Rapid Fire Facts

Question 1

Most common cause of neural tube defects

Answer 1

Low folic acid

Question 2

Most common preventable cause cong malformation in US

Answer 2

Alcohol use during pregnancy

Question 3

Worst headache of life

Answer 3

Berry aneurysm: A.comm or ACA

Question 4

Lucid interval following head trauma

Answer 4

Epidural hematoma

Question 5

Most common cause of subdural hematoma

Answer 5

Shearing of bridging veins: drunk/old people fall

Question 6

Most common cause epidural hematom

Answer 6

Middle meningeal artery: temporal trauma

Question 7

Blood CSF on LP (or xanthochormatic)

Answer 7

Subarachnoid hemorrhage

Question 8

First line for Absence seizures T

Answer 8

Ethosuximide

Question 9

Treatment for Tonic-Clonic seizures

Answer 9

Phenytoin, Valproic acid, Cabamezapine

Question 10

Drooling farmer

Answer 10

Organophosphate poisoning (increased AcH) tx atropine and praladoxime

Question 11

Amyloid deposits in gray matter of brain

Answer 11

Alzeihmers

Question 12

Medical tx for pheochromocytoma

Answer 12

α antagonist

Question 13

Selective α1 antagonist to tx BPH

Answer 13

Tamsulosin

Question 14

Boot shaped heart

Answer 14

Tetrology Falot (infant) or Pulmonary HTN or COPD in adult

Question 15

Rib notching

Answer 15

Coarctation of aorta (also ↑upper BP and ↓lower BP)

Question 16

Continuous machine like murmur

Answer 16

PDA

Question 17

Most common congenital cardiac anamoly

Answer 17

VSD

Question 18

Most common cause congenital early cyanosis

Answer 18

Tetralogy of falot

Question 19

Bone enlargement, bone pain, arthritis

Answer 19

Pagets

Question 20

Vertebral compression fractures

Answer 20

Osteoporosis

Question 21

+ anterior drawer sign

Answer 21

ACL injury

Question 22

Swollen, hard, painful finger joints

Answer 22

Osteoarthritis

Question 23

Swollen, boggy, painful finger joints

Answer 23

Rheumatoid Arthritis

Question 24

Cartilage erosion with polished bone beneath

Answer 24

Eburnation: seen in osteoarthritis

Question 25

Swollen, red, acutely painful great toe joint

Answer 25

Gout

Question 26

Positively birefringent rhomboid shaped crystal

Answer 26

Psuedogout

Question 27

Negatively birefringent needle shaped crystals

Answer 27

Gout

Question 28

Bamboo spine on x-ray

Answer 28

Ankylosing spondylitis: HLA-B27 Sero.Negative spondyloarthropathies

Question 29

Anti-smith and anti-dsDNA antibodies

Answer 29

SLE

Question 30

Anti-histone antibodies

Answer 30

Drug induced Lups (SHIPP)

Question 31

Anti-centromere antibodies

Answer 31

Scleroderma: CREST

Question 32

Anti-topoisomerase antibodies

Answer 32

Scleroderma: diffuse

Question 33

Anti-Jo-1 antibodies

Answer 33

Polymyosistis, Dermatomyositis

Question 34

Anti-Ro antibodies

Answer 34

Sjogrens

Question 35

Arthritis, dry eyes, dry mouth

Answer 35

Sjogrens

Question 36

Most common cause death in SLE

Answer 36

Lupus nephritis

Question 37

Keritin pearls on biopsy

Answer 37

Squamous cell carcinoma

Question 38

Palisading nuclei

Answer 38

Basal cell carcinoma

Question 39

Most common malignant carcinoma

Answer 39

Basal cell carcinoma

Question 40

Main artery of pelvis

Answer 40

Internal iliac artery

Question 41

Main nerve of pelvis

Answer 41

Pudenal nerve

Question 42

Bag of worms scrotum

Answer 42

Varicocele; dilation of pampiniform plexus

Question 43

Most common cancer in men

Answer 43

Prostate cancer

Question 44

Hepatic adenoma

Answer 44

OCP

Question 45

“Grape Like” vaginal tumor

Answer 45

Sarcoma botryoides

Question 46

Koilocytes

Answer 46

HPV infection

Question 47

Most common benign tumor women

Answer 47

Leiomyoma

Question 48

Powder burn lesion of ovary

Answer 48

Endometriosis

Question 49

Most common cause infertility female

Answer 49

PCOS

Question 50

Call-Exner body

Answer 50

Granulosa cell tumor

Question 51

hCG elevation tumors

Answer 51

Choroicarcinoma or dysgerminoma

Question 52

Ovarian tumor + ascites + hydrothorax

Answer 52

Meig (seen in fibroma)

Question 53

Teratoma→ hyperthyroidism

Answer 53

Struma ovarii (mature benign teratoma)

Question 54

Most common benign breast tumor

Answer 54

Firbroadenoma

Question 55

Most common malignant breast tumor

Answer 55

Infiltrating ducatal carcinoma

Question 56

Blue domed cyst in breast

Answer 56

Fibrocystic change

Question 57

Treatment of ER + breast cancer

Answer 57

Tamoxifen

Question 58

Standard tx T. pallidum

Answer 58

Penicillin

Question 59

Cellulitis from dog or cat bite

Answer 59

Pastrurella Multicoda

Question 60

Non-painful, indurated, ulcerated genital lesion

Answer 60

Chancre from Primary syphillus

Question 61

Moist, smooth, flat white genital lesion

Answer 61

Condyloma lata from secondary syphillus

Question 62

Associated with reactive arthritis

Answer 62

Chlamydia, Capmylobacter, Yersinia, Shigella, Salmonella

Question 63

Eczema, recurrent cold abscesses, high serum IgE

Answer 63

Hyper IgE syndrome

Question 64

Large phagosomal vesicles in neutrophils

Answer 64

Chedak Higashi

Question 65

Toe extension w/ stimulation sole of foot

Answer 65

Positive Babinski

Question 66

Hyperreflexia, increased msl tone, + Babinski

Answer 66

Upper motor neuron lesion

Question 67

Hyporreflexia, decreased msl tone, msl atrophy

Answer 67

Lower motor neuron lesion

Question 68

Eosinophilic inclusions in cytoplasms neurons

Answer 68

Lewy Bodies

Question 69

Conjugate lateral gaze palsy with nystagmus and diplopia during lateral gaze

Answer 69

Internulear opthalmaplegia

Question 70

Degernation of dorsal columns

Answer 70

Tabes Dorsalis

Question 71

Demyelinating disease in young woman

Answer 71

MS

Question 72

Mixed upper and lower motor neuron disease

Answer 72

ALS

Question 73

Dysphagia, glossitis, FE deficiency anemia

Answer 73

Plummer Vinson

Question 74

Hematemasis with retching

Answer 74

Mallory Weiss

Question 75

Specialized columnar epi seen in biopsy from distal esophagus

Answer 75

Barrets Esophagitis

Question 76

Biopsy of esophagitis shows enlarged cells with intranuclear cytoplasmic inclusions of host chormatin

Answer 76

CMV esophagitis

Question 77

GI hamartomas, hyperpigment of mouth and hands

Answer 77

Peutz Jeghers

Question 78

Multiple colon polyps, osteomas, soft tissue tumors

Answer 78

Gardner syndrome

Question 79

Apple core lesion on barium enema

Answer 79

Colorectal cancer

Question 80

Most common sight of colonic diverticula Sigmoid‘String sign” on contrast xray

Answer 80

Crohns