol abuse

Question 35

What is the most common cause of acute and chronic liver disease?

Answer 35

Alcohol abuse

Question 36

Which multiple endocrine neoplasia is associated with parathyroid hyperplasia, pancreases insulinoma, pituitary gland, aka Werner Syndrome?

Answer 36

MEN I

Question 37

Which Multiple endocrine neoplasia is associated with parathyroid hyperplasia, thyroid medullary carcinoma, adrenal gland (pheochromocytoma), aka sipple syndrome, remember pta

Answer 37

MEN IIA

Question 38

Which multiple endocrine neoplasia is associated with thyroid carcinoma and pheochromocytoma, aka William syndrome - remember “prince William is a boy”

Answer 38

MEN IIB

Question 39

What blood vessel is affected with epidural hematoma?

Answer 39

MMA

Question 40

What cranial blood vessel is lesioned with a subdural hematoma?

Answer 40

Bridging veins

Question 41

Which blood vessel is leisioned with cerebral hemorrhage and malignant hypertension?

Answer 41

Lenticulostriate branch of MCA

Question 42

What blood vessel is lesioned with subarachnoid hemorrhage?

Answer 42

Circle of Willis

Question 43

Which malignant tumor has rapid growth, arise from striated muscles, affects extremities, retroperitoneal and orbit, affects children below 10 years, rapid growth, early metastasis

Answer 43

Rhabdomyosarcoma

Question 44

Sialadentitis of all salivary glands including lacrimal gland - keratoconjuctiivitis = dry eye Xerostomia = dry mouth Autoimmune

Answer 44

Sjorgren syndrome