Hertz CIS

Question 1

pitutitary tumor, homogenous histology. What can we expect to see ?

Answer 1

bilateral hemianopsia
papilledema

most common:

1. prolactin
2. Growth hormone

Question 2

basilar skull fracture

Answer 2

–> hypopituitarism via stalk damage

can be seen with amenorrhea, pallor, loss of axillary hair, or other symptoms.

Question 3

empty sella syndrome

Answer 3

csf or brain tumor pushes down on the pitutitary
it melts away

–> pituitary apoplexy (s bleeding into or impaired blood supply of the pituitary gland at the base of the brain)

Question 4

rathke cleft cyst

Answer 4

in the epithelium between the anterior and posterior pituitary

Question 5

craniopharyngioma location and associations

Answer 5

suprasellar
“crankcase oil”- is a breakdown product of keratin
will find cholesterol crystals

Question 6

dilated ventricles =

Answer 6

hydrocephalus

Question 7

nephrogenic diabetes insipidus after car wreck found hypotensive

Answer 7

acute kidney injury, damage first to the proximal tubules

–> oliguric –> polyuric

Question 8

central types of lung cancer

Answer 8

squamous cell and small oat cell

Question 9

multinodular goiter, what is the red stuff?

Answer 9

thyroglobulin backed up

can be seen with cruciate vegetable ingestion, etc.

Question 10

hypothyroidism in a kid

Answer 10

cretinism

can see umbilical hernia

Question 11

hypothyroidism in a kid

Answer 11

cretinism

can see umbilical hernia

Question 12

when do we do fine needle aspirate of the thyroid?

Answer 12

can make dx papillary carcinoma based on orphan annie nuclei

but can’t distignuish follicular

Question 13

swelling and pain of thyroid

Answer 13

de quervain’s

Question 14

germinal centers and hurthle cell metaplasia

Answer 14

hashimoto’s

Question 15

antibodies to thyroglobulin

Answer 15

hashimotos

Question 16

anti mitochondrial antibodies seen in what disease?

Answer 16

primary biliary cirrhosis

Question 17

papillary spreads by…?

follicular by?

Answer 17

papillary by lymph nodes

follicular by blood

Question 18

triad for type I diabetes?

Answer 18

polyphagia, polydipsia, polyuria

Question 19

lymphocytes in the islet cell vs amyloid

Answer 19

lymphocytes- type I

amyloid- type 2

Question 20

insulinoma- what can we see in the staining?

Answer 20

amyloid

Question 21

acneform rash on cheeks, buffalo hump

Answer 21

cushings! goes with striae and moon face