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Key Associations Flashcards

1
Q

Acute gastric ulcer associated with CNS injury

A

Cushing ulcer (increased ICP stimulates vagal gastric H+ secretion)

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2
Q

Acute gastric ulcer associated with severe burns

A

Curling ulcer (greatly decreased plasma volume results in sloughing of gastric mucosa)

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3
Q

Age ranges for pts with ALL/CLL/AML/CML

A

ALL: child
CLL: adult
AML: adult ~65
CML: adult 45-85

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4
Q

Alternating areas of transmural inflammation and normal colon

A

Skip lesions (Crohn disease)

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5
Q

Aortic aneurysm, abdominal

A

Atherosclerosis

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6
Q

Aortic aneurysm, ascending or arch

A

Tertiary syphilis (syphilitic aortitis), vaso vasorum destruction

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7
Q

Aortic aneurysm, thoracic

A

Marfan syndrome (idiopathic cystic medial degeneration)

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8
Q

Aortic dissection

A

HTN

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9
Q

Atrophy of the mammillary bodies

A

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

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10
Q

Autosplenectomy (fibrosis and shrinkage)

A

Sickle cell disease (Hgb S)

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11
Q

Bacteria associated with gastritis, peptic ulcer disease and gastric malignancies (adenocarcinoma, MALT lymphoma)

A

H.pylori

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12
Q

Bacterial meningitis (adults and elderly)

A

S.pneumoniae

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13
Q

Bacterial meningitis (newborns and kids)

A

Group B streptococcus/E.coli (newborns)

S.penumoniae/N.meningitidis (kids/teens)

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14
Q

Bilateral ovarian metastasis from gastric carcinoma

A

Krukenberg tumor (mucin-secreting signet ring cells)

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15
Q

Bleeding disorder with GpIb deficiency

A

Bernard-Soulier syndrome (defect in platelet adhesion to vWF)

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16
Q

Brain tumor (adults)

A

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

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17
Q

Brain tumor (kids)

A

Infratentorial: medulloblastoma (cerebellum)
Supratentorial: craniopharyngioma

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18
Q

Breast cancer

A

Invasive ductal carcinoma

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19
Q

Breast mass

A

Fibrocystic change, carcinoma (in postmenopausal women)

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20
Q

Breast tumor (benign, young women)

A

Fibroadenoma

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21
Q

Cardiac primary tumor (kids)

A

Rhabdomyoma, often seen in tuberous sclerosis

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22
Q

Cardiac manifestations of lupus

A

Marantic/thrombotic endocarditis (non-bacterial)

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23
Q

Cardiac tumors (adults)

A

Mestastasis, myxoma (90% in left atrium: ball and valve)

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24
Q

Cerebellar tonsil are herniation

A

Chiari II malformation

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25
Q

Chronic arrhythmia

A

Atrial fibrillation (associated with high risk of emboli)

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26
Q

Chronic atrophic gastritis (autoimmune)

A

Predisposition to gastric carcinoma (can also cause pernicious anemia)

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27
Q

Clear cell adenocarcinoma of the vagina

A

DES exposure in utero

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28
Q

Congenital adrenal hyperplasia, hypotension

A

21-hydroxylase deficiency

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29
Q

Congenital cardiac anomaly

A

VSD

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30
Q

Congenital conjugated hyperbilirubinemia (black liver)

A

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

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31
Q

Constrictive pericarditis

A

TB (developing world); idiopathic, viral illness (developed world)

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32
Q

Coronary artery involved in thrombosis

A

LAD>RCA>circumflex

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33
Q

Cretinism

A

Iodine deficient/congenital hypothyroidism

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34
Q

Cushing syndrome

A

Iatrogenic (from corticosteroid therapy)
adrenocortical adenoma (secretes excess cortisol)
ACTH-secreting pituitary adenoma (Cushing disease)
Paraneoplastic (due to ACTH secretion by tumors)

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35
Q

Cyanosis (early; less common)

A

Tetralogy of Fallot, transposition of great vessels, Truncus arteriosus

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36
Q

Death in CML

A

Blast crisis

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37
Q

Death in SLE

A

Lupus nephropathy

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38
Q

Dementia

A

ALZ disease, multiple infarcts (vascular dementia)

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39
Q

Demyelinating disease in young women

A

Multiple sclerosis

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40
Q

DIC

A

Severe sepsis, obstetric complication, cancer, burns, trauma, major surgery, acute pancreatitis, APL

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41
Q

Diverticulum in pharynx

A

Sender diverticulum (diagnosed by barium swallow)

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42
Q

Ejection click

A

Aortic stenosis

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43
Q

Esophageal cancer

A

Squamous cell carcinoma (worldwide); adenocarcinoma (US)

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44
Q

Food poisoning (exotoxin mediated)

A

S.aureus, B.cereus

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45
Q

Gastric cancer

A

Adenocarcinoma

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46
Q

Glomerulonephritis (adults)

A

Berger disease (IgA nephropathy)

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47
Q

Gynecological malignancy

A

Endometrial carcinoma (most common in US); cervical carcinoma (most common world wide)

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48
Q

Heart murmur (congenital)

A

Mitral valve prolapse

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49
Q

Heart valve in bacterial endocarditis

A

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

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50
Q

Helminth infections (US)

A

Enterobius vermicularis, Ascaris lumbricoides

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51
Q

Hematoma (epidural)

A

Rupture of middle meningeal artery (trauma; lent inform shaped)

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52
Q

Hematoma (subdural)

A

Rupture of bridging veins (crescent shaped)

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53
Q

Hemachromatosis

A

Multiple blood transfusions or hereditary HFE mutation (can results from heart failure, “bronze diabetes”, and increased risk of hepatocellular carcinoma)

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54
Q

Hepatocellular carcinoma

A

Cirrhotic liver (associated with HBV, HCV and with alcoholism)

55
Q

Hereditary bleeding disorder

A

Von Willebrand disease

56
Q

Hereditary harmless jaundice

A

Gilbert syndrome (benign congenital unconjugated hyperbilirubinemia)

57
Q

HLA-B27

A

Psoriatic arthritis, ankylosing spondylitis, IBD-associated arthritis, reactive arthritis (formerly Reiter syndrome)

58
Q

HLA-DR3

A

DM type I, SLE, Graves’ disease, Hashimoto thyroiditis, Addison disease

59
Q

Actinic (solar) keratosis

A

Precursor to squamous cell carcinoma

60
Q

HLA-DR4

A

DM type I, RA, Addison disease

61
Q

Holosystolic murmur

A

VSD, tricuspid regurgitation, mitral regurgitation

62
Q

Hypercoagulabilty, endothelial damage, blood stasis

A

Virchow triad (increased risk of thrombosis)

63
Q

HTN, secondary

A

Renal artery stenosis, chronic kidney disease (eg polycystic kidney disease, diabetic nephropathy), hyperaldosteronism

64
Q

Hypoparathyroidism

A

Accidental excision during thyroidectomy

65
Q

Hypopituitarism

A

Pituitary adenoma (usually benign)

66
Q

Infection secondary to blood transfusion

A

Hepatitis C

67
Q

Infections in chronic granulomatous disease

A

S.aureus, E.coli, Aspergiullus (catalase +)

68
Q

Intellectual disability

A

Down syndrome

Fragile X syndrome

69
Q

Kidney stones

A

Calcium = radiopaque
Struvite (ammonium) = radiopaque (formed by urease + organisms such as Klebsiella, Proteus species, and S.saprophyticus)
Uric acid = radiolucent
Cystine = radiolucent

70
Q

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

A

Eisenmenger syndrome (caused by ASD, VSD, PDA, results in pulmonary HTN/polycythemia)

71
Q

Liver disease

A

Alcoholic cirrhosis

72
Q

Lysosomal storage disease

A

Gaucher disease

73
Q

Male cancer

A

Prostatic carcinoma

74
Q

Malignancy associated with noninfectious fever

A

Hodgkin lymphoma

75
Q

Malignancy (kids)

A

ALL, medulloblastoma (cerebellum)

76
Q

Metastases to bone

A

Prostate, breast > lung > thyroid

77
Q

Metastases to brain

A

Lung > brain > genitourinary > melanoma > GI

78
Q

Metastases to liver

A

Colon&raquo_space; stomach, pancreas

79
Q

Microcytic anemia

A

Iron deficiency

80
Q

Mitochondrial inheritance

A

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

81
Q

Mitral valve stenosis

A

Rheumatic heart disease

82
Q

Mixed (UMN & LMN) motor neuron disease

A

Amyotrophic lateral sclerosis

83
Q

Myocarditis

A

Coxsackievirus B

84
Q

Nephrotic syndrome (adults)

A

Focal segmental glomerulosclerosis

85
Q

Nephrotic syndrome (kids)

A

Minimal change disease

86
Q

Neuron migration failure

A

Kallmann syndrome (hypogonadotropic hypogonadism and anosmia)

87
Q

Nosocomial pneumonia

A

S.aureus, Pseudomonas, other enteric gram - rods

88
Q

Obstruction of male urinary tract

89
Q

Opening snap

A

Mitral stenosis

90
Q

Opportunistic infection in AIDS

A

Pneumocystis jirovecii

91
Q

Osteomyelitis

A

S.aureus (most common overall)

92
Q

Osteomyelitis in sickle cell disease

A

Salmonella

93
Q

Osteomyelitis with IV drug use

A

Pseudomonas, Candida, S.aureus

94
Q

Ovarian tumor (benign, bilateral)

A

Serous cystadenoma

95
Q

Ovarian tumor (malignant)

A

Serous cystadenocarcinoma

96
Q

pancreatitis (acute)

A

Gallstones, alcohol

97
Q

Pancreatitis (chronic)

A

Alcohol (adults), cystic fibrosis (kids)

98
Q

Pelvic inflammatory disease

A

C.trachomatis, N.gonorrhoeae

99
Q

Philadelphia chromosome t(9;22) (BCR-ABL)

A

CML (may sometimes be associated with ALL/AML)

100
Q

Pituitary tumor

A

Prolactinoma, somatotropic adenoma

101
Q

Primary amenorrhea

A

Turner syndrome (45X,0) or 45,X0/XX mosaic)

102
Q

Primary bone tumor (adults)

A

Multiple myeloma

103
Q

Primary hyperaldosteronism

A

Adenoma of adrenal cortex

104
Q

Primary hyperparathyroidism

A

Adenomas, hyperplasia, carcinoma

105
Q

Primary liver cancer

A

Hepatocellular carcinoma (chronic hepatitis, cirrhosis, hemochromatosis, alpha-1-antitrypsin deficiency, Wilson disease)

106
Q

Pulmonary HTN

A

Idiopathic, heritable, left heart disease (eg HF), lung disease (eg COPD), hypoxemic vasoconstriction (eg OSA), thromboembolic (eg PE)

107
Q

Recurrent inflammation/thrombosis of small/medium vessels in extremities

A

Buerger disease (strongly associated with tobacco)

108
Q

Refractory peptic ulcers and high Gastrin levels

A

Zollinger-Ellison syndrome (gastronomy of duodenum or pancreas), associated with MEN1

109
Q

Renal tumor

A

Renal cell carcinoma, associated with Von Hippel-Lindau and cigarette smoking; paraneoplastic syndrome (EPO, renin, PTHrP, ACTH)

110
Q

RHF due to pulmonary cause

A

Cor pulmonale

111
Q

S3 heart sound

A

Increased ventricular filling pressure (eg mitral regurgitation, HF), common in dilated ventricles

112
Q

S4 heart sound

A

Stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)

113
Q

Secondary hyperparathyroidism

A

Hypocalcemia of chronic kidney disease

114
Q

Sexually transmitted disease

A

C.trachomatis (usually coinfection with N.gonorrhoeae)

115
Q

SIADH

A

Small cell carcinoma of the lung

116
Q

Site of diverticula

A

Sigmoid colon

117
Q

Sites of atherosclerosis

A

Abdominal aorta > coronary artery > popliteal artery > carotid artery

118
Q

T(14;18)

A

Follicular lymphoma (BCL-2 activation, anti-apoptotic oncogene)

119
Q

T(8;14)

A

Burkitt lymphoma (c-myc fusion, transcription factor for oncogene)

120
Q

T(9;22)

A

Philadelphia chromosome, CML (BCR-ABL activation, tyrosine kinase oncogene)

121
Q

Temporal arteritis

A

Risk of ipsilateral blindness due to occlusion of ophthalmic artery; polymyalgia rheumatic

122
Q

Testicular tumor

A

Seminoma (malignant, radiosensitive) increase placental ALP

123
Q

Thyroid cancer

A

Papillary carcinoma (childhood irradiation)

124
Q

Tumor in women

A

Leiomyoma (estrogen dependent, not precancerous)

125
Q

Tumor of infancy

A

Strawberry hemangioma (grows rapidly and regresses spontaneously by childhood)

126
Q

Tumor of the adrenal medulla (adults)

A

Pheochromocytoma (usually benign)

127
Q

Tumor of adrenal medulla (kids)

A

Neuroblastoma (malignant)

128
Q

Type of Hodgkin lymphoma

A

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

129
Q

Type of non-Hodgkin lymphoma

A

Diffuse large B-cell lymphoma

130
Q

UTI

A

E.coli, Staphylococcus saprophyticus (young women)

131
Q

Vertebral compression fracture

A

Osteoporosis (type I: postmenopausal women; Type II:elderly man or woman)

132
Q

Viral encephalitis affecting temporal lobe

133
Q

Vitamin deficiency (US)

A

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

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