Rapid-Fire Facts Flashcards

1
Q

Most common cause of neural tube defects

A

Folate deficiency

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2
Q

Most common cause of congenital malformations in the US

A

Alcohol use during pregnancy

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3
Q

Most common cause of congenital intellectual disability in the US

A

Fetal alcohol syndrome

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4
Q

Hyperflexible joints, arachnodactyly, aortic dissection, lens dislocation

A

Marfan syndrome

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5
Q

Hereditary nephritis, cataracts, sensorineural hearing loss

A

Alport syndrome

“can’t see, can’t pee, can’t hear high C”

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6
Q

Unilateral facial drooping involving the forehead

A

Bells palsy CNVII lesion

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7
Q

Ptosis, miosis, and anhidrosis

A

Horner syndrome

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8
Q

“worst headache of my life”

A

Subarachnoid hemorrhage

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9
Q

Lucid interval following head trauma

A

Epidural hematoma

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10
Q

Bloody CSF on lumbar puncture

A

Subarachnoid hemorrhage

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11
Q

Most common cause of subdural hematoma

A

Rupture of bridging veins

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12
Q

Most common cause of epidural hematoma

A

Rupture of middle meningeal artery

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13
Q

Treatment for absence seizures

A

Ethosuximide

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14
Q

Treatment for tonic-clonic seizures

A

Phenytoin, valproic acid, carbamazepine

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15
Q

Toe extension upon stimulating the sole of the foot with a blunt instrument

A

Babinski reflex

upward going = positive

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16
Q

Hyperreflexia, increased muscle tone, and positive Babinski sign

A

UMN lesion

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17
Q

hyporeflexia, decreased muscle tone, and muscle atrophy

A

LMN lesion

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18
Q

Depigmentation of substantia nigra

A

Parkinson Disease

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19
Q

Chorea, dementia, and atrophy of the caudate and putamen

A

Huntington disease

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20
Q

Eosinophilic inclusions in the cytoplasm of neurons

A

Lewy bodies

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21
Q

Conjugate lateral gaze palsy, with nystagmus and diplopia during lateral gaze

A

internuclear ophthalmoplegia

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22
Q

Degeneration of the dorsal columns

A

Tabes dorsalis

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23
Q

Demyelinating disease in a young woman

A

multiple sclerosis

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24
Q

Mixed upper and lower motor neuron disease

A

ALS

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25
Q

newborn with arm paralysis following a difficult labor

A

Erb-duchenne palsy

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26
Q

most common cause of dementia

A

Alzheimer disease

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27
Q

Second most common cause of dementia

A

multi-infarct dementia

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28
Q

extracellular amyloid deposits in the grey matter

A

Alzheimer disease - amyloid plaques

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29
Q

Intracellular deposits of hyperphosphorylated tau protein

A

Alzheimer disease - neurofibrillary tangles

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30
Q

Intracellular spherical aggregates of tau protein seen on silver stain

A

Pick diease

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31
Q

Amyloid deposits in gray matter of the brain

A

Alzheimers disease - senile plauques

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32
Q

Drooling farmer

A

Organophosphate poisoning

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33
Q

Medical treatment for pheochromocytoma

A

alpha antagonist like phenoxybenazmine

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34
Q

selective alpha-1 antagonist used to treat BPH

A

Tamsulosin

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35
Q

What receptors have a Gq mechanism?

A

Cutsies HAVe 1 M&M

Qc H1, A1, V1, M1 M3

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36
Q

What receptors have a Gi mechanism?

A

MAD 2s

M2, A2, D2

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37
Q

What receptors have a Gs mechanism?

A

B1, B2, D1, H2, V2

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38
Q

Continuous machinery-like heart murmur

A

PDA

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39
Q

Boot shaped heart

A

Tetrology of Fallot

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40
Q

Rib notching

A

Coarctation of the aorta

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41
Q

Most common congenital cardiac anomaly

A

VSD

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42
Q

Most common congenital cause of early cyanosis

A

Tetrology of Fallot

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43
Q

Bounding pulses, head-bobbing, diastolic murmur

A

Aortic regurgitation

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44
Q

Chest pain, pericardial friction rub, and persistent fever occurring several weeks after an MI

A

Dressler Syndrome

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45
Q

Splinter hemorrhages under the fingernails

A

Infective endocarditis

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46
Q

Retinal hemorrhages with pale centers

A

Roth spots (infective endocarditis)

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47
Q

Heat valve most commonly involved in infective endocarditis

A

Mitral valve

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48
Q

Heart valve most commonly involved in an IV drug user with infective endocarditis

A

Tricuspid valve

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49
Q

Granulomatous nodules in the heart

A

Aschoff bodies (rheumatic heart disease)

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50
Q

Most common primary cardiac tumor in children

A

Rhabdomyoma

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51
Q

Most common primary cardiac tumor in adults

A

Left atrial myxoma

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52
Q

Most common cause of constrictive pericarditis

A

in the US - Lupus

in developing countries - TB

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53
Q

Cold, pale painful digits

A

Raynaud phenomenon

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54
Q

c-ANCA

A

Granulomatosis with polyangiitis

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55
Q

p-ANCA

A

Microscopic polyangiitis, Churg Strauss

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56
Q

Treatment for Buerger disease

A

Stop smoking!

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57
Q

Treatment for temporal arteritis

A

High dose steroids

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58
Q

Bone enlargement (hat doesn’t fit anymore), bone pain, arthritis

A

Paget disease of the bone

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59
Q

Vertebral compression fractures

A

Osteoporosis

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60
Q

Positive anterior drawer sign

A

ACL injury

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61
Q

Swollen, hard, painful finger joints

A

Osteoarthritis

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62
Q

Swollen, boggy, painful finger joints

A

Rheumatoid arthritis

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63
Q

Cartilage erosion with polished bone beneath (eburnation of the bone)

A

Osteoarthritis

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64
Q

Swollen, red, acutely painful great toe joint

A

Gout

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65
Q

Positively birefringent rhomboid-shaped crystals

A

Pseudogout

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66
Q

Negatively birefringent needle-shaped crystals

A

Gout

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67
Q

Bamboo spine on x-ray

A

Ankylosing spondylitis

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68
Q

HLA-B27

A

Seronegative spondyloarthropathies

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69
Q

Anti-smith and anti-dsDNA antibodies

A

Lupus

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70
Q

Anti-histone antibodies

A

drug induced lupus

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71
Q

Anti-centromere antibodies

A

CREST syndrome

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72
Q

Anti-topoisomerase antibodies

A

Diffuse systemic scleroderma

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73
Q

Anti-Jo-1 antibodies

A

Polymyositis

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74
Q

Anti-Ro antibodies

A

Sjogren syndrome

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75
Q

Facial rash and Raynaud phenomenon in a young woman

A

Lupus

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76
Q

Arthritis, dry mouth, and dry eyes

A

Sjogren syndrome

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77
Q

Most common cause of death in SLE

A

Lupus nephropathy/nephritis

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78
Q

Keratin pearls on skin biopsy

A

Squamous cell carcinoma

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79
Q

Most common malignant skin tumor

A

Basal cell carcinoma

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80
Q

Most common cancer in men

A

Prostate cancer

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81
Q

Most common cause of urinary obstruction in men

A

BPH

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82
Q

Most common treatment for erectile dysfunction

A

Phosphodiesterase inhibitor (Sildenafil)

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83
Q

Dysplastic cervical cells with enlarged, dark nuclei

A

Koilocytes (HPV infection)

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84
Q

Diethylstilbestrol (DES) exposure

A

Clear cell adenocarcinoma of the vagina

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85
Q

Most common tumor in women

A

Leiomyoma

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86
Q

Most common gynecological malignancy in the US

A

Endometrial carcinoma

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87
Q

Most common gynecological malignancy worldwide

A

Cervical cancer

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88
Q

Chocolate cyst of the ovary

A

Endometriosis

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89
Q

Most common benign ovarian tumor

A

Serous cystadenoma

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90
Q

Most common malignant ovarian tumor

A

Serous cystadenocarcinoma

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91
Q

Disarrayed granulosa cells in eosinophilic fluid

A

Call-Exner bodies (Granulosa-Theca cell tumors

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92
Q

Most common genetic cause of intellectual disability

A

Trisomy 21 (Down)

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93
Q

Second most common genetic cause of intellectual disability

A

Fragile X Syndrome

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94
Q

Horseshoe kidney, congenital heart defects, streak ovaries, and cystic hygroma

A

Turner syndrome

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95
Q

Rocker-bottom feet, clenched hands, microcephaly with prominent occiput and small jaw

A

Trisomy 18 (Edward syndrome)

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96
Q

Most common cancer in women in the US

A

Breast cancer

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97
Q

Most common benign breast tumor

A

Fibroadenoma

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98
Q

Most common malignant breast tumor

A

infiltrating ductal carcinoma

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99
Q

Blue dome cyst in the breast

A

Fibrocystic change

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100
Q

Treatment for ER(+) breast cancer

A

Tamoxifen

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101
Q

Red, itchy, swollen rash on the areola and nipple

A

Paget Disease

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102
Q

Branching, filamentous Gram (+) rods with sulfur granules

A

Actinomyces israelii

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103
Q

Food poisoning due to exotoxin

A

Staph aureus and B cereus

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104
Q

Osteomyelitis in sickle cell disease

A

Salmonella

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105
Q

Most common medication used for UTI prophylaxis

A

TMP-SMX

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106
Q

Most common bacteria in a patient with a struvite kidney stone

A

Proteus (may be staph)

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107
Q

Standard treatment with T. pallidum

A

Penicillin G

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108
Q

Cellulitis from a dog or cat bite

A

Pasteurella multocida

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109
Q

A non-painful, indurated ulcerated genital lesion

A

Chancre of primary syphilis

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110
Q

Moist, smooth, flat white genital lesion

A

condyloma lata of secondary syphilis

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111
Q

Large bull’s eye rash

A

Erythema migrans due to Lyme disease

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112
Q

Calcified granuloma in the lung, plus hilar lymphadenopathy

A

Ghon complex

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113
Q

Back pain, fever, night sweats and weight loss

A

Pott’s disease

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114
Q

Standard treatment regimen for TB

A

RIPE - Rifampin, Isoniazid, Pyrazinamide, ethambutol

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115
Q

most common etiology of bacterial meningitis in neonates

A

Group B strep

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116
Q

Most common etiology of bacterial meningitis in children

A

Strep penumo, N. meningitidis

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117
Q

Most common etiology of bacterial meningitis in adults

A

Strep pneumo

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118
Q

Osteomyelitis in an IV drug user

A

Staph aureus, pseudomonas

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119
Q

Osteomyelitis in a sickle cell patient

A

Salmonella

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120
Q

Most common reportable STD

A

Chlamydia

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121
Q

Non-painful, indurated, ulcerated genital lesion with exudate

A

Chancroid

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122
Q

Stippled vaginal epithelial cells on a wet prep of vaginal discharge

A

Clue cells in Bacterial vaginosis

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123
Q

Common treatment for syphilis

A

Penicillin G

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124
Q

Common treatment for Trichomonas

A

Metronidazole

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125
Q

Common treatment for Chlamydia

A

Doxycycline or Azithromycin

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126
Q

Common treatment for gonorrhea

A

Ceftriaxone

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127
Q

Dark purple nodules on the skin an HIV patient

A

Kaposi sarcoma

128
Q

Temporal lobe encephalitis

A

HSV-1

129
Q

Owl’s eye inclusions in organ tissue

A

CMV

130
Q

Intranuclear eosinophilic droplets

A

Type A Cowdry bodies - HSV, CMV

131
Q

Aplastic anemia in a sickle cell patient

A

Parvovirus B19

132
Q

Child with a fever and “slapped cheek” rash on the face that spreads to his body

A

Fifth disease (Parvovirus B19)

133
Q

Fever, runny nose, cough, conjunctivitis, and diffuse rash

A

Measles (Rubeola)

134
Q

Small irregular blue-gray spots on the buccal mucosa, surrounded by a base of red

A

Koplik spots (Measles)

135
Q

Dark purple nodules on the skin in an HIV patient

A

Kaposi Sarcoma

136
Q

Large cells with owl’s eye inclusions

A

CMV

137
Q

Treatment for CMV

A

Ganciclovir

138
Q

Most common opportunistic infection in HIV patients

A

Pneumocystis jirovceii penumonia

139
Q

Drug used to prevent penumocysts pneumonia

A

TMP-SMX

140
Q

Treatment for oral candidiasis

A

Nystatin, Fluconazole

141
Q

Most common opportunistic infection in HIV patients

A

Penumocystis jirovecii

142
Q

Prophylaxis for Cryptococcus in AIDS patients

A

Fluconazole

143
Q

Prophylaxis for PCP in AIDS patients

A

TMP-SMX

144
Q

Treatment for systemic candidiasis

A

Fluconazole (normal patients), Amphotericin B or echinocandin (immunocommpromised patients)

145
Q

Treatment for sporothrix schenckii

A

Itraconzole oral potassium iodide

146
Q

Ring enhancing brain lesions in an HIV patient

A

Toxoplasma gondii

147
Q

Treatment for trichomonas vaginalis

A

Metronidazole

148
Q

Most common protozoal diarrhea

A

Giardia Lamblia

149
Q

Most common helminth infection in the USA

A

Enterobius vermicularis (pinworm!)

150
Q

Second most common helminth infection in the USA

A

Ascaris lumbricoides

151
Q

Anti-IgG antibodies

A

AKA Rheumatoid factor!

Rheumatoid arthritis

152
Q

Anti-citrullinated protein antibodies (ACPA)

A

Rheumatoid arthritis, this is more specific for RA than rheumatoid factor

153
Q

Anti-centromere antibodies

A

CREST syndrome

154
Q

Anti-Scl-70

A

AKA anti-DNA topoisomerase

Diffuse scleroderma

155
Q

Anti-histone antibodies

A

Drug induced lupus

156
Q

Antinuclear antibodies (ANA)

A

Systemic lupus erythematous

ANA is not specific

157
Q

Anti-smith antibodies

A

Systemic lupus erythematous

158
Q

Anti-dsDNA

A

Lupus nephritis

159
Q

Anti-Jo-1 antibodies

A

Polymyositis (dermatomyositis)

160
Q

Anti-SSA (anti-Ro)

A

Sjogren syndrome

161
Q

Anti- SSB (anti-La)

A

Sjogren syndrome

162
Q

Anti-U1-RNP

A

(RNP = Ribonucleoprotein)

Mixed connective tissue disease

163
Q

Anti-desmoglein

A

Pemphigus vulgaris

164
Q

Anti-acetylcholine receptor

A

Myasthenia gravis

165
Q

Anti-endomysial (anti-transglutaminase)

A

Celiac Disease

166
Q

Anti-gliadin

A

Celiac disease

167
Q

Anti-mitochrondrial

A

Primary biliary cirrhosis

168
Q

Anti-smooth muscle

A

Autoimmune hepatitis

169
Q

Anti-glutamate decarboxylase

A

Type 1 DM

170
Q

Anti-thyrotropin receptor

A

Graves disease

171
Q

Anti-thyroid peroxidase (anti-TPO)

A

Hashimoto Thyroiditis

172
Q

Anti-thyroglobulin

A

Hashimoto thyroiditis, Graves disease

173
Q

Anti-basement membrane

A

Good pastures syndrome

174
Q

c-ANCA

A

Granulomatosis with polyangiitis (Wegener’s)

175
Q

p-ANCA

A

Pauci-immune crescentic glomerulonephritis
Churg-Strauss syndrome
Microscopic polyangiitis

176
Q

Eczema, recurrent cold abscesses, high serum IgE

A

Hyper IgE syndrome (Job Syndrome)

177
Q

Large lysosomal vesicles in phagocytes

A

Chediak Higashi Syndrome

178
Q

Dysphage, glossitis, iron deficiency anemia

A

Plummer vinson syndrome

179
Q

Hematemesis with retching

A

Mallory-Weiss Tear

180
Q

Specialized columnar epithelium seen in a biopsy from the distal esophagus

A

Barrett’s esophagus

181
Q

Biopsy of a patient with esophagitis reveals large pink intranuclear inclusions and host cell chromatin that is pushed to the edge of the nucleus

A

HSV infection

182
Q

Biopsy of a patient with esophagitis reveals enlarged cells, intracuclear and cytoplasmic inclusions, and a clear perinuclear halo

A

CMV infection

183
Q

An esophageal biopsy reveals a lack of ganglion cells between the inner and outer muscular layers

A

Achalasia

184
Q

Protrusion of the mucosa in the upper esophagus (webs)

A

Plummer-Vinson Syndrome

185
Q

Outpouching of all layers of the esophagus found just above the LES

A

Epiphrenic diverticulum

186
Q

Goblet cells seen in the distal esophagus

A

Barrett esophagitis

187
Q

A PAS stain on a biopsy obtained from a patient with esophagitis reveals hyphate organisms

A

Candida esophagitis

188
Q

Esophageal pouch found in the upper esophagus

A

Zenker diverticulum

189
Q

Stomach biopsy reveals neutrophils above the basement membrane, loss of surgace epithelium, and fibrin-containing purulent exudate

A

Acute gastritis

190
Q

Stomach biopsy reveals lymphoid aggregates in the lamina propria, columnar absorptive cells, and atrophy of glandular structures

A

Chronic gastritis

191
Q

Diffuse thickening of gastric folds, elevated serum gastrin levels, biopsy reveals glandular hyperplasia without foveolar hyperplasia

A

Zollinger-Ellison syndrome

192
Q

Mucin filled cell with a peripheral nucleus

A

Signet ring cell

Seen in gastric cancer, lobular carcinoma in situ

193
Q

Most common type of stomach cancer

A

Adenocarcinoma

194
Q

Ovarian metastasis from gastric cancer

A

Krukenberg tumor

195
Q

Gastric ulcerations and high gastric levels

A

Zollinger-Ellison tumor

196
Q

Acute gastric ulcer associated with elevated ICP or head trauma

A

Cushing ulcer

197
Q

Acute gastric ulcer associated with severe burns

A

Curling ulcer

198
Q

Weight loss, diarrhea, arthritis, fever, adenopathy and hyperpigmentation

A

Whipple disease

199
Q

Anti-transglutaminase/anti-gliadin/anti-endomysial antibodies

A

Celiac Disease

200
Q

Vitamin given to pregnant women to prevent neural tube defects

A

Folic acid

201
Q

Most common surgical emergency

A

Appendicitis

202
Q

Severe RLQ pain with rebound tenderness

A

McBurney’s point

203
Q

Most common cancer of the appendix

A

Carcinoid tumor

204
Q

GI hamartomas, hyperpigmentation of the mouth and hands

A

Peutz-Jeghers syndrome

205
Q

Multiple colon polyps, osteomas, soft tissue tumors

A

Gardner syndrome

206
Q

“Apple core” lesion on barium enema

A

Colon cancer

207
Q

Most common site of colonic diverticula

A

Sigmoid colon

208
Q

“String sign” on contrast X ray

A

Crohn’s disease

209
Q

“Lead pipe” appearance of colon on contrast X-ray

A

Ulcerative colitis

210
Q

Painless jaundice

A

Pancreatic cancer - esp in head of pancrease

211
Q

Most common cause of acute pancreatitis

A

Gallstones and alcohol

212
Q

Most common cause of chronic pancreatitis

A

Alcohol abuse

213
Q

Severe hyperbilirubinemia in a neonate

A

Crigler Najjar syndrome (Type I)

214
Q

Mild, benign hyperbilirubinemia

A

Gilbert Syndrome

215
Q

Triglyceride accumulation in hepatocytes

A

Fatty liver disease

216
Q

Eosinophilic inclusions in the cytoplasm of hepatocytes

A

Mallory bodies

217
Q

Cancer closely linked to cirrhosis

A

Hepatocellular carcinoma

218
Q

Hepatomegaly, abdominal pain, ascites

A

Budd-Chiari Syndrome

remember with Budd Chiari there is ABSENT JVD

219
Q

Green/yellow corneal deposits

A

Wilson disease

220
Q

Low serum ceruloplasmin

A

Wilson disease

221
Q

Cirrhosis, diabetes, and hyperpigmentation

A

Hemochromatosis

222
Q

Cholelithiasis

A

Gallstones

223
Q

Cholecystitis

A

Inflammation/infection of the gallbladder

224
Q

Cholangitis

A

Inflammation/infection of the biliary tree

225
Q

Choledocholithiasis

A

Gallstones in the bile ducts

226
Q

Charcot’s triad

A

Jaundice, fever, RUQ pain

227
Q

Reynolds triad

A

Charcot’s triad + hypotension and altered mental status

228
Q

Chronic sinusitis, infertility and situs inversus

A

Kartagener syndrome

229
Q

Elevated D-dimers

A

PE, DVT

Clotting!

230
Q

Hypercoagulability, endothelial damage, stasis of blood

A

Virchow’s triad

231
Q

Blue bloater

A

Hypoxemia, hypercapnia (Chronic bronchitis)

232
Q

Pink puffer

A

Dyspnea, Hyperventilation (Emphysema)

233
Q

Curschmann’s spirals

A

Shed epithelium from mucus plugs (asthma)

234
Q

Most common cause of pulmonary hypertension

A

COPD

235
Q

Bilateral hilar adenopathy and uveitis

A

Sarcoidosis

236
Q

Vasculitis and glomerulonephrtisis

A

Goodpastures, Wegener’s

237
Q

Anti-glomerular basement membrane antibodies

A

Goodpasture’s

238
Q

Honeycomb lung on X-ray

A

Interstitial fibrosis

239
Q

“tennis-racket” shaped cytoplasmic organelles

A

Birbeck granules

240
Q

Iron-containing nodules in the alveolar septum

A

Ferruginous bodies (suspect asbestosis)

241
Q

Lung cancer associated with SIADH

A

Small cell lung cancer

242
Q

Tumor associated with horner syndrome

A

Pancoast tumor

243
Q

A boy with self-mutilating behavior, intellectual disability and gout

A

Lesch-nyhan syndrome

244
Q

Orotic acid in the urine and elevations in serum ammonia

A

OTC deficiency

245
Q

Orotic acid in the urine and no elevations in serum ammonia

A

Orotic aciduria

246
Q

Megaloblastic anemia that does not improve with folate or B12

A

Orotic aciduria

247
Q

bluish colored lines on the gingivae

A

Lead poisoning (bruton’s lines)

248
Q

treatment of choice for rickets or osteomalacia

A

Vitamin D

249
Q

Swollen gums, poor wound healing, bleeding mucous membranes, and spots on the skin

A

Scurvy (Vitamin C deficiency)

250
Q

Most common vitamin deficiency in the US

A

Folate deficiency

251
Q

Hypersegmented neutrophils

A

Megaloblastic anemia (Folate and/or B12)

252
Q

Dilated cardiomyopathy, edema and polyneuropathy

A

Wet Beri Beri (Thiamine Vit B1 deficiency)

253
Q

most common medication for ADHD

A

Methylphenidate (Ridalin)

254
Q

Most common medication for bulimia nervosa

A

SSRIs (example: Fluoxetine)

255
Q

medical treatment for alcohol withdrawal

A

Benzodiazepine (Example: -pam, or Chlordiazepoxide)

256
Q

Most effective treatment for alcohol abuse

A

AA (alcoholics anonymous)

257
Q

Atrophy of the mammillary bodies

A

Wernicke’s encephalopathy

258
Q

Treatment for central DI

A

Desmopressin

259
Q

Treatment for nephrogenic DI

A

HCTZ, indomethacin, amiloride

260
Q

Treatment for lithium-induced nephrogenic DI

A

Amiloride

261
Q

Nodular hyaline deposits in the glomeruli

A

Kimmelstiel-Wilson nodules (Diabetic nephropathy)

262
Q

Glomerulonephritis plus pulmonary vasculitis

A

Granulomatosis with polyangiitis

Goodpastures syndrome

263
Q

Red cell casts

A

Acute glomerulonephritis

264
Q

Waxy casts

A

Chronic renal failure

265
Q

Thyroid-like appearance of kidney

A

Chronic pyelonephritis

266
Q

Most common renal tumor

A

Renal cell carcinoma

267
Q

Most common type of renal stone

A

Calcium stones

268
Q

Type of renal stone associated with Proteus vulgaris

A

Struvite stones

269
Q

Inability to breast feed, amenorrhea, cold intolerance

A

Sheehan syndrome

270
Q

Infertility, galactorrhea, and bitemporal hemianopsia

A

Prolactinoma

271
Q

What are the most common causes of Cushing Syndrome?

A

Exogenous steroid use
Ectopic ACTH secretion
ACTH secreting pituitary Adenoma (Cushing Disease)
Adrenal tumor that secretes cortisol

272
Q

most common tumor of the adrenal

A

Benign, non-functioning adrenal adenoma

273
Q

Most common tumor of the adrenal medulla (in adults)

A

Pheochromocytoma

274
Q

Most common tumor of the adrenal medulla (in children)

A

Neuroblastoma

275
Q

Most common cause of primary hyperaldosteronism

A

Adrenal adenoma

276
Q

Medical treatment for hyperaldosteronism

A

Spironolactone or eplerenone

277
Q

Medical treatment for pheochromocytoma

A

non-selective alpha blocker (phenoxybenzamine, phentolamine)

278
Q

Pheochromocytoma, medullary thyroid cancer and hyperparathyroidism

A

MEN2A

279
Q

Pheochromocytoma, medullary thyroid cancer, mucosal neuromas

A

MEN2B

280
Q

Adrenal disease associated with skin hyperpigmentation

A

Addisons disease

281
Q

Hypertension, hypokalemia, metabolic alkalosis

A

Hyperaldosteronism (Conn’s syndrome)

282
Q

most common thyroid cancer

A

Papillary carcinoma

283
Q

Cold intolerance

A

Hypothyroid

284
Q

Enlarged thyroid cells with ground-glass nuclei

A

Papillary cancer of the thyroid

285
Q

Standard treatment for DKA

A

IV fluids, IV insulin, K+ replacement

286
Q

Standard treatment for Type I DM

A

Insulin

287
Q

Standard treatment for type 2 DM

A

Low carb diet, weight loss, oral hypoglycemic drugs, insulin

288
Q

Most common cause of hypercalcemia

A

Primary hyperparathyroidism

289
Q

Most common cause of primary hyperparathyroidism

A

Parathyroid adenoma

290
Q

Most common cause of secondary hyperparathyroidism

A

Chronic renal failure (hypocalcemia)

291
Q

Most common cause of hypoparathyroidism

A

Accidental parathyroidectomy (during thyroid surgery)

292
Q

Facial muscle spasm when tapping on the cheek

A

Chvostek sign

293
Q

Parathyroid, pancreatic, and pituitary tumors

A

MEN Itic anemia

294
Q

Preferred anticoagulant for immediate anticoagulation

A

heparin or LMWH

295
Q

Preferred anticoagulant for long term anticoagulation

A

Warfarin

296
Q

Preferred anticoagulant during pregnancy

A

heparin or LMWH

297
Q

Causes of hypochromic, microcytic anemia

A

iron deficiency, thalassemia, lead posioning

298
Q

Hypersegmented neutrophils

A

Megaloblastic anemia

299
Q

Skull x-ray shows a hair-on-end appearance

A

Marrow hyperplasia (beta thalassemia or sickle cell disease)

300
Q

Basophilic stippling of RBCs

A

Lead posioning

301
Q

painful cyanosis of the fingers and toes, with hemolytic anemia

A

cold autoimmune hemolytic anemia

302
Q

Red urine in the morning, and fragile RBCs

A

PNH

303
Q

Autosplenectomy

A

Sickle cell disease

304
Q

Basophilic nuclear remnants in RBCs

A

Howell Jolly bodies

305
Q

drug used to treat sickle cell disease

A

hydroxy urea - increases HbF

inhibits ribonucleotide reductase - decreases DNA synthesis

306
Q

antiplatelet antibodies

A

Immune thrombocytopenia

307
Q

Bleeding disorder with gpIb deficiency

A

Bernard soulier disease

308
Q

Most common inherited bleeding disorder

A

von Willebrand disease

309
Q

cancer most commonly associated with a non-infectious fever

A

Hodgkin lymphoma

310
Q

Sheets of lymphoid cells with a “starry sky” appearance

A

Burkitt lymphoma

311
Q

Large B cells with bilobed nuclei and prominent owl’s eye inclusions

A

Reed Sternberg cells

312
Q

“smudge” cells

A

CLL

313
Q

“Punched out” lytic bone lesions

A

multiple myeloma

314
Q

RBCs clumped together like a stack of coins

A

Rouleaux formation (multiple myeloma)

315
Q

Monoclonal antibody spike

A

Multiple myeloma, MGUS, Waldenstrom macroglobulinemia

316
Q

Reddish pink rods in the cytoplasm of leukemic blasts

A

Auer rods (AML)

317
Q

Anti-microsomal antibody

A

Hashimoto thyroiditis