Rapid Fire Facts Flashcards

(167 cards)

1
Q

Most common cause of neural tube defects?

A

Folate Deficiency

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2
Q

Most common preventable cause of congenital malformations in the U.S.

A

Alcohol use during pregnancy

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3
Q

Hyperflexible joints, arachnodactyly, aortic dissection, lens dislocation. What disease and what defect?

A

Marfan sydrome

fibrillin

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4
Q

Hereditary nephritis, cataracts, sensorineural hearing loss. What disease and defect?

A

Alport syndrome

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

type IV collagen

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5
Q

osteogenesis imperfecta inheritance and deficiency (type I)?

A

Auto Dom

type I collagen defect (alpha chain)

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6
Q

“worst headache of my life”

A

Subarachnoid hemorrhage

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7
Q

Lucid interval following head trauma

A

Epidural hematoma

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8
Q

Bloody CSF on LP

A

Subarachnoid hemorrhage

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9
Q

Most common cause of subdural hematoma

A

rupture of bridging veins

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10
Q

Most common cause of epidural hematoma

A

Rupture of middle meningeal artery

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11
Q

What do the ureteric bud and metanephric mesoderm give rise to in a developing embyo?

A

Ureteric bud: collecting tubules and ducts, major and minor calyces, renal pelvis, and ureters

Metanephris mesoderm: glomeruli, Bowman’s space, proximal tubules, the loop of Henle, and distal convoluted tubules

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12
Q

Cat-scratch disease is characterized by?

A

Bartonella henslae

low fever, tender lymphadenopathy, and is self limited

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13
Q

Which blood vessel supplies the AV node?

A

PDA

Originates from RCA 70% time
from RCA and LCA (codominant) 20%
and left circumflex 10%

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14
Q

What is the best lab method to measure gene expression?

A

Northern blot

look for mRNA

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15
Q

The most common cause of retinitis in HIV patients is what? How do you treat it?

A

CMV

CMV retinitis most frequently affects AIDs patients with a CD4+ lymphocyte count <50 and is best treated with gangciclovir

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16
Q

How do you treat cyanide poisoning?

A

Nitrites, by inducing methylglobinemia.

Methemoglobin contains ferric (Fe3+) rather than ferrous (Fe2+) iron. Cyanide binds to ferric iron more avidly than to mitochondrial cytochrome enzymes diminishing cyanide’s toxic effect.

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17
Q

Key findings in Edward’s syndrome?

A

Trisomy 18

hypertonia (clenched hands with overlapping fingers), rocker bottom feet, and cardiac/gastroitestinal/renal defects

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18
Q

Where does the psoas muscle originate from?

A

anterior surface of the transverse processes and lateral surface of the vertebral bodies at T12-L5

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19
Q

Where is the most fluid dilute/concentrated in the renal tubule?

A

Most concentrated in the collecting duct because this is permeable to water and where ADH works to collect more water

Most dilute in the TAL because not permeable to water so all water stays in tubule

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20
Q

What is the function of ANP?

A

secreted in response to stretch (HTN or hypervolemia) and causes peripheral vasodilation and increased urinary excretion of sodium and water

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21
Q

medical tx for pheochromocytoma

A

alpha antagonist

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22
Q

Selective alpha1 antagonist used to treat BPH

A

tamsulosin

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23
Q

continuous machine-like heart murmur

A

PDA

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24
Q

“Boot-shaped heart”

A

Tetralogy of fallot or Right Ventricular Hypertrophy

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25
Rib notching
Coarctation of the aorta
26
Most common conenital cardiac anomaly
VSD
27
Most common congenital cause of early cyanosis
Tetralogy of fallot
28
Bounding pulses, head bobbing, diastolic murmur
Aortic regurg
29
Continuous Machine like murmur
PDA
30
Bone enlargement, Bone pain, Arthritis
Paget dz of bone
31
Vertebral compression fx's
Osteoporosis
32
Positive anterior drawer sign
ACL
33
Tenderness in anatomical snuff box
Scaphoid fx
34
Swollen, hard, painful finger joints
osteoarthritis
35
Swollen, boggy, painful finger joints
RA
36
Cartilage erosion with polished bone beneath
Osteoarthritis
37
Swollen, red, acutely painful great toe joint
Gout
38
Positively birefringent rhomboid-shaped crystals
Pseudogout
39
Negatively birefringent needle-shaped crystals
Gout
40
Bamboo spine on Xray
Ankylosing spondylitis
41
HLA-B27 arthritis
Seronegative spondyloarthritis
42
"Pencil-in-cup" deformity on Xray of the finger
Psoriatic arthritis
43
Anti-Smith and Anti-dsDNA antibodies
SLE
44
Anti-histone antibodies
Drug induced lupus
45
Anti-centromere antibodies
CREST scleroderma
46
Anti-topoisomerase antibodies (Scl-70)
Diffuse Scleroderma
47
Anti-Jo1 antibodies
Polymyositis
48
Anti-Ro antibodies
Sjorgren
49
Arthritis, dry mouth, and dry eyes
Sjorgren
50
Keratin pearls on Skin biopsy
Squamous cell carcinoma
51
Most common malignant skin tumor
Basal Cell Cx
52
Main artery of the pelvis
Internal iliac artery
53
Main nerve of the pelvis
Pudendal
54
"Bag of worms" scrotum
varicocele
55
Most common cancer in men
Prostate cx
56
Most common cause of urinary obstruction in men
BPhyperplasia
57
Most common treatment of erectile dysfunction
Phosphodiesterase inhibitors
58
Hepatic adenoma
OCP use
59
"Grape-like" vaginal tumor
Sarcoma botyroides
60
Koilocytes
HPV infection
61
Most common benign tumor in women
leiomyoma
62
"Chocolate cyst" of the ovary
endometriosis (endometrioma)
63
"Powder burn lesion"
endometriosis
64
Most common cause if infertility in women
PCOS
65
Midcycle pelvic pain associated with ovulation
Mittleschmerz
66
Ovarian tumor + ascites + hydrothorax
Meigs syndrome (associated with fibroma)
67
Teratome --> hyperthyroidism
Struma ovarii
68
"Snowstorm" appearance on US
Hydatidiform mole (complete 46 XX or XY)
69
Most common genetic cause of intellectual disability
Down syndrome
70
Second most common genetic cause of intellectual disability?
Fragile X syndrome
71
Horseshoe kidney, congenital heart defects, streak ovaries, and cystic hygroma
Turner syndrome
72
Rocker-bottom feet, clenched hands, microcephaly with prominent occiput and small jaw
Edward syndrome (trisomy 18)
73
Most common cancer in women in the U.S.
Breast cancer
74
Most common benign breast tumor?
Fibroadenoma
75
Most common malignant breast tumor
infiltrating ductal carcinoma
76
Blue Dome cyst in the breast
Fibrocystic changes
77
Treatment for ER(+) breast cx
Tomoxifen
78
Red, itchy, swollen rash on the areola and nipple
Paget's
79
Branching filamentous, gram-positive rods with sulfur granules
Actinomyces isralii
80
Standard treatment for T. pallidum
Penicillin
81
Cellulitis from a dog or cat bite
P. multocida
82
A non-painful, indurated, ulcerated genital lesion
Chancre (primary syphilis)
83
Moist, smooth, flat, white genital lesion
condyloma lata (secondary syphilis)
84
Large bull's eye rash
Erythema migrans (lymes)
85
Associated with Ghon focus or Ghon complex
Primary TB
86
Associated with lung infiltrate in the apical-posterior segments of the upper lobes of lung
Reactivation TB
87
Standard initial treatment regimen for TB
RIPE Rifampin Isoniazid Pyrazinamide Ethambutol
88
Eczema, recurrent cold abscesses, high serum IgE
Hyper IgE syndrome
89
Large phagosomal vesicles in neutrophils
Chedak-Higashi
90
Treatment for Absence seizures
Ethosuxamide
91
Conjugate lateral gaze palsy with nystagmus and diplopia during lateral gaze
Internuclear opthalmoplegia (MLF lesion)
92
Degeneration of the dorsal columns
tabes dorsalis
93
Demyelinating disease in a young woman
MS
94
Mixed upper and LMN dz
ALS
95
Depigmentation of the substantia nigra
Parkinsons
96
Chorea, dementia, and atrophy of the caudate and putamen
Huntingtons
97
Eosinophilic inclusions on the cytoplasm of neurons
Lewy bodies
98
Toe extension upon stimulating the sole of the foot with a blunt instrument
Babinski (+)
99
Newborn with arm paralysis following difficult labor
Erb-Duschene (waiter tip)
100
Dysphagia, glossitis, and iron deficiency
Plummer-Vinson Syndrome
101
Hematemesis with wretching
Mallory weiss tear
102
Mucin filled cell with a peripheral nucleus
Stignet ring cell
103
Most common type of stomach cancer
adenocarcinoma
104
Ovarian metastisis from gastric cancer
Kruckenberg tumor
105
Gastric ulcerations and high gastric levels
Zollinger-Ellison syndrome
106
Acute gastric ulcer associated with elevated ICP or head trauma
Cushing ulcer
107
Acute gastric ulcer associated with severe burns
Curling ulcer
108
Weight loss, diarrhea, arthritis, fever, adenopathy, and hyperpigmentation
Whipple dz
109
Anti-transglutaminase/anti-gliadin antibodies
Celiac disease
110
Vitamin given to pregnant women to prevent neural tube defects
Folic acid
111
Most common surgical emergency
appendicitis
112
Severe RLQ pain with rebound tenderness
McBurney's point
113
GI hamartomas, hyperpigmentation of the mouth and hands
Peutz-Jeghers
114
Multiple colon polyps, osteomas, soft tissue tumors
Gardners syndrome
115
"Apple core" on barium enema
Colon cx
116
Most common site of colonic diverticula
Sigmoid colon
117
"string-sign" on contrast x-ray
Crohn's dz
118
"lead pipe" appearance of colon on contrast x-ray
Ulcerative colitis
119
Painless jaundice
Pancreatic cancer (head)
120
Most common cause of acute pancreatitis
Gallstones and alcohol
121
Most common cause of chronic pancreatitis
Alcohol abuse
122
Severe hyperbilirubinemia in a neonate
Crigler Najjar type I
123
Mild, benign hyperbilirubinemia
Gilbert syndrome
124
Triglyceride accumulation in hepatocytes
Fatty liver disease
125
Eosinophilic inclusions in cytoplasm of hepatocytes
Mallory bodies
126
Cancer closely linked to cirrhosis
Hepatocellular cancer
127
Hepatomegaly, abdominal pain, ascites
Budd chiari
128
Green/yellow corneal deposits
Wilson dz
129
Low ceruloplasmin
Wilson dz
130
Cirrhosis, diabetes, and hyperpigmentation
Hemachromatosis
131
Chronic sinusitis, infertility, and situs inversus
Kartageners syndrome
132
Elevated D-dimer
PE, DVT
133
Hypercoagulability, endothelial damage, stasis of blood
Virchow's triad
134
Blue Bloater
Hypoxemia, hypercapnia, (chronic bronchitis)
135
Pink puffer
Dyspnea, hyperventilation (emphysema)
136
Curschmann spirals
Asthma (shed epithelium from mucous plugs)
137
Bilateral hilar adenopathy, uveitis
sarcoidosis
138
Antiglomerular basement membrane antibodies
Goodpasture
139
Honeycomb lung on CT
Idiopathic pulmonary fibrosis
140
"tennis racket"-shaped cytoplasmic organelles
Birbeck granules (langerhans cell histiocytosis)
141
Iron-containing nodules in the alveolar septum
Ferruginous bodies (asbestosis)
142
Lung cancer associated with SIADH
Small cell lung cancer
143
Tumor associated with Horner Syndrome
Pancoast tumor
144
Lung cancer associated with hypercapnia
Squamous cell cancer
145
Lung cancer associated with Cushing syndrome
Small cell lung cancer
146
Lung cancer associated with weakness
Small cell lung cancer
147
Substances associated with lung cancer
Smoke, radon, silica, asbestos
148
Chest pain, pericardial friction rub, and persistent feer occurring several weeks after and MI
Dressler's syndrome
149
Splinter hemorrhages under the fingernails
Infective endocarditis
150
Retinal hemorrhages with pale centers
Roth spots (infective endocarditis)
151
Heart valve most commonly involved in infective endocarditis
Mitral valve
152
Heart valve most commonly involved in an IV drug user with infective endocarditis
Tricuspid valve
153
Granulomatous nodules in the heart
Aschoff bodies (RHD)
154
Most common primary cardiac tumor in adults
Left atrial myxoma
155
Most common primary cardiac tumor in children
Rhabdomyoma
156
Most common cause of contrictive pericarditis
SLE in the US
157
c-ANCA
Wegner
158
p-ANCA
Churg-Strauss, Microscopic polyangiitis
159
Treatment for thromboangiitis obliterans
Smoking cessation
160
Treatment for Giant cell arteritis
High dose steroids
161
"strawberry cervix"
Trich vaginalis
162
Clue cells on wet prep
Gardnerella vaginalis
163
Bacteria with "school of fish" appearance
H. ducreyi
164
boy with self mutilating behavior, intellectual disability, and gout
Lesch-Nyhan (HGPRT def)
165
Orotic acid in the urine + elevated serum ammonia
Ornithine transcarbamylase deficiency
166
Orotic acid in the urine + normal serum ammonia
Oroticaciduria
167
Megaloblastic anemia that does not improve with folate and B12
Oroticaciduria