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Pathophys > Pathophys buzzwords quiz 2 > Flashcards

Pathophys buzzwords quiz 2 Flashcards

1
Q

Cardiac Enzyme test with longest duration

A

Troponin

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2
Q

Most specific/sensitive cardiac enzyme test

A

Troponin

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3
Q

Tombstone sign

A

STEMI

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4
Q

Cardiac enzyme first to elevate

A

myoglobin

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5
Q

MC cause of mitral stenosis

A

rheumatic fever

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6
Q

one MC cause of mitral regurgitation

A

mitral valve prolapse

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7
Q

MC valvular disease

A

aortic stenosis

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8
Q

concerning sx of aortic stenosis

A

synacope

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9
Q

always include aortic regurgitation in diff dx if have

A

Infective endocarditis

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10
Q

Most common cardiomyopathy

A

dilated

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11
Q

Most common genetic CV disease

A

hypertrophic

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12
Q

Most common cause of SCD in young

A

hypertrophic

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13
Q

MC restrictive cardiomyopathy due to

A

amyloidosis

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14
Q

Becks triad

A

hypotension, jugular vein distention,, muffeled heart sounds

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15
Q

Becks triad seen in

A

cardiac tamponade

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16
Q

viral inflammation, mostly idopathic

A

pericarditis

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17
Q

Diffuse ST changes on ECG

A

acute pericarditis

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18
Q

MC congenital dz

A

Ventricular Septal Defects

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19
Q

Coarctation (narrowing) of the Aorta BP

A

Blood pressure is usually disproportionally higher in upper extremities than in lower extremities*

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20
Q

MC congenital defect

A

Tetralogy of Fallot

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21
Q

What is the most common cause of right sided heart failure?

A

Left sided HF

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22
Q

What are the two systems used to stage the severity of heart failure?

A

ACC/AHA Stage NYHA

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23
Q

MC dysrythmias

A

reentry

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24
Q

pheochromocytoma

A

sinus trachycardia

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25
Q

What do the P waves look like on ECG in atrial fibrillation and why do they look like that?

A

irregularly irregular

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26
Q

MC cause cardiogenic shock

A

MI

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27
Q

MC complication with septic shock

A

DIC

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28
Q

Ca

A

the most important electrolyte in heart fun

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29
Q

cHRonotropic

A

increase HR

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30
Q

inotropic

A

increase force on contraction

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31
Q

MC type of angina

A

stable/chronic

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32
Q

Hallmork: Sjogren’s syndrome

A

dry eyes, dry mouth

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33
Q

Fat, female, fertile and forty* (& Fam first degree)

A

Risk factors for cholelithiasis

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34
Q

Right upper quadrant pain(often radiates to right scapula)

A

acute cholecystitis

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35
Q

Dx of acute cholecystitis

A

Ultrasonography

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36
Q

Where is it really bad for cholecystitis to spread to

A

liver

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37
Q

Main cause of acute pancreatitis

A

alcohol

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38
Q

Gold standard test pancreatitis

A

CT abdomen with contrast

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39
Q

Cullens signs

A

periabdominal

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40
Q

Turners sign

A

Flank

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41
Q

mainstay tx pancreatitis

A

NPO

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42
Q

MOST COMMON CAUSE of pancreatitis

A

ALCOHOL ABUSE! Over long period of time*

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43
Q

key in cholesterol production

A

HMG-CoA reductase

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44
Q

Pre-hepatic serum

A

increases unconjugated bilirubin

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45
Q

prehepatic urine

A

no billirubin increased urobillirubin

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46
Q

posthepatic serum

A

increased conjugated bilirubin

47
Q

posthepatic urine

A

(+) conjugated billirubin

48
Q

hepatic serum

A

increased conjugated bilirubin

49
Q

hepatic urine

A

(+) conjugated billirubin no or little urobillirubin

50
Q

normal serum

A

some conjugated some unconjugated

51
Q

normal urine

A

little urobillirubin

52
Q

Middle age women, doesn’t drink, cirrohis

A

PRIMARY BILLIARY CIRRHOSIS

53
Q

cant hold hand up, spasms, names bc like bird wing

A

astrocytes flap

54
Q

ascites must preform

A

paracentesis

55
Q

indicates prior infection or immunity

A

xHBsAB

56
Q

1 leading cause of liver transplant in U.S.

A

HEP C

57
Q

Wilsons = problem with deposition of

A

copper

58
Q

low ceruloplasmin serum

A

Wilsons

59
Q

Kaiser-Fleischer ring

A

Copper deposition

60
Q

hepatoma/hepatocellular cancer tx

A

liver transplant

61
Q

tx acetominophen od

A

N-acetylcystine (NAC) (Mucomyst)**

62
Q

Gastric ulcers link

A

gastric CA

63
Q

Chronic granulomatous lesions- transmural extension/deep*

A

Chrons

64
Q

Cobblestoning skip lesions

A

Chrons

65
Q

Goldstandard Mesenteric ischemia

A

Angiography

66
Q

• More extended and superficial- as compared to chrons*

A

UC

67
Q

Farmers- soil

A

Whipple disease

68
Q

colonscopy contraindicated

A

toxic megacolon DIVERTICULITIS

69
Q

anytime do scope and see ulcer, must

A

bx

70
Q

Virchow’s node*

A

gastric CA

71
Q

Lynch

A

Hereditary non-polyposis colon cancer

72
Q

Colon Cancer screening goldstandard

A

colonscopy

73
Q

Colon cancer surveillance

A

CEA-125

74
Q

Mainstay tx osteoporosis

A

Bisphsphonates

75
Q

New bone is less compact, more bulky but more fragile

A

Paget

76
Q

Most common malignant bone cancer

A

Osteosarcoma

77
Q

fun of tendons and ligaments

A

support

78
Q

Dashboard

A

PCL

79
Q
  • pain & swelling near base of thumb
  • difficulty moving thumb and wrist when doing something that involves pinching or grasping
  • sticking or stop and go sensation in your thumb when moving
A

De Quervain’s Tenosynovitis

80
Q

a Finkelstein test, in which you bend your thumb across the palm of your hand and bend your fingers down over your thumb. Then you bend your wrist toward your little finger. If this causes pain on the thumb side of your wrist, you likely have

A

de Quervain’s tenosynovitis.

81
Q

MC Rotator cuff injury

A

supraspinatus

82
Q

Thompsons test

A

achilies- will plantar flex

83
Q

Meniscus most likely to be injured

A

medial

84
Q

S&S plantar fascitis

A

stabbing pain in bottom of foot, near the heel, usually worst first few steps after awakening. can also be triggered by long periods of standing, or getting up from seated position

85
Q

“water on the elbow”

A

olecranon bursitis

86
Q

• *Very important to correlate MRI findings with PE findings

A

DDD

87
Q

MC MD

A

• Duchenne

88
Q

lack of dystrophin

A

Duchenne

89
Q

Compartment syndrome

A
  • Pain out of proportion to injury (early sign)
  • Pallor
  • Pulselessness
  • Paresthesias
  • Paralysis
90
Q

Tx compartment syndrom

A

emergent decompression (surgical)

91
Q

MC arthritis

A

OA

92
Q

MC septic arthritis and osteomyelitis

A

Staphylococcus aureu

93
Q

consider in adult younger than 30 years old septic arthritis can be

A

Neisseria gonorrhoeae

94
Q

Anti-citrullinated peptide antibody

A

specific for RA

95
Q

*swan neck deformity

A

hyperextension PIP and flexion of MCP and DIP

96
Q

Boutonniere

A

flexion of PIP and hyperextension DIP

97
Q

ACR RA DIAGNOSTIC CRITERIA

A

joint involvement, serology, acute phase reactants, duration of symptoms

98
Q

mainstay treatment RA

A

NSAIDS

99
Q

Butterfly” /malar rash

A

SLE

100
Q

Anti-dsDNA

A

SLE

101
Q

CREST meaning

A
  • C: calcinosis (calcium deposits in tissues)
  • R: Raynauds
  • E: Esophageal dismotility
  • S: Sclerodactyly
  • T: Telangiectasis
102
Q

when do we see crest

A

Limited cutaneous systemic sclerosis (LCSS) 60%

103
Q

Anti- Scl-70

A

scleraderma

104
Q

AS gender

A

men

105
Q

Bamboo spine”*

A

AS

106
Q

HLA B27

A

AS

107
Q

2-4 weeks after GI or GU infection*

A

REITER SYNDROME

108
Q

• GI: Campylobacter

A

REITER SYNDROME

109
Q

• GU: Chlamydia trachomatis!*

A

REITER SYNDROME

110
Q

Classic triad reuters

A
  • Arthritis
  • Conjunctivitis (or ueveitis)
  • Urethritis/cervicitis
111
Q

– Red wine and beer (any excessive EtOH)*

A

GOUT

112
Q

– Negatively birefringent crystals*

A

gout

113
Q

• Allopurinol * MC

A

management of gout

Pathophys (1 decks)

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