Key Associations 4

Question 1

Holosystolic murmur?

Answer 1

VSD, tricuspid regurg, mitral regurg

Question 2

Hypercoagulability, endothelial damage, blood stasis?

Answer 2

Virchow’s triad (results in venous thrombosis)

Question 3

HTN, secondary?

Answer 3

Renal dz

Question 4

Hypoparathyroidism?

Answer 4

Accidental excision during thyroidectomy

Question 5

Hypopituitarism?

Answer 5

Pituitary adenoma (usually benign tumor)

Question 6

Infection secondary to blood transfusion?

Answer 6

Hep C

Question 7

Infections in chronic granulomatous dz?

Answer 7

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

Question 8

Kidney stones?

Answer 8

Calcium (radiopaque), struvite (ammonium–formed by urease-positive bugs such as Proteus vulgaris or Staph [radiopaque]), uric acid (radiolucent)

Question 9

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

Answer 9

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

Question 10

Liver dz?

Answer 10

Alcoholic cirrhosis

Question 11

Lysosomal storage dz?

Answer 11

Gaucher’s dz

Question 12

Male cancer?

Answer 12

Prostatic carcinoma

Question 13

Malignancy assoc with noninfectious fever?

Answer 13

Hodgkin’s lymphoma

Question 14

Malignancy (kids)?

Answer 14

ALL, medulloblastoma (cerebellum)

Question 15

Mental retardation?

Answer 15

Down’s, fragile X syndrome

Question 16

Mets to bone?

Answer 16

Prostate, breast > lung > thyroid, testes

Question 17

Mets to brain?

Answer 17

Lung > breast > genitourinary > osteosarcoma > melanoma > GI

Question 18

Mets to liver?

Answer 18

Colon&raquo_space; stomach, pancreas

Question 19

Mitochondrial inheritance?

Answer 19

Dz occurs in both males and females, inherited thru females only

Question 20

Mitral valve stenosis?

Answer 20

Rheumatic heart dz