Path Flashcards
What is characterized by the development of hypoxemia and bilateral pulmonary infiltrates in the ABSENCE of heart failure??
ARDS-Acute Respiratory Distress Syndrome
What is a Kimmelsteil-Wilson lesion associated with? Nodular (mesangial expansion, glomerular basement membrane thickening, and glomerular sclerosis)
Diabetic Neuropathy
What is the bone tumor most often associated with Paget’s Disease?
OSTEOSARCOMA
What are fragile mucosal folds that cause solid food dysphagia, usually in the mid to lower esophagus? What deficiency (Plummer-Vinson Syndrome) is it commonly seen?
Esophageal Web..iron
Histologically, what are these signs pointing to? acute inflammatory monoarthritis, neutrophilic effusion, and numerous needle-shaped crystals?
GOUT dawg!
What is the most common location for an endometrial cyst?
ovaries
Which vitamin supplementation is NOT advised during pregnancy?
Vitamin A..it can be teratogenic in excess!
MOST follicular __ ____ _______ are associated with a t(14;18) translocation that leads to BCL2 over expression (BCL2 overexp=evasion of apoptosis)
B cell lymphomas
What disease is characterized by AUER bodies and is a t(15;17) chromosomal translocation?
APL-Acute Promyelocytic Leukemia
Which disease is associated with a t(8;14) translocation and classically has round nuclei, basophillic cytoplasm, and prominiant lipid vacuoles?
Burkitt lymphoma
What is characteristic of a t(9;22) translocation and shows leukocytosis with many immature myeloid cells?
CHRONIC myeloGenous leukemia
What is the MOST COMMON translocation in childhood B-cell ACUTE LYMPHOCYTIC LEUKEMIA? (Peripheral blood smear=anemia, thrombocytopenia, and lymphoblasts)
t(12;21)
What form of leukemia am I? malignant cells with notches or clefts and a t(14;18) translocation?
Follicular lymphoma
Which viral infection is associated with ballooning multinucleated giant cells?
Herpes Simplex
Which carcinoma presents with cells at the periphery displaying parallel alignment (palisading)?
basal cell carcinoma
Which infection shows histologically with perinuclear HALOS?
Verruca Vulgaris
Get ready for a new one…What is associated with umbilicated, flesh-colored papules on the skin and mucous membranes? Uh..WHATS ITS CAUSAL AGENT???
Molluscum Contagiosum (wtf?)…poxvirus
What is the most important risk factor for postpartum endometriosis? What organ? What bugs?
Caesarian delivery….uterus…polymicrobial including staph and strept
What is the most common culprit for VIRAL ENCEPHALITIS? Which region of the brain is most commonly affected? WHAT is the TX??
Herpes Simplex Virus (Esp HSV-1!! WHEELHOUSE)..Temporal Lobe…TX=IV acyclovir
What group of viruses cause BUNYAVIRUS encephalitis?
California encephalitis group of viruses (mosquitoes)
What causes the chronic encephalitis known as subacute sclerosing PANenchephalitis?
measles!
What group of viruses does mumps and measles fall into?
PARAmyxOviridae
What is the culprit for RING-enhancing brain lesions in HIV patients??
TOXOPLASMA
What is a common fungal organism that can cause encephalitis in HIV patients?
Cryptococcus
Which PROTOZOA is NOTORIOUS for causing fatal encephalitis in AIDS patients?
A-CANTH-AMOEBA
ACUTE INTERMITTENT PORPHYRIA is caused by a genetic defect in the making of ________ and it characterized by WHAT MAJOR INDICATOR??
PBG (Porpho-Bilinogen) Deaminase
What is the telling factor when diagnosing between PCT (porphyria cutanea tarda) and AIP (acute intermittent porphyia)?
PCT=skin manefestations…AIP no skin manefestations
What is the most common NUTRITIONAL DEFICIENCY in elderly alcoholics?
COBALAMIN (vit B12)
What is an ACUTE postinfectious polyneuropathy characterized by nonspecific prodromal malaise and nausea followed by progressive, ascending paralysis?
GULLIAN-BARRE syndrome
HUH…WHEELHOUSE. Pt complains of difficulty chewing and diplopia…Whats he got? lol
Thymoma (MYASTHENIA GRAVIS) (60-70% have hyperplastic thymic tissue, 10-15% have thymomas)
Retinoblastoma is caused by SEPARATE mutagenic events that inactivate BOTH copies of WHAT GENE? Which chromosome??
RB1 tumor suppressor gene…chromosome 13
What is the most common culprit for joint infection (septic arthritis) ADULTS and children OVER 2yrs??
S. Aureus
What is the most common culprit for joint infection in children UNDER 2yrs?
H. Influenzae
Interesting…what bug most commonly affects joint infection in adolescent peeps?
N gonorrhoeae
Interesting..pt’s with SICKLE CELL DISEASE are more likely susceptible to infection due to WHICH bug? (Regardless of age)
SALMONELLA
WHEELHOUSE: 14mo old boy with RECURRENT WHITE PATCHES on inside of cheeks, wipeable. Presents with dysmorphic face and cleft palate..What are the findings most closely associated with?
FAILED PHARYNGEAL POUCH DEVELOPMENT (DiGeorge Syndrome)…3rd and 4th pharyngeal pouches produce the thymus, so T-cell immunity is compromised…pt has candidiasis
DiGeorge syndrome results in failed development of ________
the 3rd and 4th PHARYNGEAL POUCHES
Which disease is caused by an NADPH oxidase deficinency (causing ineffective intracellular oxidative burst)?
Chronic Granulomatous disease
Rupture of the SUBPERIOSTEAL blood vessels results in _________, usually during traumatic birth and scalp swelling does not cross suture lines
cephaloHEMATOMA
Tearing of the middle meningeal artery results in an _______ hematoma
epidural hematoma
Hereditary Hemochromatosis: excessive GI absorption of _____ stored in the form of ________ with in the _______ and the parenchymal organs
iron…hemosiderin…dermis
portal HTN will first affect the _____ vein and cause _______
splenic vein…splenomegaly
Howell-Jolly bodies are remnants of ______ that are indicative of problems in WHAT organ?
RBC nuclei…spleen
MEGALOBLASTIC anemia is seen in _______ and ______ deficiency.
B12 and B9
A Pulmonary Embolism causes ________ mismatch which leads to ______ that INCREASES ventilation and heart rate via a chemoreceptor reflex..RESULTING IN _______
ventilation-perfusion (V/Q) mismatch…HYPoxyemia…hyperventilation
Hyperventilation can LOWER blood [____], but it cannot compensate fully for blood [____] levels
lower [CO2], but not increase [O2]
Hyperventilation results in RESPIRATORY ________
ALKALOSIS!!!
Hypoventilation results in RESPIRATORY ________
ACIDOSIS!!!
What cardio condition is characterized by increased pulmonary artery pressue, RIGHT ventricular failure, and pulmonary endothelial dysfunction?
IPAH (idiopathic pulmonary arterial hypertension)
What is characterized by AA women, pelvic pressure, pain, infertility, heavy menstrual bleeding (MOST COMMON SYMPTOM)
uterine leiomyomas
INTERESTING: _________ does not present with heavy menstrual bleeding because the pathology is OUTSIDE the uterine cavity
endometriosis
Pts typically present with crampy abdominal pain, tenderness to palpation, and bloody stool with this condition ________.
ischemic colitis (poor blood perfusion to the colon c/o heart failure)
________ presents on a colonoscopy as mucosal hemorrhage
ischemic colitis
COBBLESTONE MUCOSA in the colon is a cardinal sign of ________-
CROHN’s disease
Macrophages w accumulated PAS-positive granules suggest _______ disease…does this disease present with blood in the stool?
WHIPPLE’s…NO blood in stool
Which condition presents as crypt abscesses and multiple pseudopolyps in a colonoscopy?
ulcerative colitis
Impaired intestinal COPPER transport can result in _______ syndrome, an X LINKED recessive disorder characterized by seizures, intellectual disability, skeletal abnormalities and brittle hair
MEN-KES syndrome
Deficiency in DYSTROPHIN, a protein that connects muscle fibers to the ECM causes _________
Duchenne muscular dystrophy
Marfan syndrome is caused by defects in ______, a glycoprotein important in elastic fiber formaiton
FIBRILLIN