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Step One Sucks > First Aid Rapid Review Key Associations > Flashcards

First Aid Rapid Review Key Associations Flashcards

1
Q

Actinic (solar) keratosis

A

Precursor to squamous cell carcinoma

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2
Q

Acute gastric ulcer associated with CNS injury

A

Cushing’s ulcer (increase ICP stimulates vagal gastric secretion)

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3
Q

Acute gastric ulcer associated with sever burns

A

Curling’s ulcer (greatly reduced plasma volume results in sloughing of gastric mucosa)

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4
Q

Alternating areas of transmural inflammation and normal colon

A

Skip lesions (Crohn’s disease)

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5
Q

Anuerysm, dissecting

A

Hypertension

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6
Q

Aortic aneurysm, abdominal and descending aorta

A

Atherosclerosis

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7
Q

Aortic aneurysm, arch

A

Tertiary syphilis (syphilitic aortitis), vasa vasorum destruction

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8
Q

Aortic aneurysm, ascending

A

Marfan’s syndrome (idiopathic cystic medial degeneration)

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9
Q

Atrophy of the mammillary bodies

A

Wernicke’s encephalopathy (thiamine deficiency causing ataxia, ophthalmoplegia, and confusion)

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9
Q

Atrophy of the mammillary bodies

A

Wernicke’s encephalopathy (thiamine deficiency causing ataxia, ophthalmoplegia, and confusion)

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10
Q

Autosplenectomy (fibrosis and shrinkage)

A

Sickle cell anemia (hemoglobin S)

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10
Q

Autosplenectomy (fibrosis and shrinkage)

A

Sickle cell anemia (hemoglobin S)

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11
Q

Bacteria associated with gastritis, peptic ulcer disease, and stomach cancer

A

H. pylori

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11
Q

Bacterial meningitis (adults and elderly)

A

Strep pneumoniae

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11
Q

Bacterial meningitis (newborns and kids)

A

Group B strep (newborns), S. pneumoniae/Neisseria meningitidis (kids)

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11
Q

Benign melanocytic nevus

A

Spitz nevus (most common in first 2 decades)

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11
Q

Bleeding disorder with GpIb deficiency

A

Bernard-Soulier syndrome (defect in platelet adhesion to von Willebrand’s factor)

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11
Q

Brain tumor (adults)

A

Supratentorial: Metastasis> Astrocytoma (including glioblastoma multiforme)>meningioma>schwannoma

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11
Q

Brain tumor (adults)

A

Supratentorial: Metastasis> Astrocytoma (including glioblastoma multiforme)>meningioma>schwannoma

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12
Q

Brain tumor (kids)

A

Infratentorial: medulloblastoma (cerebellum) or Supratentorial: craniopharyngioma (cerebrum)

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12
Q

Brain tumor (kids)

A

Infratentorial: medulloblastoma (cerebellum) or Supratentorial: craniopharyngioma (cerebrum)

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13
Q

Breast cancer

A

Infiltrating ductal carcinoma (in US, 1 in 9 women will develop breast cancer)

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13
Q

Breast cancer

A

Infiltrating ductal carcinoma (in US, 1 in 9 women will develop breast cancer)

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14
Q

Breast mass

A

Fibrocystic change, carcinoma (in postmenopausal women)

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14
Q

Breast mass

A

Fibrocystic change, carcinoma (in postmenopausal women)

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15
Q

Breast tumor (benign)

A

Fibroadenoma

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15
Q

Breast tumor (benign)

A

Fibroadenoma

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16
Q

Cardiac primary tumor (kids)

A

Rhabdomyoma, often seen in tuberous sclerosis

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16
Q

Cardiac primary tumor (kids)

A

Rhabdomyoma, often seen in tuberous sclerosis

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17
Q

Cardiac manifestation of lupus

A

Libman-Sacks endocarditis (nonbacterial, affecting both sides of mitral valve)

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17
Q

Cardiac manifestation of lupus

A

Libman-Sacks endocarditis (nonbacterial, affecting both sides of mitral valve)

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18
Q

Cardiac tumor (adults)

A

Metastasis, Primary myxoma (4:1 left to right atrium, “ball and valve”)

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18
Q

Cardiac tumor (adults)

A

Metastasis, Primary myxoma (4:1 left to right atrium, “ball and valve”)

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19
Q

Cerebellar tonsillar herniation

A

Chiari malformation (often presents with progressive hydrocephalus or syringomyelia)

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19
Q

Cerebellar tonsillar herniation

A

Chiari malformation (often presents with progressive hydrocephalus or syringomyelia)

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20
Q

Chronic arrhythmia

A

Atrial fibrillation (associated with high risk of emboli)

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20
Q

Chronic arrhythmia

A

Atrial fibrillation (associated with high risk of emboli)

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21
Q

Chronic atrophic gastritis (autoimmune)

A

Predisposition to gastric carcinoma (can also cause pernicious anemia)

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21
Q

Chronic atrophic gastritis (autoimmune)

A

Predisposition to gastric carcinoma (can also cause pernicious anemia)

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22
Q

Clear cell adenocarcinoma of the vagina

A

DES exposure in utero

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22
Q

Clear cell adenocarcinoma of the vagina

A

DES exposure in utero

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23
Q

Compression fracture

A

Osteoporosis (type 1: postmenopausal women; type 2: elderly man or woman)

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23
Q

Compression fracture

A

Osteoporosis (type 1: postmenopausal women; type 2: elderly man or woman)

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24
Q

Congenital adrenal hyperplasia, hypotension

A

21-hydroxylase deficiency

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24
Q

Congenital adrenal hyperplasia, hypotension

A

21-hydroxylase deficiency

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25
Q

Congenital cardiac anomaly

A

VSD

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25
Q

Congenital cardiac anomaly

A

VSD

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26
Q

Congenital conjugated hyperbilirubinemia (black liver)

A

Dubin-Johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin into bile)

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26
Q

Congenital conjugated hyperbilirubinemia (black liver)

A

Dubin-Johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin into bile)

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27
Q

Constrictive pericarditis

A

Tuberculosis (developing world); SLE (developed world)

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27
Q

Constrictive pericarditis

A

Tuberculosis (developing world); SLE (developed world)

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28
Q

Coronary artery involved in thrombosis

A

LAD>RCA>LCA

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28
Q

Coronary artery involved in thrombosis

A

LAD>RCA>LCA

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29
Q

Cretinism

A

Iodine deficit/hypothyroidism

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29
Q

Cretinism

A

Iodine deficit/hypothyroidism

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30
Q

Cushing’s Syndrome

A
  • Iatrogenic Cushing’s (from corticosteroid therapy)
  • Adrenocortical adenoma (secretes excess cortisol)
  • ACTH-secreting pituitary adenoma
  • Paraneoplastic Cushing’s (due to ACTH secretion by tumors)
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30
Q

Cyanosis (early; less common)

A

Tetralogy of Fallot, transposition of great vessels, truncus arteriosus

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30
Q

Cyanosis (lare; more common)

A

VSD, ASD, PDA

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30
Q

Death in CML

A

Blast crisis

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30
Q

Death in CML

A

Blast crisis

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31
Q

Death in SLE

A

Lupus nephropathy

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31
Q

Death in SLE

A

Lupus nephropathy

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32
Q

Dementia

A

Alzheimer’s disease, multiple infarcts

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32
Q

Dementia

A

Alzheimer’s disease, multiple infarcts

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33
Q

Demyelinating disease in young women

A

Multiple sclerosis

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33
Q

Demyelinating disease in young women

A

Multiple sclerosis

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34
Q

DIC

A

Severe sepsis, obstetric complications, cancer, burns, trauma, major surgery

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34
Q

DIC

A

Severe sepsis, obstetric complications, cancer, burns, trauma, major surgery

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35
Q

Dietary deficit

A

Iron

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35
Q

Dietary deficit

A

Iron

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36
Q

Diverticulum in pharynx

A

Zenker’s diverticulum (diagnosed by barium swallow)

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36
Q

Diverticulum in pharynx

A

Zenker’s diverticulum (diagnosed by barium swallow)

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37
Q

Ejection click

A

Aortic/pulmonic stenosis

37
Q

Ejection click

A

Aortic/pulmonic stenosis

38
Q

Eophageal cancer

A

Squamous cell carinoma (worldwide); adenocarcinoma (US)

38
Q

Eophageal cancer

A

Squamous cell carinoma (worldwide); adenocarcinoma (US)

39
Q

Food poisoning (exotoxin mediated)

A

S. aureus, B. cereus

39
Q

Food poisoning (exotoxin mediated)

A

S. aureus, B. cereus

40
Q

Glomerulonephritis (adults)

A

Berger’s disease (IgA nephropathy)

40
Q

Glomerulonephritis (adults)

A

Berger’s disease (IgA nephropathy)

41
Q

Gynecologic malignancy

A

Endometrial carcinoma (most common in US); cervical carcinoma (most common worldwide)

41
Q

Gynecologic malignancy

A

Endometrial carcinoma (most common in US); cervical carcinoma (most common worldwide)

42
Q

Heart murmur, congenital

A

Mitral valve prolapse

42
Q

Heart murmur, congenital

A

Mitral valve prolapse

43
Q

Heart valve in bacterial endocarditis

A

Mitral > aortic (rheumatic fever), tricuspid (IV drug abuse)

43
Q

Heart valve in bacterial endocarditis

A

Mitral > aortic (rheumatic fever), tricuspid (IV drug abuse)

44
Q

Helminth infection (US)

A

Enterobius vermicularis, Ascaris lumbricoides

44
Q

Helminth infection (US)

A

Enterobius vermicularis, Ascaris lumbricoides

45
Q

Hematoma - epidural

A

Rupture of middle meningeal artery (trauma; lentiform shaped)

45
Q

Hematoma - epidural

A

Rupture of middle meningeal artery (trauma; lentiform shaped)

46
Q

Hematoma - subdural

A

Rupture of bridging veins (crescent shaped)

46
Q

Hematoma - subdural

A

Rupture of bridging veins (crescent shaped)

47
Q

Hemochromatosis

A

Multiple blood transfusions or hereditary HFE mutation (can result in CHF, “bronze diabetes,” and increased risk of hepatocellular carcinoma)

47
Q

Hemochromatosis

A

Multiple blood transfusions or hereditary HFE mutation (can result in CHF, “bronze diabetes,” and increased risk of hepatocellular carcinoma)

48
Q

Hepatocellular carcinoma

A

Cirrhotic liver (associated with hep B and C and with alcoholism)

48
Q

Hepatocellular carcinoma

A

Cirrhotic liver (associated with hep B and C and with alcoholism)

49
Q

Hereditary bleeding disorder

A

von Willebrand’s disease

49
Q

Hereditary bleeding disorder

A

von Willebrand’s disease

50
Q

Hereditary harmless jaundice

A

Gilbert’s syndrome (benign congenital unconjugated hyperbilirubinemia)

50
Q

Hereditary harmless jaundice

A

Gilbert’s syndrome (benign congenital unconjugated hyperbilirubinemia)

51
Q

HLA-B27

A

Ankylosing spndylitis, Reiter’s syndrome, ulcerative colitis, psoriasis

51
Q

HLA-B27

A

Ankylosing spndylitis, Reiter’s syndrome, ulcerative colitis, psoriasis

52
Q

HLA-DR3 or -DR4

A

Diabetes mellitus type 1, Rheumatoid arthritis, SLE

52
Q

HLA-DR3 or -DR4

A

Diabetes mellitus type 1, Rheumatoid arthritis, SLE

53
Q

Holosystolic murmur

A

VSD, tricuspid regurgitation, mitral regurgitation

53
Q

Holosystolic murmur

A

VSD, tricuspid regurgitation, mitral regurgitation

54
Q

Hypercoagulability, endothelial damage, blood stasis

A

Virchow’s triad (results in venous thrombosis)

54
Q

Hypercoagulability, endothelial damage, blood stasis

A

Virchow’s triad (results in venous thrombosis)

55
Q

Hypertension (secondary)

A

Renal disesae

55
Q

Hypertension (secondary)

A

Renal disesae

56
Q

Hypoparathyroidism

A

Accidental excision during thyroidectomy

56
Q

Hypoparathyroidism

A

Accidental excision during thyroidectomy

57
Q

Hypopituitarism

A

Pituitary adenoma (usually benign tumor)

58
Q

Infection secondary to blood transfusion

59
Q

Infections in chronic granuomatous disease

A

Staph aureus, E coli, Aspergillus (catalase positive)

60
Q

Kidney stones

A
  • Calcium = radiopaque
  • Struvite (ammonium) = radiopaque (formed by urease-positive organisms like Proteus vulgaris or Staph)
  • Uric acid = radiolucent
61
Q

Late cyanotic shunt (uncorrected left to right becomes right to left)

A

Eisenmenger’s syndrome (caused by ASD, VSD, PDA; results in pulmonary hypertension/polycythemia)

62
Q

Liver disease

A

Alcoholic cirrhosis

63
Q

Lysosomal storage disease

A

Gaucher’s disease

64
Q

Male cancer

A

prostate carcinoma

65
Q

Malignancy associated with noninfectious fever

A

Hodgkin’s lymphoma

66
Q

Malignancy (kids)

A

ALL, medulloblastoma (cerebellum)

67
Q

Mental retardation

A

Down syndrome, fragile X syndrome

68
Q

Metastases to bone

A

Prostate, breast > lung > thyroid, testes

69
Q

Metastases to brain

A

Lung > breast > Genitourinary > Osteosarcoma > melanoma > GI

70
Q

Metastases to liver

A

Colon&raquo_space; stomach, pancreas

71
Q

Mitochondrial inheritance

A

Disease occurs in both males and females; inherited through females only

72
Q

Mitral valve stenosis

A

Rheumatic heart disease

73
Q

Mixed (UMN and LMN) motor neuron disease

74
Q

Myocarditis

A

Cocksackie B

75
Q

Nephrotic syndrome (adults)

A

Focal segmental glomerulosclerosis

76
Q

Nephrotic syndrome (kids)

A

Minimal change disease

77
Q

Neuron migration failure

A

Kallmann syndrome (hypogonadotropic hypogonadism and anosmia)

78
Q

Nosocomial pneumonia

A

Klebsiella, E. Coli, Pseudomonas aeruginosa

79
Q

Obstruction of male urinary tract

80
Q

Opening snap

A

Mitral stenosis

81
Q

Opportunistic infection in AIDS

A

Pneumocystis jirovecii pneomonia

82
Q

Osteomyelitis

83
Q

Osteomyelitis in sickle cell disease

A

Salmonella

84
Q

Osteomyelitis in IV drug use

A

Pseudomonas, S. aureus

85
Q

Ovarian metastasis from gastric carcinoma or breast cancer

A

Krukenberg tumor (mucin-secreting signer-ring cells)

86
Q

Ovarian tumor (benign, bilateral)

A

Serous cystadenoma

87
Q

Ovarian tumor (malignant)

A

Serous cystadenocarcinoma

88
Q

Pancreatitis (acute)

A

Gallstones, alcohol

89
Q

Pancreatitis (Chronic)

A

Alcohol (adults), cystic fibrosis (kids)

90
Q

Patient with ALL/CLL/AML/CML

A

ALL: child
CLL: adult >60
AML: adult ~65
CML: adult 30-60

91
Q

Pelvic inflammatory disease

A

Chlamydia trachomatis, Neisseria gonorrhoeae

92
Q

Philadelphia chromosome t(9;22) (brc-abl)

A

CML (may sometimes be associated with ALL/AML)

93
Q

Pituitary tumor

A

Prolactinoma, somatotropic “acidophilic” adenoma

94
Q

Primary amenorrhea

A

Turner syndrome (45,XO

151
Q

Primary bone tumor (adults)

A

Multiple myeloma

152
Q

Primary hyperaldosteronism

A

Adenoma of adrenal cortex

153
Q

Primary hyperparathyroidism

A

Adenomas, hyperplasia, carcinoma

154
Q

Primary liver cancer

A

Hepatocellular carcinoma (chronic hep, cirrhosis, hemochromatosis, a1-antitrypsin deficiency)

155
Q

Pulmonary hypertension

156
Q

Recurrent inflammation/thrombosis of small/medium vessels in extremities

A

Buerger’s disease (strongly associated with tobacco)

157
Q

Renal tumor

A

Renal cell carcinoma: associated with von Hippel-Lindau and cigarette smoking; paraneoplastic syndromes (EPO, renin, PTH, ACTH)

158
Q

Right heart failure due to a pulmonary cause

A

Cor pulmonale

159
Q

S3 (prediastolic gallop)

A

Increased ventricular filling (left to right shunt, mitral regurg, LV failure [CHF])

160
Q

S4 (presystolic gallop)

A

Stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)

161
Q

Secondary hyperparathyroidism

A

Hypocalcemia of chronic kidney disease

162
Q

Sexually transmitted disease

A

Chlamydia (usually coinfected with gonorrhea)

163
Q

SIADH

A

Small cell carcinoma of the lung

164
Q

Site of diverticula

A

Sigmoid colon

165
Q

Sites of atherosclerosis

A

Abdominal aorta > coronary artery > popliteal artery > carotid artery

166
Q

Stomach cancer

A

Adenocarcinoma

167
Q

Stomach ulcerations and high gastrin levels

A

Zollinger-Ellison Syndrome (gastrinoma of duodenum or pancreas)

168
Q

t(14;18)

A

Follicular lymphomas (bcl-2 activation)

169
Q

t(8;14)

A

Burkitt’s lymphoma (c-myc activation)

170
Q

t(9;22)

A

Philadelphia chromosome, CML (bcr-abl fusion)

171
Q

Temporal arteritis

A

Risk of ipsilateral blindness due to thrombosis of ophthalmic artery; polymyalgia rheumatica

172
Q

Testicular tumor

173
Q

Thyroid cancer

A

Papillary carcinoma

174
Q

Tumor in women

A

Leiomyoma (estrogen dependent, not precancerous)

175
Q

Tumor of infancy

A

Hemangioma (usually regresses spontaneously by childhood)

176
Q

Tumor of the adrenal medulla (adult)

A

Pheochromocytoma (usually benign)

177
Q

Tumor of the adrenal medulla (child)

A

Neuroblastoma (malignant)

178
Q

Type of Hodgkin’s

A

Nodular sclerosis (vs. mixed cellularity, lymphocytic predominance, lymphocytic depletion)

179
Q

Type of non-Hodgkin’s

A

Diffuse large cell

180
Q

UTI

A

E.coli, Staph saprophyticus (young women)

181
Q

Viral encephalitis affecting temporal lobe

182
Q

Vitamin deficiency (US)

A

Folate (pregnant women are at high risk; body stores only 3-4 month supply; prevents neural tube defects)

Step One Sucks (4 decks)

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