Notes from Questions Flashcards
Hypertension in Pregnancy, Mole vs Preeclampsia
HTN before 20 weeks = Mole
HTN after 20 weeks = Preeclampsia
Smoking Risk in Pregnancy
Increased risk of Placental Abruption
How to tell difference between Placenta Previa vs Abrupto based on presentation
Previa = Painless bleeding Abrupto = Painful bleeding
Theca-Lutein Cysts are suggestive of…..
Molar Pregnancy
Increased incidence with really high BHCG
Major pathological finding in Yolk Sac Tumor
Schiller-Duval bodies (glomerulus-like)
Vancomycin Side Effects
NOT: ????
Red Man Syndrome (give slowly with histamine)
Macrolide Side Effects
MACRO?
NADPH Functions
Fatty Acid synthesis, GSH reduction
Marker for Colorectal Cancer
CEA
CA19-9 is a marker for…..
Pancreatic Cancer
Urine findings in extravascular hemolysis
Increased urobilinogen
What cells cause cirrhosis?
TGF-beta from stellate cells
Mallory Bodies
Damaged intermediate filaments
Blastomycosis Skin Lesions
Increase risk of SCC
What do you see on HUS smear?
Schistocytes
Haemophilus Ducreyi PE findings
painful chancre and inguinal lymphadenopathy
Cilistatin
Given with carbapenems to increase effect by inhibiting dehydropeptidase in kidney
Embryonic Derivatives of Vaginal Epithelium
Lower 1/3 stratified squamous from urogenital sinus
Upper 2/3 columnar epithelium from Mullerian ducts
DES effect on vaginal epithelium
Prevents squamous transition, causes adenosis
Rhabdomyoblast staining
Desmin and Myogenin
Retinoblastoma binds…
EF2
What cells are required to confirm granuloma?
Epitheloid Histiocytes
What cytokines are needed to form a granuloma?
IL-12 from Macros?
IFN-gamma from TH cells
What is marker of hematopoetic stem cells?
CD34
Risks of Asbestos Exposure
Typical Lung Cancer risk is greater than Mesothelioma risk
Vinyl Chloride increases the risk for……
Hepatic Angiosarcoma
CEA is marker for…..
Colorectal Cancer
Maker for pancreatic cancer
CA19-9
What carcinomas spread hematogenously?
Renal cell carcinoma, Follicular thyroid cancer, hepatic cellular carcinoma, choriocarcinoma
Microscopic findings in amyloidosis
positive birefringence with congo red stain
Marker for hepatocellular carcinoma
alpha-fetoprotein
Radiation increases the risk for…….
papillary thyroid carcinoma
Treatment for methemoglobinemia
IV Methylene Blue
What is the problem in methemoglobinemia?
Iron is oxidized to Fe3+ which can’t carry oxygen
AL Amyloid
Light Chain Deposition
AA Amyloid
SAA deposition from chronic inflammation
Serum Transthyretin
Senile and Familial Amyloidosis
Amylin
amyloid deposition in pancreas
Beta2 Microglobulin
Dialysis Amyloidosis
TLR CD14
On macrophages,
Recognizes LPS of gram negatives
What does TLR activation do?
activates NFKB
What do leukotrienes do?
Vasoconstrict and increase vascular permeability
Weibel Palade Bodies
In vascular endothelial cells, contain VonWilibrand factor and P-selectin; expression is mediated by histamine
What causes E-selectin and ICAM expression on endothelial cells?
TNF and IL-1
What binds endothelial ICAMs?
Integrins on leukocytes (CD18)
Nitroblue Tetrazolium Test
Tests for NADPH oxidase function (still positive in MPO deficiency)
Sign of MPO deficiency
recurrent candida infections
What is the second signal for activating CD4+ cells?
B7 and CD28
How does diabetes cause damage?
vascular damage through non-enzymatic glycosylation
osmotic damage from sorbitol accumulation
Call Exner bodies
Granulosa Cell Tumor
Findings in Meig’s Syndrome
Fibroma in ovaries, ascites, plural effusion
Reinke Crystals
Leydig Cell Tumors
Most common testicular cancer in 60+ age men
Lymphoma; typically bilateral
Difference between Phyllodes and Papilloma breast tumors
Phyllodes has greater fibrous component
PPD Positive Test Results
15mm for normal person
10mm for healthcare worker
5mm for immunocompromised
What vitamin is taken up by hepatic stellate cells?
Vitamin A
Relative speeds of cardiac conduction
Purkinje > Atria > Ventricles > AV node
What bone disease increases risk for osteosarcoma?
Pagets bone disease
Most common secondary injury with knee dislocation
popliteal artery
Where do PDE-5 inhibitors act?
Corpus Cavernosum
Composition changes of pancreatic secretions w/ speed?
Increased speed = more Cl- less bicarb?
Composition changes of salivary secretions w/ speed?
Increased speed = more Na, less K
What cancer is associated w/ Myasthenia Gravis?
Thymoma
What bug causes bullous impetigo on wounds?
Staph Aureus
What powers efflux pumps in bacteria?
H+ gradients
Is Achondorplasia more commonly inherited or denovo mutation?
90% are new mutations
What skin condition is associated w/ Celiac disease?
Dermatitis Herpetiformis