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FA Rapid Review > FirstAidRapidReview > Flashcards

FirstAidRapidReview Flashcards

1
Q

Abdominal pain, ascites, hepatomegaly

A

Budd-Chiari syndrome (posthepatic venous thrombosis)

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2
Q

Achilles tendon xanthoma

A

Familial hypercholesterolemia (decreased LDL receptor signaling)

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3
Q

Adrenal hemorrhage, hypotension, DIC

A

Waterhouse-Friderichen syndrome (meningococcemia)

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4
Q

Arachnodactyly, lens dislocatino, aortic dissection, hyperflexible joints

A

Marfan’s syndrome (firbrillin defect)

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5
Q

Athlete with polychythemia

A

2_ to erythropoietin injection

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6
Q

Back pain, fever, night sweats, weight loss

A

Pott’s disease (vertebral tuberculosis)

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7
Q

Bilateral hilar adenopathy, uveitis

A

Sarcoidosis (noncaseating granulomas)

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8
Q

Blue sclera

A

Osteogenesis imperfecta (type I collagen defect)

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9
Q

Bluish line on gingiva

A

Burton’s line (lead poisoning)

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10
Q

Bone pain, bone enlargement, arthritis

A

Paget’s disease of bone (increased osteoblastic and osteoclastic activity)

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11
Q

Bounding pulses, diastolic heart murmur, head bobbing

A

Aortic regurgitation

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12
Q

Butterfly facial rash and Raynaud’s phenomenon in a young female

A

Systemic lupus erythematosis

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13
Q

Caf_-au-lait spots, Lisch nodules (iris hamartoma)

A

Neurofibromatosis type I (+ pheochromocytoma, optic gliomas)

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14
Q

Caf_-au-lait spots, polyostotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities

A

McCune-Albright syndrome (mosaic G-protein signaling mutation)

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15
Q

Calf pseudohypertrophy

A

Muscular dystrophy (most commonly Duchenne’s): X-linked recessive deletion of dystrophin gene

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16
Q

Cherry-red spot on macula

A

Tay-Sachs (ganglioside accumulation) or Niemann-Pick (sphingomyelin accumulation), central retinal artery occlusion

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17
Q

Chest pain on exertion

A

Angina (stable: with moderate exertion; unstable: with minimal exertion)

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18
Q

Chest pain, pericardial effusion/friction rub, persistent fever following MI

A

Dressler’s syndrome (autoimmune-mediated post-MI fibrinous pericarditis, 1-12 weeks after acute episode)

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19
Q

Child uses arms to stand up from squat

A

Gowers’ sign (Duchenne muscular dystrophy)

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20
Q

Child with fever later develops red rash on face that spreads to body

A

Slapped cheeks (erythema infectiosum/fifth disease: parvovirus B19)

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21
Q

Chorea, dementia, caudate degeneration

A

Huntington’s disease (autosomal-dominatnt CAG repeat expansion)

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22
Q

Chronic exercise intolerance with myalgia, fatigue, painful cramps, myoglobinuria

A

McArdle’s disease (muscle glycogen phosphorylase deficiency)

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23
Q

Cold intolerance

A

Hypothyroidism

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24
Q

Conjugate lateral gaze palsy, horizontal diplopia

A

Internuclear opthalmoplegia (damage to MLF; bilateral [multiple sclerosis], unilateral [stroke])

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25
Q

Continuous “machinery” heart murmur

A

PDA (close with indomethacin; open or maintain with misoprostol)

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26
Q

Cutaneous/dermal edema due to connective tissue deposition

A

Myxedema (caused by hypothyroidism, Graves’ disease [pretibial])

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27
Q

Dark purple skin/mouth nodules

A

Kaposi’s sacrcoma (usually AIDS patients [MSM]: associated with HHV-8)

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28
Q

Deep, labored breating/hyperventilation

A

Kussmaul breating (diabetic ketoacidosis)

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29
Q

Dermatitis, dementia, diarrhea

A

Pellagra (niacin [vitamin B3] deficiency

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30
Q

Dilated cardiomyopathyt, edema, alcoholism or malnutrition

A

Wet beriberi (thiamine [vitamin B1] deficiency

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31
Q

Dog or cate bite resulting in infection

A

Pasteurella multocida (cellulitis at inoculation site)

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32
Q

Dry eyes, dry mouth, arthritis

A

Sj_gren’s syndrome (autoimmune destruction of exocrine glands)

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33
Q

Dysphagia (esophageal webs), glossitis, iron deficiency anemia

A

Plummer-Vinson syndrome (may progress to esophageal squamos cell carcinoma)

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34
Q

Elastic skin, hypermobility of joints

A

Ehlers-Danlos syndrome (type III collagen defect)

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35
Q

Enlarged, hard left supraclavicular node

A

Virchow’s node (abdominal metastasis)

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36
Q

Erythroderma, lymphadenopathy, hepatosplenomegaly, atypical T cells

A

S_zary syndrome (cutaneous T-cell lymphoma) or mycosis fungoides

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37
Q

Facial muscle spasm upon tapping

A

Chvostek’s sign (hypocalcemia)

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38
Q

Fat, female, forty, and fertile

A

Cholelithiasis (gallstones)

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39
Q

Fever, chills, headache, myalgia following antibiotic treatment for syphilis

A

Jarisch-Herxheimer reaction (rapid lysis of spirochetes results in toxin release)

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40
Q

Fever, cough, conjunctivitis, coryza, diffuse rash

A

Measles (Morbillivirus)

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41
Q

Fever, night sweats, weight loss

A

B symptoms (staging) of lymphoma

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42
Q

Fibrous plaques in soft tissue of penis

A

Peyronie’s disease (connective tissue disorder)

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43
Q

Gout, mental reta4rdation, self-mutilating behavior in a boy

A

Lesch-Nyhan syndrome (HGPRT deficiency, X-linked recessive)

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44
Q

Green-yellow rings around peripheral cornea

A

Kayser-Fleischer rings (copper accumulation from Wilson’s disease)

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45
Q

Hamartomatous GI polyps, hyperpigmentation of mouth/feet/hands

A

Peutz-Jeghers syndrome (inherited, benign polyposis can cause bowel obstruction; increased cancer risk, mainly GI)

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46
Q

Hepatosplenomegaly, osteoporosis, neurologic symptoms

A

Gaucher’s disease (glucocerebrosidase deficiency)

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47
Q

Hereditary nephritis, sensorineural hearing loss, cataracts

A

Alport syndrome (mutation in __ chain of collagen IV)

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48
Q

Hyperphagia, hypersexuality, hyperorality, hyperdocility

A

Kl_ver-Bucy syndrome (bilateral amygdala lesion)

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49
Q

Hyperreflexia, hypertonia, Babinski sign present

A

UMN damage

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50
Q

Hyporeflexia, hypotonia, atrophy, fasciculations

A

LMN damage

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51
Q

Hypoxemia, polycythemia, hypercapnia

A

Blue bloater (chronic bronchitis: hyperplasia of mucous cells)

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52
Q

Indurated, ulcerated genital lesion

A

Nonpainful: chancre (1_ syphilis, Treponema pallidum) Painful, with exudate: chanchroid (Haemophilus ducreyi)

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53
Q

Infant with cleft lip/palate, microcephaly or holoprosencephaly, polydactyly, cutis aplasia

A

Patau’s syndrome (trisomy 13)

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54
Q

Infant with failure to thrive, hepatosplenomegaly, and neurodegeneration

A

Niemann-Pick disease (genetic sphingomyelinase deficiency)

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55
Q

Infant with hypoglycemia, failure to thrive, and hepatomegaly

A

Cori’s disease (debranching enzyme deficiency)

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56
Q

Infant with microcephaly, rocker-bottom feet, clenched hands, and structural heart defect

A

Edwards’ syndrome (trisomy 18)

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57
Q

Jaundice, palpable distended non-tender gallbladder

A

Courvoisier’s sign (distal obstruction of biliary tree)

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58
Q

Large rash with bull’s-eye appearance

A

Erythema chronicum migrans from Ixodes tick bite (Lyme disease: Borrelia)

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59
Q

Lucid interval after traumatic brain injury

A

Epidural hematoma (middle meningeal artery rupture)

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60
Q

Male child, recurrent infections, no mature B cells

A

Bruton’s disease (X-linked agammaglobulinemia)

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61
Q

Mucosal bleeding and prolonged bleeding time

A

Glanzmann’s thrombasthenia (defect in platelet aggregation due to lack of GpIIb/IIIa)

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62
Q

Muffled heart sounds, distended neck veins, hypotension

A

Beck’s triad of cardiac tamponade

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63
Q

Multiple colon polyps, osteomas/soft tissue tumors, impacted/supernumerary teeth

A

Gardner’s syndrome (subtype of FAP)

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64
Q

Myopathy (infantile hypertrophic cardiomyopathy), exercise intolerance

A

Pompe’s disease (lysosomal _-1, 4-glucosidase deficiency)

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65
Q

Neonate with arm paralysis following difficult birth

A

Erb-Duchenne palsy (superior trunk [C5-C6] bracial plexus injury: “waiter’s tip”)

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66
Q

No lactation postpartum, absent menstruation, cold intolerance

A

Sheehan’s syndrome (pituitary infarction)

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67
Q

Nystagmus, intention tremor, scanning speech, bilateral internuclear ophthalmoplegia

A

Mutliple sclerosis

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68
Q

Oscillating slow/fast breathing

A

Cheyne-Stokes respirations (central apnea in CHF or increased intracranial pressure)

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69
Q

Painful blue fingers/toes, hemolytic anemia

A

Cold agglutinin disease (autoimmune hemolytic anemia caused by Mycoplasma pneumoniae, infectious mononucleosis)

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70
Q

Painful, pale, cold fingers/toes

A

Raynaud’s phenomenon (vasospasm in extremities)

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71
Q

Painful, raised red lesions on pad of fingers/toes

A

Osler’s node (infective endocarditis, immune complex deposition)

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72
Q

Painless erythematous lesions on palms and soles

A

Janeway lesions (infective endocarditis, septic emboli/microabscesses)

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73
Q

Painless jaundice

A

Cancer of the pancreatic head obstructing bile duct

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74
Q

Palpable purpura on buttocks/legs, joing pain, abdominal pain (child), hematuria

A

Henoch-Sch_nlein purpura (IgA vasculitis affecting skin and kidneys)

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75
Q

Pancreatic, pituitary, parathyroid tumors

A

MEN 1 (autosomal dominant)

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76
Q

Periorbital and/or peripheral edema, proteinuria, hypoalbuminemia, hypercholesterolemia

A

Nephrotic syndrome

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77
Q

Pink complexion, dyspnea, hyperventilation

A

Pink puffer (emphysema: centriacinar [smoking], panacinar [_1-antitrypsin deficiency])

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78
Q

Polyuria, renal tubular acidosis type II, growth failure, electrolyte imbalances, hypophosphatemic rickets

A

Fanconi’s syndrome (proximal tubular reabsorption defect)

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79
Q

Positive anterior “drawer sign”

A

Anterior cruciate ligament injury

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80
Q

Pruritic, purple, polygonal planar papules and plaques (6 Ps)

A

Lichen planus

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81
Q

Ptosis, miosis, anhidrosis

A

Horner’s syndrome (sympathetic chain lesion)

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82
Q

Pupil accommodates but doesn’t react

A

Argyll Roberston pupil (neurosyphilis)

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83
Q

Rapidly progressive leg weakness that ascends following GI/upper respiratory infection

A

Guillain-Barr_ syndrome (acute autoimmune inflammatory demyelinating polyneuropathy)

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84
Q

Rash on palms and soles

A

Coxsackie A, 2_ syphilis, Rocky Mountain spotted fever

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85
Q

Recurrent colds, unusual eczema, high serum IgE

A

Hyper-IgE syndrome (Job’s syndrome: neutrophil chemotaxis and abnormality)

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86
Q

Red “currant jelly” sputum in alcoholic or diabetic patients

A

Klebsiella pneumoniae

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87
Q

Red “currant jelly” stools

A

Acute mesenteric ischemia (adults), intussusception (infants

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88
Q

Red, itchy, swollen rash of nipple/areola

A

Paget’s disease of the breast (represents underlying neoplasm)

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89
Q

Red urine in the morning, fragile RBCs

A

Paroxysmal nocturnal hemoglobinuria

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90
Q

Renal cell carcinoma (bilateral) hemangioblastomas, angiomatosis, pheochromocytoma

A

von Hippel-Lindau disease (dominat tumor suppressor gene mutation)

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91
Q

Resting tremor, rigidity, akinesia, postural instability

A

Parkinson’s disease (nigrostriatal dopamine depletion)

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92
Q

Retinal hemorrhages with pale centers

A

Roth’s spots (bacterial endocarditis)

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93
Q

Severe jaundice in neonate

A

Crigler-Najjar syndrome (congenital unconjugated hyperbilirubinemia)

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94
Q

Severe RLQ pain with palpation of LLQ

A

Rovsing’s sign (acute appendicitis)

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95
Q

Severe RLQ pain with rebound tenderness

A

McBurney’s sign (appendicitis)

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96
Q

Short stature, increased incidence of tumors/leukemia, aplastic anemia

A

Fanconi’s anemia (genetic loss of DNA crosslink repair; often progresses to AML)

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97
Q

Signle palmar crease

A

Simian crease (Down syndrome)

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98
Q

Situs inversus, chronic sinusitis, bronchietasis, infertility

A

Kartagener’s syndrome (dynein arm defect affecting cilia)

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99
Q

Skin hyperpigmentation, hypotension, fatigue

A

Addison’s disease (1_ adrenocortical insufficiency causes incresed ACTH and increased __-MSH production)

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100
Q

Slow, progressive muscle weakness in boys

A

Becker’s muscular dystrophy (X-linked missense mutation in dystrophin, less severe than Duchenne’s)

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101
Q

Small, irregular red spots on buccal/lingual mucosa with blue-white centers

A

Koplik spots (measles; rubeola virus)

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102
Q

Smooth, flat, moist, painless white lesions on genitals

A

Condylomata lata (2_ syphilis)

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103
Q

Splinter hemorrhages in fingernails

A

Bacterial endocarditis

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104
Q

Strawberry tongue

A

Scarlet fever, Kawasaki disease, toxic shock syndrome

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105
Q

Streak ovaries, congenital heart disease, horseshoe kidney, cystic hygroma at birth, short stature, webbed neck, lymphedema

A

Turner syndrome (45,XO)

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106
Q

Sudden swollen/paiunful big toe joint, tophi

A

Gout/podagra (hyperuricemia)

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107
Q

Swollen gums, mucosal bleeding, poor wound healing, spots on skin

A

Scurvy (vitamin C deficiency: can’t hydroxylate proline/lysine for collagen synthesis)

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108
Q

Swollen, hard, painful finger joints

A

Osteoarthritis (osteophytes on PIP [Bouchard’s nodes], DIP [Heberden’s nodes])

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109
Q

Systolic ejection murmur (crescendo-decrescendo)

A

Aortic valve stenosis

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110
Q

Thyroid and parathyroid tumors, pheochromocytoma

A

MEN 2A (autosomal dominant ret mutation)

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111
Q

Thyroid tumors, pheochromocytomas, ganglioneuromatosis)

A

MEN 2B (autosomal dominant ret mutation)

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112
Q

Toe extension/fanning upon plantar scrape

A

Babinksi sign (UMN lesion)

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113
Q

Unilateral facial drooping involving forehead

A

Facial nerve (LMN CN VII palsy)

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114
Q

Urethritis, conjunctivitis, arthritis in a male

A

Reactive arthritis associated with HLA-B27

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115
Q

Vascular birthmark (port-wine stain)

A

Hemangioma (benign, but associated with Sturge-Weber syndrome)

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116
Q

Vomiting blood following gastroesophageal lacerations

A

Mallory-Weiss syndrome (alcoholic and bulemic patients)

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117
Q

Weight loss, diarrhea, arthritis, fever, adenopathy

A

Whipple’s disease (Tropheryma whipplei)

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118
Q

Worst headache of my life

A

Subarachnoid hemorrhage

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119
Q

Anticentromere antibodies

A

Scleroderma (CREST)

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120
Q

Antidesmoglein (epithelial) antibodies

A

Pemphigus vulgaris (blistering)

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121
Q

Anti-glomerular basement membrane antibodies

A

Goodpasture’s syndrome (glomerulonephritis and hemoptysis)

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122
Q

Antihistone antibodies

A

Drug-induced SLE (hydralazine, isoniazid, phenytoin, procainamide)

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123
Q

Anti-IgG antibodies

A

Rheumatoid arthritis (systemic inflammation, joint pannus, boutonni__re deformity)

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124
Q

Antimitochondrial antibodies (AMAs)

A

1_ biliary cirrhosis (female, cholestasis, portal hypertension)

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125
Q

Antineutrophil cytoplasmic antibodies (ANCAs)

A

Vasculitis (c-ANCA: granulomatosis with polyangiitis [Wegener’s]; p-ANCA: microscopic polyangiitis, Churg-Strauss syndrome)

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126
Q

Antinuclear antibodies (ANAs: anti-Smith and anti-dsDNA)

A

SLE (type III hypersensitivity)

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127
Q

Antiplatelet antibodies

A

Idopathic thrombocytopenic purpura

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128
Q

Anti-topoisomerase antibodies

A

Diffuse systemic scleroderma

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129
Q

Anti-transglutaminase/anti-gliadin/anti-endomysial antibodies

A

Celiac disease (diarrhea, distention, weight loss)

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130
Q

Apple core lesion on abdominal x-ray

A

Colorectal cancer (usually left-sided)

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131
Q

Azurophilic peroxidase-positive granular inclusions on granulocytes and myeloblasts

A

Auer rods (acute myelogenous leukemia, especially the promyelocytic [M3] type)

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132
Q

Bacitracin response

A

Sensitive: Streptococcus pyogenes (group A); resistant: Streptococcus agalactiae (group B)

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133
Q

Bamboo spine on x-ray

A

Ankylosing spondylitis (chronic inflammatory arthritis: HLA-B27)

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134
Q

Basophilic nuclear remnants in RBCs

A

Lead poisoning or sideroblastic anemia

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135
Q

Bloody tap on LP

A

Subarachnoid hemorrhage

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136
Q

Boot shaped heart on x-ray

A

Tetralogy of Fallot, RVH

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137
Q

Branching gram-positive rods with sulfur granules

A

Actinomyces israelii

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138
Q

Bronchogenic apical lung tumor on imaging

A

Pancoast tumor (can compress sympathetic ganglion and cause Horner’s syndrome)

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139
Q

Brown tumor of bone

A

Hyperparathyroidisim or osteitis fibrosa cystica (deposited hemosiderin from hemorrhage gives brown color)

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140
Q

Cardiomegaly with apical atrophy

A

Chagas’ disease (Trypanosoma cruzi)

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141
Q

Cellular crescents in Bowman’s capsule

A

Rapidly progressive crescentic glomerulonephritis

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142
Q

Chocolate cyst of ovary

A

Endometriosis (frequently involves both ovaries)

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143
Q

Circular grouping of dark tumor cells surrounding pale neurofibrils

A

Homer-Wright rosettes (neuroblastoma, medulloblastoma, retinoblastoma)

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144
Q

Colonies of mucoid Pseudomonas in lungs

A

Cystic fibrosis (autosomal-recessive mutation in CFTR resulting in fat-soluble vitamin deficiency and mucous plugs)

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145
Q

Decreased __-fetoprotein in amniotic fluid/maternal serum

A

Down syndrome or other chromosomal abnormality

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146
Q

Degeneration of dorsal column nerves

A

Tabes dorsalis (3_ syphilis), subacute combined degeneration (dorsal columns and lateral corticospinal tracts affected)

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147
Q

Depigmentation of neurons in substantia nigra

A

Parkinson’s disease (basal ganglia disorder: rigidity, resting tremor, bradykinesia)

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148
Q

Desquamated epithelium casts in sputum

A

Curschmann’s spirals (bronchial asthma; can result in whorled mucous plugs)

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149
Q

Disarrayed granulosa cells in eosinophilic fluid

A

Call-Exner bodies (granulosa-theca cell tumor of the ovary)

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150
Q

Dysplastic squamous cervical cells with nuclear enlargement and hyperchromasia

A

Koilocytes (HPV: predisposes to cervical cancer)

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151
Q

Enlarged cells with intranuclear inclusion bodies

A

Owl’s eye appearance of CMV

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152
Q

Enlarged thyroid cells with ground-glass nuclei

A

Orphan Annie’s eyes nuclei (papillary carcinoma of the thyroid)

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153
Q

Eosinophilic cytoplasmic inclusion in liver cell

A

Mallory bodies (alcoholic liver disease)

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154
Q

Eosinophilic cytoplasmic inclusion in nerve cell

A

Lewy body (Parkinson’s disease)

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155
Q

Eosinophilic globule in liver

A

Councilman body (toxic or viral hepatitis, often yellow fever)

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156
Q

Eosinophilic inclusion bodies in cytoplasm of hippocampal nerve cells

A

Negri bodies of rabies (Lyssavirus)

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157
Q

Extracellular amyloid deposition in gray matter of brain

A

Senile plaques (Alzheimer’s disease)

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158
Q

Giant B cells with bilobed nuclei with prominent inclusions (“owl’s eye”)

A

Reed-Sternberg cells (Hodgkin’s lymphoma)

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159
Q

Glomerulus-like strucuture surrounding vessel in germ cells

A

Schiller-Duval bodies (yolk sac tumor)

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160
Q

Hair on end (crew-cut) appearance on x-ray

A

_-thalassemia, sickle cell anemia (marrow expansion)

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161
Q

hCG elevated

A

Choriocarcinoma, hydatidiform mole (occurs with and without embryo)

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162
Q

Heart nodules (granulomatous)

A

Aschoff bodies (rheumatic fever)

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163
Q

Heterophile antibodies

A

Infectious mononucleosis (EBV)

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164
Q

Hexagonal, double-pointed, needle-like crystals in bronchial secretions

A

Bronchial asthma (Charcot-Leyden crystals: eosinophilic granules)

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165
Q

High level of D-dimers

A

DVT, pulmonary embolism, DIC

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166
Q

Hilar lymphadenopathy, peripheral granulomatous lesion in middle or lower long lobes (can calcify)

A

Ghon complex (1_ TB: Mycobacterium bacilli)

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167
Q

Honeycomb lung on x-ray or CT

A

Interstitial pulmonary fibrosis

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168
Q

Hypercoagulability (leading to migrating DVTs and vasculitis)

A

Trousseau’s syndrome (adenocarcinoma of pancreas or lung)

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169
Q

Hypersegmented neutrophils

A

Megaloblastic anemia (B12 deficiency: neurologic symptoms; folate deficiency: no neurologic symptoms)

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170
Q

Hypertension, hypokalemia, metabolic alkalosis

A

Conn’s syndrome

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171
Q

Hypochromic, microcytic anemia

A

Iron deficiency anemia, lead poisoning, thalassemia (fetal hemoglobin sometimes present)

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172
Q

Increased __-fetoprotein in amniotic fluid/maternal serum

A

Dating error, anencephaly, spina bifida (neural tube defects)

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173
Q

Increased uric acid levels

A

Gout, Lesch-Nyhan syndrome, tumor lysis syndrome, loop and thiazide diuretics

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174
Q

Intranuclear eosinophilic droplet-like bodies

A

Cowdry type A bodies (HSV or CMV)

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175
Q

Iron-containing nodules in alveolar septum

A

Ferruginous bodies (asbestosis: increased chance of mesothelioma)

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176
Q

Keratin pearls on a skin biopsy

A

Squamous cell carcinoma

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177
Q

Large lysosomal vesicles in phagocytes, immunodeficiency

A

Ch__diak-Higashi disease (congenital failure of phagolysosome formation)

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178
Q

Lead pipe appearance of colon on barium enema x-ray

A

Ulcerative colitis (loss of haustra)

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179
Q

Linear appearance of IgG deposition on glomerular basement membrane

A

Goodpasture’s syndrome

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180
Q

Low serum ceruloplasmin

A

Wilson’s disease (hepatolenticular degeneration)

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181
Q

Lumpy bumpy apperance of glomeruli on immunoflourescence

A

Poststreptococcal glomerulonephritis (immune complex deposition of IgG and C3b)

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182
Q

Lytic (“hole punched”) bone lesions on x-ray

A

Multiple myeloma

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183
Q

Mammary gland (“blue domed”) cyst

A

Fibrocystic change of the breast

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184
Q

Monoclonal antibody spike

A

Multiple myeloma (usually IgG or IgG, Monoclonal gammopathy of undetermined significance (MGUS; normal consequence of aging), Waldenstrom’s (M protein = IgM) macroglobulinemia, Primary amyloidosis

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185
Q

Mucin-filled cell with peripheral nucleus

A

Signet ring (gastric carcinoma)

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186
Q

Narrowing of bowel lumen on barium x-ray

A

String sign (Crohn’s disease)

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187
Q

Necrotizing vasculitis (lungs) and necrotizing glomerulonephritis

A

Granulomatosis with polyangiitis (Wegener’s; c-ANCA positive) and Goodpasture’s syndrome (anti-basement membrane antibodies)

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188
Q

Needle-shaped, negatively birefringent crystals

A

Gout (monosodium urate crystals)

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189
Q

Nodular hyaline deposits in glomeruli

A

Kimmelstiel-Wilson nodules (diabetic nephropathy)

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190
Q

Novobiocin response

A

Sensitive: Staphylococus epidermidis; resistant: Staphylococcus saprophyticus

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191
Q

Nutmeg appearance of liver

A

Chronic passive congestion of liver due to right heart failure

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192
Q

Onion skin periosteal reaction

A

Ewing’s sarcoma (malignant round-cell tumor)

193
Q

Optochin response

A

Sensitive: Streptococcus pneumoniae; resistant: Viridans streptococcus

194
Q

Periosteum raised from bone, creating triangular area

A

Codman’s triangle on x-ray (osteosarcoma, Ewing’s sarcoma, pyogenic osteomyelitis)

195
Q

Podocyte fusion or “effacement” on electron microscopy

A

Minimal change disease (child with nephrotic syndrome)

196
Q

Polished, “ivory like” appearance of bone at cartilage erosion

A

Eburnation (osteoarthritis resulting in bony sclerosis)

197
Q

Protein aggregates in neurons from hyperphosporylation of protein tau

A

Neurofibrillary tangles (Alzheimer’s disease) and Pick’s bodies (Pick’s disease)

198
Q

Psammoma bodies

A

Meningiomas, papillary thyroid carcinoma, mesothelioma, papillary serous carcinoma of the endometrium and ovary

199
Q

Pseudopalisading tumor cells on brain biopsy

A

Glioblastoma multiforme

200
Q

RBC casts in urine

A

Acute glomerulonephritis

201
Q

Rectangular, crystal-like, cytoplasmic inclusions in Leydig cells

A

Reinke crystals (Leydig cell tumor)

202
Q

Renal epithelial casts in urine

A

Acute toxic/viral nephrosis

203
Q

Rhomboid crystals, positively birefringent

A

Pseudogout (calcium phyrophosphate dihydrate crystals)

204
Q

Rib notching

A

Coarctation of the aorta

205
Q

Ring-enhancing brain lesion in AIDS

A

Taxoplasma gondii, CNS lymphoma

206
Q

Sheets of medium-sized lymphoid cells with scattered pale, tingible body-laden macrophages (“starry sky” histology)

A

Burkitt’s lymphoma (t[8:14] c-myc activation, associated with EBV, “black sky” made up of malignant cells)

207
Q

Silver-staining spherical aggregation of tau proteins in neurons

A

Pick bodies (Pick’s disease: progressive dementia, changes in personality)

208
Q

Soap bubble infemur or tibia on x-ray

A

Giant cell tumor of bone (generally benign)

209
Q

Spikes on basement membrane, “dome like” subepithelial deposits

A

Membranous glomerulonephritis (may progress to nephrotic syndrome)

210
Q

Stacks of RBCs

A

Rouleaux formation (high ESR, multiple myeloma)

211
Q

Stippled vaginal epithelial cells

A

Clue cells (Gardnerella vaginalis)

212
Q

Tennis racket shaped cytoplasmic organelles (EM) in Langerhans cells

A

Birbeck granules (Langerhans cell histiocytosis or histiocytosis X: eosinophilic granuloma)

213
Q

Thrombi made of white/red layers

A

Lines of Zahn (arterial thrombus, layers of platelets/RBCs)

214
Q

Thumb sign on lateral x-ray

A

Epiglottitis (Haemophilus influenzae)

215
Q

Thyroid-like appearance of kidney

A

Chronic bacterial pyelonephritis

216
Q

Tram-track appearance of capillary loops of glomerular basement membranes on light microscopy

A

Membranoproliferative glomerulonephritis

217
Q

Trigylceride accumulation in liver cell vacuoles

A

Fatty liver disease (alcoholic or metabolic syndrome)

218
Q

Waxy casts with very low urine flow

A

Chronic end-stage renal disease

219
Q

WBC casts in urine

A

Acute pyelonephritis

220
Q

WBCs that look “smudged”

A

CLL (almost always B cell)

221
Q

Wire loop glomerular capillary appearance on light microscopy

A

Lupus nephropathy

222
Q

Yellowish CSF

A

Xanthochromia (e.g., due to subarachnoid hemorrhage)

223
Q

Absence seizures

A

Ethosuximide

224
Q

Acute gout attack

A

NSAIDs, colchicine

225
Q

Acute promyelocytic leukemia (M3)

A

All-trans retinoic acid

226
Q

ADHD

A

Methylphenidate, amphetamines

227
Q

Alcohol abuse

A

AA+ disulfiram for patient and Al-Anon for family

228
Q

Alcohol withdrawal

A

Benzodiazepines

229
Q

Anorexia

A

SSRIs

230
Q

Anticoagulation during pregnancy

A

Heparin

231
Q

Arrhythmia in damaged cardiac tissue

A

Class IB antiarrhythmic (lidocaine, mexiletine, tocainide)

232
Q

B12 deficiency

A

Vitamin B12 supplementation (work up cause with Schilling test)

233
Q

Benign prostatic hyperplasia

A

Tamsulosin, finasteride

234
Q

Bipolar disorder

A

Lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)

235
Q

Breast cancer in postmenopausal women

A

Aromatase inhibitor (anastrozole)

236
Q

Buerger’s disease

A

Smoking cessation

237
Q

Bulimia

A

SSRIs

238
Q

Candida albicans

A

Amphotericin B (systemic), nystatin (oral thrush, esophagitis)

239
Q

Carcinoid syndrome

A

Octreotide

240
Q

Chlamydia trachomatis

A

Doxycycline (+ ceftriaxone for gonorrhea coinfection), erythromycin eye drops (prophylaxis in infants)

241
Q

Chronic gout

A

Probenecid (underexcretor), allopurinol (overproducer)

242
Q

Chronic hepatitis

A

IFN-_

243
Q

Chronic myelogenous leukemia

A

Imatinib

244
Q

Clostridium botulinum

A

Antitoxin

245
Q

Clostridium difficile

A

Oral metronidazole; if refractory, oral vancomycin

246
Q

Clostridium tetani

A

Antitoxin + vaccine booster + diazepam

247
Q

Crohn’s disease

A

Corticosteroids, infliximab

248
Q

Cryptococcus neoformans

A

Fluconazole (prophylaxis in AIDS patients)

249
Q

Cyclophosphamide-induced hemorrhagic cystitis

A

Mesna

250
Q

Cystic fibrosis

A

N-acetylcysteine + antipseudomonal prophylaxis (tobramycin/azithromycin)

251
Q

Cytomegalovirus

A

Ganciclovir

252
Q

Depression

A

SSRIs (first-line)

253
Q

Diabetes insipidus

A

Desmopressin (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

254
Q

Diabetes mellitus type 1

A

Dietary intervention (low-sugar) + insulin replacement

255
Q

Diabetes mellitus type 2

A

Dietary intervention, oral hypoglycemics, and insulin (possible)

256
Q

Diabetic ketoacidosis

A

Fluids, insulin, K+

257
Q

Enterococci

A

Vancomycin/ampicillin + aminoglycoside

258
Q

Erectile dysfunction

A

Sildenafil, vardenafil

259
Q

ER-positive breast cancer

A

Tamoxifen

260
Q

Ethylene glycol/methanol intoxication

A

Fomepizole (alcohol dehydrogenase inhibitor)

261
Q

Haemophilus influenzae (B)

A

Rifampin (prophylaxis)

262
Q

Generalized anxiety disorder

A

Buspirone

263
Q

Heparin toxicity (acute)

A

Protamine sulfate

264
Q

HER2/neu-positive breast cancer

A

Trastuzumab

265
Q

Hyperaldosteronism

A

Spironolactone

266
Q

Hypercholesterolemia

A

Statin (first-line)

267
Q

Hypertriglyceridemia

A

Fibrate

268
Q

Immediate anticoagulation

A

Heparin

269
Q

Infertility

A

Leuprolide, GnRH (pulsatile)

270
Q

Influenza

A

Rimantadine, oseltamivir

271
Q

Legionella pneumophila

A

Erythromycin

272
Q

Long-term anticoagulation

A

Warfarin

273
Q

Malaria

A

Chloroquine/mefloquine (for blood schizont), primaquine (for liver hypnozoite)

274
Q

Malignant hyperthermia

A

Dantrolene

275
Q

Medical abortion

A

Mifepristone

276
Q

Migraine

A

Sumatriptan

277
Q

MRSA

A

Vancomycin

278
Q

Multiple sclerosis

A

_-interferon, immunosuppression, natalizumab

279
Q

Mycobacterium tuberculosis

A

RIPE (rifampin, INH, pyrazinamide, ethambutol)

280
Q

Neisseria gonorrhoeae

A

Ceftriaxone (add doxycycline to cover likely concurrent Chlamydia)

281
Q

Neisseria meningitidis

A

Penicillin/ceftriaxone, rifampin (prophylaxis)

282
Q

Neural tube defect prevention

A

Prenatal folic acid

283
Q

Osteomalacia/rickets

A

Vitamin D supplementation

284
Q

Osteoporosis

A

Bisphosphonates; calcium and vitamin D supplementation

285
Q

Patent ductus arteriosus

A

Indomethacin

286
Q

Pheochromocytoma

A

_-antagonists (e.g., phenoxybenzamine)

287
Q

Pneumocystis jirovecii

A

TMP-SMX (prophylaxis in AIDS patient)

288
Q

Prolactinoma

A

Bromocriptine (dopamine agonists)

289
Q

Prostate cancer/uterine fibroids

A

Leuprolide, GnRH (continuous)

290
Q

Prostate carcinoma

A

Flutamide

291
Q

Pseudomonas aeruginosa

A

Antipseudomonal penicillin + aminoglycoside

292
Q

Pulmonary arterial hypertension (idiopathic)

A

Sildenafil, bosentan, epoprostenol

293
Q

Rickettsia rickettsiii

A

Doxycycline, chloramphenicol (especially in context of aplastic anemia)

294
Q

Ringworm infections

A

Terbinafine, griseofulvin, imidazole

295
Q

Schizophrenia (negative symptoms)

A

5-HT2A antagonists (e.g., second-generation antipsychotics)

296
Q

Schizophrenia (positive symptoms)

A

D2 receptor antagonists (e.g., first- and second-generation anti-psychotics)

297
Q

SIADH (Treatment)

A

Demeclocycline, lithium, vasopressin receptor antagonists

298
Q

Sickle cell anemia

A

Hydroxyurea (increased fetal hemoglobin)

299
Q

Sporothrix schenckii

A

Oral potassium chloride

300
Q

Stable angina

A

Sublingual nitroglycerin

301
Q

Staphylococcus aureus

A

MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal penicillins); MRSA: vancomycin

302
Q

Streptococcus bovis

A

Penicillin prophylaxis; evaluation for colon cancer if linked to endocarditis

303
Q

Streptococcus pneumoniae

A

Penicillin/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)

304
Q

Streptococcus pyogenes

A

Penicillin prophylaxis

305
Q

Temporal arteritis (Treatment)

A

High-dose steroids

306
Q

Tonic-clonic seizures

A

Phenytoin, valproate, carbamazepine

307
Q

Toxoplasma gondii

A

Sulfadiazine + pyrimethamine

308
Q

Treponema pallidum

A

Penicillin

309
Q

Trichomonas vaginalis

A

Metronidazole (patient and partner)

310
Q

Ulcerative colitis

A

5-ASA, infliximab

311
Q

UTI prophylaxis Warfarin toxicity

A

TMP-SMX

312
Q

Warfarin toxicity

A

Fresh frozen plasma (acute), vitamin K (chronic)

313
Q

Wegener’s granulomatosis with polyangiitis

A

Cyclophosphamide, corticosteroids

314
Q

Acitinic (solar) keratosis

A

Precursor to squamous cell carcinoma

315
Q

Acute gastric ulcer associated with CNS injury

A

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

316
Q

Acute gastric ulcer associated with severe burns

A

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

317
Q

Alternating areas of transmural inflammation and normal colon

A

Skip lesions (Crohn’s disease)

318
Q

Aneurysm, dissecting

A

Hypertension

319
Q

Aortic aneurysm, abdominal and descending aorta

A

Atherosclerosis

320
Q

Aortic aneurysm, arch

A

Tertiary syphilis (syphilitic aortitis), vasa vasorum destruction

321
Q

Aortic aneurysm, ascending

A

Marfan’s syndrome (idiopathic cystic medial degeneration)

322
Q

Atrophy of the mammillary bodies

A

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

323
Q

Autosplenectomy (fibrosis and shrinkage)

A

Sickle cell anemia (hemoglobin S)

324
Q

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

A

H. pylori

325
Q

Bacterial meningitis (adults and elderly)

A

Streptococcus pneumoniae

326
Q

Bacterial meningitis (newborns and kids)

A

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

327
Q

Benign melanocytic nevus

A

Spitz nevus (most common in first two decades)

328
Q

Bleeding disorder with GpIb deficiency

A

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

329
Q

Brain tumor (adults)

A

Supratentorial: metastasis > astrocytoma (including glioblastoma multiforme) > meningioma > schwannoma

330
Q

Brain tumor (kids)

A

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

331
Q

Breast cancer

A

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

332
Q

Breast mass

A

Fibrocystic change, carcinoma (in postmenopausal women)

333
Q

Breast tumor (benign)

A

Fibroadenoma

334
Q

Cardiac 1_ tumor (kids)

A

Rhabdomyoma, often seen in tuberous sclerosis

335
Q

Cardiac manifestation of lupus

A

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

336
Q

Cardiac tumor (adults)

A

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

337
Q

Cerebellar tonsillar herniation

A

Chiari malformation (often presents with progressive hydrocehalus or syringomyelia)

338
Q

Chronic arrhythmia

A

Atrial fibrillation (associatd with high risk of emboli)

339
Q

Chronic atrophic gastritis (autoimmune)

A

Predisposition to gastric carcinoma (can also cause pernicious anemia)

340
Q

Clear cell adenocarcinoma of the vagina

A

DES exposure in utero

341
Q

Compression fracture

A

Ostoeporosis (type I: postmenopausal woman; type II: elderly man or woman)

342
Q

Congenital adrenal hyperplasia, hypotension

A

21-hydroxylase deficiency

343
Q

Congenital cardiac anomaly

A

VSD

344
Q

Congenital conjugated hyperbilirubinemia (black liver)

A

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

345
Q

Constrictive pericarditis

A

Tuberculosis (developing world); systemic lupus erythematosus (developed world)

346
Q

Coronary artery involved in thrombosis

A

LAD > RCA > LCA

347
Q

Cretinism

A

Iodine deficit/hypothyroidism

348
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)

349
Q

Cyanosis (early; less common)

A

Tetralogy of Fallot, transposition of great vessels, truncus arteriosus

350
Q

Cyanosis (late; more common)

A

VSD, ASD, PDA

351
Q

Death in CML

A

Blast crisis

352
Q

Death in SLE

A

Lupus nephropathy

353
Q

Dementia

A

Alzheimer’s disease, multiple infarcts

354
Q

Demyelinating disease in young women

A

Multiple sclerosis

355
Q

DIC

A

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

356
Q

Dietary deficit

A

Iron

357
Q

Diverticulum in pharynx

A

Zenker’s diverticulum (diagnosed by barium swallow)

358
Q

Ejection click

A

Aortic/pulmonic stenosis

359
Q

Esophageal cancer

A

Squamous cell carcinoma (worldwide); adenocarcinoma (US)

360
Q

Food poisoning (exotoxin mediated)

A

S. aureus, B. cereus

361
Q

Glomerulonephritis (adults)

A

Berger’s disease (IgA nephropathy)

362
Q

Gynecologic malignancy

A

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

363
Q

Heart murmur, congenital

A

Mitral valve prolapse

364
Q

Heart valve in bacterial endocarditis

A

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

365
Q

Helminth infection (US)

A

Enterobius vermicularis, Ascaris lumbricoides

366
Q

Hematoma - epidural

A

Rupture of middle meningeal artery (trauma; lentiform shaped)

367
Q

Hemotoma - subdural

A

Rupture of bridging veins (crescent shaped)

368
Q

Hemochromatosis

A

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

369
Q

Hepatocellular carcinoma

A

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

370
Q

Hereditary bleeding disorder

A

von Willebrand’s disease

371
Q

Hereditary harmless jaundice

A

Gilbert’s syndrome (benign congenital unconjugated hyperbilirubinemia)

372
Q

HLA-B27

A

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

373
Q

HLA-DR3 or -DR4

A

Diabetes mellitus type 1, rheumatoid arthritis, SLE

374
Q

Holosystolic murmur

A

VSD, tricuspid regurgitation, mitral regurgitation

375
Q

Hypercoagulability, endothelial damage, blood stasis

A

Virchow’s triad (results in venous thrombosis)

376
Q

Hypertension, 2_

A

Renal disease

377
Q

Hypoparathyroidism

A

Accidental excision during thyroidectomy

378
Q

Hypopituitarism

A

Pituitary adenoma (usually benign tumor)

379
Q

Infection 2_ to blood transfusion

A

Hepatitis C

380
Q

Infections in chronic granulomatous disease

A

Staphylococcus aureus, E. coli, Aspergillus (catalase positive)

381
Q

Kidney stones

A

Calcium = radiopaque, Struvite (ammonium) radiopaque (formed by urease-positive organisms such as Proteus vulgaris or Staphylococcus), Uric acid = radiolucent

382
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)

383
Q

Liver disease

A

Alcoholic cirrhosis

384
Q

Lysosomal storage disease

A

Gaucher’s disease

385
Q

Male cancer

A

Prostatic carcinoma

386
Q

Malignancy associated with noninfectious fever

A

Hodgkin’s lymphoma

387
Q

Malignancy (kids)

A

ALL, medulloblastoma (cerebellum)

388
Q

Mental retardation

A

Down syndrome, fragile X syndrome

389
Q

Metastases to bone

A

Prostate, breast > lung > thyroid, testes

390
Q

Metastases to brain

A

Lung > breast > genitourinary > osteosarcoma > melanoma > GI

391
Q

Metastases to liver

A

Colon&raquo_space; stomach, pancreas

392
Q

Mitochondrial inheritance

A

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

393
Q

Mitral valve stenosis

A

Rheumatic heart disease

394
Q

Mixed (UMN and LMN) motor neuron disease

A

ALS

395
Q

Myocarditis

A

Coxsackie B

396
Q

Nephrotic syndrome (adults)

A

Focal segmental glomerulosclerosis

397
Q

Nephrotic syndrome (kids)

A

Minimal change disease

398
Q

Neuron migration failure

A

Kallmann syndrome (hypogonadotropic hypogonadism and anosmia)

399
Q

Nosocomial pneumonia

A

Klebsiella, E. coli, Pseudomonas aeruginosa

400
Q

Obstruction of male urinary tract

A

BPH

401
Q

Opening snap

A

Mitral stenosis

402
Q

Opportunistic infection in AIDS

A

Pneumocystis jirovecii (formerly carinii) pneumonia

403
Q

Osteomyelitis

A

S. aureus

404
Q

Osteomyelitis in sickle cell disease

A

Salmonella

405
Q

Osteomyelitis with IV drug use

A

Pseudomonas, S. aureus

406
Q

Ovarian metastasis from gastric carcinoma or breast cancer

A

Krukenberg tumor (mucin-secreting signet-ring cells)

407
Q

Ovarian tumor (benign, bilateral)

A

Serous cystadenoma

408
Q

Ovarian tumor (malignant)

A

Serous cystadenocarcinoma

409
Q

Pancreatitis (acute)

A

Gallstones, alcohol

410
Q

Pancreatitis (chronic)

A

Alcohol (adults), cystic fibrosis (kids)

411
Q

Patient with ALL/CLL/AML/CML

A

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

412
Q

Pelvic inflammatory disease

A

Chlamydia tracomatis, Neisseria gonorrhoeae

413
Q

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

A

CML (may sometimes be associated with ALL/AML)

414
Q

Pituitary tumor

A

Prolactinoma, somatotropic “acidophilic” adenoma

415
Q

Primary amenorrhea

A

Turner syndrome (45,XO)

416
Q

Primary bone tumor (adults)

A

Multiple myeloma

417
Q

Primary hyperaldosteronism

A

Adenoma of adrenal cortex

418
Q

Primary hyperparathyroidism

A

Adenomas, hyperplasia, carcinoma

419
Q

Primary liver cancer

A

Hepatocellular carcinoma (chronic hepatitis, cirrhosis, hemochromatosis, _1 antitrypsin deficiency)

420
Q

Pulmonary hyptertension

A

COPD

421
Q

Recurrent inflammation/thrombosis of small/medium vessels in extremities

A

Buerger’s disease (strongly associated with tobacco)

422
Q

Renal tumor

A

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

423
Q

Right heart failure due to a pulmonary cause

A

Cor pulmonale

424
Q

S3 (protodiastolic gallop)

A

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

425
Q

S4 (presystolic gallop)

A

Stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)

426
Q

Secondary hyperparathyroidism

A

Hypocalcemia of chronic kidney disease

427
Q

Sexually transmitted disease

A

Chlamydia (usually coinfected with gonorrhea)

428
Q

SIADH

A

Small cell carcinoma of the lung

429
Q

Site of diverticular

A

Sigmoid colon

430
Q

Sites of atherosclerosis

A

Abdominal aorta > coronary artery > popliteal artery > carotid artery

431
Q

Stomach cancer

A

Adenocarcinoma

432
Q

Stomach ulcerations and high gastrin levels

A

Zollinger-Ellison syndrome (gastrinoma of duodenum or pancreas)

433
Q

t(14;18)

A

Follicular lymphomas (bcl-2 activation)

434
Q

t(8;14)

A

Burkitt’s lymphoma (c-myc activation)

435
Q

t(9;22)

A

Philadelphia chromosome, CML (bcr-abl fusion)

436
Q

Temporal arteritis

A

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

437
Q

Testicular tumor

A

Seminoma

438
Q

Thyroid cancer

A

Papillary carcinoma

439
Q

Tumor in women

A

Leiomyoma (estrogen dependent, not precancerous)

440
Q

Tumor of infancy

A

Hemangioma (usually regresses spontaneously by childhood)

441
Q

Tumor of the adrenal medulla (adults)

A

Pheochromocytoma (usually benign)

442
Q

Tumor of the adrenal medulla (kids)

A

Neuroblastoma (malignant)

443
Q

Type of Hodgkin’s

A

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

444
Q

Type of non-Hodgkin’s

A

Diffuse large cell

445
Q

UTI

A

E. coli, Staphylococcus saprophyticus (young women)

446
Q

Viral encephalitis affecting temporal lobe

A

HSV-1

447
Q

Vitamin deficiency (US)

A

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

448
Q

Sensitivity

A

Sensitivity = TP / (TP + FN)

449
Q

Specificity

A

Specificity = TN / (TN + FP)

450
Q

Positive predictive value

A

PPV = TP / (TP + FP)

451
Q

Negative predictive value

A

NPV = TN / (TN+FN)

452
Q

Odds ratio (for case-control studies)

A

Odds ratio = a/c | b/d = ad | bc

453
Q

Relative risk

A

Relative risk = a/(a+b) | c/(c+d)

454
Q

Attributable risk

A

Attributable risk = a | a+b - c | c+d

455
Q

Number needed to treat

A

I/absolute risk reduction

456
Q

Number needed to harm

A

I/atrtributable risk

457
Q

Body mass index

A

BMI = weight in kg / height in meters squared

458
Q

Hardy-Weinberg equilibrium

A

p squared + 2pq + q squared = 1p + q = 1

459
Q

Volume of distribution

A

Vd = amount of drug in the body / plasma drug concentration

460
Q

Half-life

A

t half = 0.7 x Vd / CL

461
Q

Drug clearance

A

CL = rate of elimination of drug / plasma drug concentration = Vd x Ke (elimination constant)

462
Q

Loading dose

A

LD = Cp x Vd / F

463
Q

Maintenance dose

A

MD = Cp x CL / F

464
Q

Cardiac output

A

CO = rate of O2 consumption / arterial O2 content - venous O2 contentCO = stroke volume x heart rate

465
Q

Mean arterial pressure

A

MAP = cardiac output x total peripheral resistanceMAP = 2/3 diastolic + 1/3 systolic

466
Q

Stroke volume

A

SV = CO/HR = EDV-ESV

467
Q

Ejection fraction

A

EF = SV/EDV = EDV-ESV/EDV

468
Q

Resistance

A

Resistance = driving pressure (P) / flow (Q) =(viscosity) x length / _r4

469
Q

Net filtration pressure

A

Pnet = [(Pc - Pi) - (___c - ___i)]Jv = net fluid flow = (Kf)(Pnet)

470
Q

Renal clearance

A

Cx = UxV/Px

471
Q

Glomerular filtration rate

A

GFR = U inulin x V/P inulin = C inulinGFR = Kf [(Pgc - Pbs) - (_gc - _bs)]

472
Q

Effective renal plasma flow

A

ERPF = U pah x V / P pah = C pah

473
Q

Renal blood flow

A

RBF = RPF/1-Hct

474
Q

Filtration fraction

A

FF = GFR/RPF

475
Q

Henderson-Hasselbach equation (for extracellular pH)

A

pH = 6.1 + log [HCO3-] / 0.03 Pco2

476
Q

Physiologic dead space

A

Vd = Vt x (Paco2) - Peco2 / Paco2

477
Q

Pulmonary vascular resistance

A

PVR = P pulm artery - P L atrium / Cardiac output

478
Q

Alveolar gas equation

A

PAO2 = PIO2 - PaCO2 / R

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