Key Associations 1

Question 1

Actinic (solar) keratosis?

Answer 1

Precursor to SCC

Question 2

Acute gastric ulcer assoc with CNS injury?

Answer 2

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

Question 3

Acute gastric ulcer assoc with severe burns?

Answer 3

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

Question 4

Alternating areas of transmural inflammation and normal colon?

Answer 4

Skip lesions (Crohn’s dz)

Question 5

Aneurysm, dissecting?

Answer 5

HTN

Question 6

Aortic aneurysm, abdominal and descending aorta?

Answer 6

Atherosclerosis

Question 7

Aortic aneurysm, arch?

Answer 7

Tertiary syphilis (syphilitic aortitis), vasa vasorum destruction

Question 8

Aortic aneurysm, ascending?

Answer 8

Marfan’s syndrome (idiopathic cystic medial degeneration)

Question 9

Atrophy of the mammillary bodies?

Answer 9

Wernicke’s encephalopathy (thiamine (Vit B1) deficiency causing ataxia, ophthalmoplegia, and confusion)

Question 10

Autosplenectomy (fibrosis and shrinkage)?

Answer 10

Sickle cell anemia (hemoglobin S)

Question 11

Bacteria assoc with gastritis, peptic ulcer dz, and stomach cancer?

Answer 11

H. pylori

Question 12

Bacterial meningitis (adults and elderly)?

Answer 12

Strep pneumoniae

Question 13

Bacterial meningitis (newborns and kids)?

Answer 13

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

Question 14

Benign melanocytic nevus?

Answer 14

Spitz nevus (most common in first two decades)

Question 15

Bleeding disorder with GpIb deficiency?

Answer 15

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

Question 16

Brain tumor (adults)?

Answer 16

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

Question 17

Brain tumor (kids)?

Answer 17

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

Question 18

Breast cancer?

Answer 18

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

Question 19

Breast mass?

Answer 19

Fibrocystic change, carcinoma (in postmenopausal women)

Question 20

Breast tumor (benign)?

Answer 20

Fibroadenoma