MEDgems 2

Question 1

rheumatic heart disease caused by?

Answer 1

group a streptococcus

Question 2

how fluid motion promotes atherosclerosis?

Answer 2

turbulent flow

Question 3

chronic renal failure most commonly caused by?

Answer 3

diabetes

Question 4

MAHA and stroke like symptoms

Answer 4

Thrombotic Thrombocytopenic Purpura

Question 5

radiopaque laminated density renal colic

Answer 5

magnesium ammonium phosphate

struvite

Question 6

what imaging in stroke?

Answer 6

ct head non contrast

Question 7

Acantholysis

Answer 7

cells that have lost their intercellular connections between neighbouring cells

Question 8

Trastuzumab

Answer 8

breast cancer
HER2

Question 9

adult polycystic kidney disease what protein defective?

Answer 9

Polycystin-1

Question 10

What is the most common histological type of renal malignancy?

Answer 10

renal cell carcinoma

Question 11

acute rheumatic fever

Answer 11

jones criteria

Question 12

e coli strain with HUS

Answer 12

0157:h7

Question 13

MAHA and renal failure - children?

Answer 13

HUS

Question 14

histochemical stain
visualise cells for light microscopy

Answer 14

Haematoxylin and eosin stain

Question 15

monoclonal ab human epidermal growth factor receptor 2 inhibitor
breast cancer mx?

Answer 15

TRAST U ZUMAB

Question 16

damage to what muscle within heart causes mitral regurg?

Answer 16

papillary muscle

Question 17

painful fluid filled blisters with acantholytic cells on biopsy. roof of blister comes with pressure?

Answer 17

pemphigus vulgaris

Question 18

The ECG leads II, III and aVF represent which region of the heart

Answer 18

inferior wall

Question 19

v1-v4 show

Answer 19

anterior surface

Question 20

eads I, aVL, V5, and V6

Answer 20

lateral

Question 21

immune response directed against myelin basic protein and proteo-lipoprotein results in?

Answer 21

multiple sclerosis

Question 22

Thyroid acropachy

Answer 22

rare complication of Graves
periosteal bone growth

Question 23

Paget’s disease of breast

Answer 23

eczema of nipple

Question 24

takotsubo cardiomyopathy

Answer 24

chest pain
st elevation on ECG
apical akinesis

Question 25

Nephrotic syndrome
antibody complex

Answer 25

membranous glomerular disease

Question 26

presence of granular (“muddy brown”) casts seen in the urine

Answer 26

acute tubular necrosis

Question 27

What is the most common pattern of disease progression in Multiple Sclerosis?

Answer 27

relapsing remitting

Question 28

Aschoff bodies found in the heart of a patient

Answer 28

acute rheumatic fever

Question 29

The presence of white cell casts in the urine along with eosinophilia and recent antibiotic use suggests

Answer 29

Acute interstitial nephritis

Question 30

Staghorn calculi are formed in presence of certa9in bacteria which produce an enzyme
what enzyme is this?

Answer 30

Urease

Question 31

gleason scores

Answer 31

e.g. 1+1=2

Question 32

Where in blood vessels is turbulent blood flow most likely to occur?

Answer 32

Vessel bifurcations