Rapid Review High Yield Flashcards

1
Q

“adrenal hemorrhage, hypotension, DIC”

A

Waterhouse Friedrichsen syndrome

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2
Q

“anaphylaxis following blood transfusion”

A

IgA deficiency

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3
Q

“Arachnodactyly, les=ns discoloration, aortic dissetion, hyperflexible joints”

A

marfan syndrome

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4
Q

“bilateral acoustic schwannomas”

A

NF2

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5
Q

“bilateral adenopathy, uveitis”

A

Sarcoidosis (nocaseating granulomas)

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6
Q

“bluish line on gingiva”

A

Burton line (lead poisoning)

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7
Q

“bone pain, bone enlargement, arthritis”

A

paget disease of the bone

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8
Q

“bounding pulses, diastolic murmur, head bobbing”

A

aortic regurgitation

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9
Q

“cafe-au-lait spots (unilateral), polystotic fibrous dysplasia, precocious puberty, multiple endocrine abnormalities”

A

McCune- Albright syndrome (mosaic G proteins signaling mutation)

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10
Q

What type of mutation is DMD?

A

X linked recessive fraeshift mutation of dystrophic gene

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11
Q

“cervical LAD, desquamating rash, coronary aneurysms, red conjunctiva and tongue:”

A

Kawasaki disease (treat with IVIG and aspirin)

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12
Q

“chest pain pericardial effusion/ friction rub, persistent fever following MI”

A

Dressler syndrome (autoimmune mediated post MI fibrinous pericarditis, 2-12 weeks after acute episode)

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13
Q

“chest pain with ST depressions on EKG”

A

Unstable angina (troponin -)

NSTEMI (toponin +)

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14
Q

“chorea, dementia, caudate degeneration”

A

Huntingtons disease–> CAG repeat expansion

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15
Q

What enzyme is deficient in McArdle disease?

A

Skeletal muscle glycogen phosphorylase deficeiccny

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16
Q

“conjugate horozontal gaze palsy, horizontal diplopia”

A

Internuclear opthalmoplegia (damage to MLF–> may be unilateral or bilateral

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17
Q

“deep, labored breathing/ hyperventilation”

A

Kussmaul respiration (diabetic ketoacidosis)

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18
Q

“type V collagen defect or type III collagen defect”

A

Ehlers- Danlos sndrome

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19
Q

“episodic vertigo, tinnitis, hearing loss”

A

Meniere disease

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20
Q

“erythroderma, LAD, hepatosplenomegaly, atypical T cells”

A

Mycosis fungoides (cutaenous T- cell lymphoma)

Sezary syndrome (mycosis fungoides + malignant T cells in blood)

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21
Q

“fever, night sweats, weight loss”

A

B symptoms (staging) of lymphoma

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22
Q

“fibrous plaques in soft tissue of penis with abnormal curvature”

A

Peyronie disease (connective tissue disorder)

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23
Q

“hamartous GI polyps, hyperpigmentation of mouth/ hands/ feet/ genitalia”

A

Peutz- Jeghers syndrome

inherited, benign polyposis that can cause bowel obstruction and increase risk of GI cancer

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24
Q

“hepatosplenomegaly, pancytopenia, osteoporosis, aspetic necrosis of femur, bone crisis”

A

Gaucher disease (glucocerebrosidase deficiency)

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25
Q

“hereditary nephritis, sensorineuronal hearing loss, cataracts”

A

Alport syndrome

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26
Q

“hyperphagia, hypersexuality, hyperorality hyperdocility”

A

Kluver- Bucy syndrome (bilateral amygdala lesion)

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27
Q

“hypoxemia, polycythemia, hypercapnia”

A

“blue bloater” (chronic bronchitis; hyperplasia of mucous cells)

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28
Q

“indurated, ulcerated genital lesion”

A

Nonpainful–> syphilis (primary)

Painful–> hancroid (H. ducreyi)

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29
Q

“infant with cleft lip/ cleft palate, microcephaly or holoprosencephaly, polydactyly, cutis aplasia”

A

Patau syndrome (trisomy 13)

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30
Q

“Infant with hypoglycemia, hepatomegaly–> 2 different diseases”

A

Cori disease (debranching enzyme deficiency)

Von Gierke disease (G6Pase deficiecy, more severe)

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31
Q

“infant with microcephaly rocker-bottom feet, clenched hands, and structural heart defect”

A

Edwards Syndrome (Trisomy 18)

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32
Q

“lucid window after traumatic brain injury”

A

Epidural hemaatoma (middle meningeal artery rupture)

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33
Q

“mucosal bleeding and prolonged bleeding time”

A

Glanzmann thrombasthenia (defect in platelet aggregatino due to lack of GpIIa/ IIIa

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34
Q

“myopathy (infantile hypertrophic ardiomyopathy), exercise intolerance”

A

Pompe disease (lysosomal alpha 1,4 glucosidase deficiency)

35
Q

“neonate with arm paralysis following difficult birth”

A

Erb- Duchenne palsy (superior trunk C5/C6 brachial plexus injury: “waiter’s tip”)

36
Q

:nystagmus, scanning speech, bilateral internucelar ophthalmoglegia”

A

Multiple sclerosis

37
Q

“painful, raised red lesions of pads of fingers/ toes”

A

Osler nodes (infective endocarditis, immune complex deposition)

38
Q

“painless erythematous lesions on palms and soles”

A

Janeway lesions (infective endocarditis, septic emboli/ microabscesses)

39
Q

“pruritic, purple, polygonal planar papules and plaques”

A

Lichen planus

40
Q

3 causes of rash on palms and soles?

A

1- coxsackie A
2- secondary sphyilis
3- RMSF

41
Q

“recurrent cold (noninflammed) absecesses, unusual eczema, high IgE”

A

Hyper- IgE syndrome (Job Syndrome: neutrophil chemotaxis abnormality)

42
Q

“red currant jelly stools”

A

Acute mesenteric ischemia (adults), intussusception (children)

43
Q

“retinal hemorrhages with pale centers”

A

Roth spots (bacterial endocarditis)

44
Q

“smooth, moist, painless, wart-like white lesions on genitals”

A

Condylomata lata (secondary syphilis)

45
Q

What are 2 causes of strawberry tongue”?

A

Scarlet fever

Kawasaki disease

46
Q

“swollen, hard painful finger joints”

A

Osteoarthritis

47
Q

“systolic ejection murmur (crescendo- decrescendo”

A

Aortic stenosis

48
Q

“telangiecctasias, recurrent epistaxis, skin discoloration, AV malformations, Gi bleeding, hematuria”

A

Osler- Weber- Rendu Syndrome

49
Q

“vascular birthmark (port-wine stain) of the face”

A

Nevus flammeus (benign, but associated withSturge- Weber Syndrome)

50
Q

Anticentromere antibodies?

A

Scleroderma (CREST)

51
Q

Anti- desmoglein (epithelial) antibodies?

A

Pemphigus vulgaris (blistering)

52
Q

Anti- mitochondrial antibodies?

A

Priamry biliary cirrhosis

53
Q

Antiplatelet antibodies?

A

Idiopathic thrombocytopenic purpura

54
Q

Anti-topoisomerase antibodies?

A

Diffs=use systemic scleroderma

55
Q

“azurophilic peroxidase (+) granules inclusions in granulocytes and myeloblasts”

A

Auer rods (AML especially the PML type)

56
Q

“Bamboo spine” on x-ray

A

Ankylosing spondylitis (chronic inflammatory arthritis: HLA-B27)

57
Q

“Basophilic stippling of RBCs”

A

Lead poisoning or sideroblastic anemia

58
Q

“circular grouping of dark tumor cells surroudning pale neurofibrils”

A

Homer- Wright Rosettes

59
Q

“degeneration of dorsal column fibers”

A

Tabes dorsalis (tertiary syphilis), subacute combined degeneration (dorsal columns, lateral corticospinal, spinocerebellar tracts affected)

60
Q

“delta wave” on EKG, short PR interval, supraventricular tachycardia

A

Wolf- Parkinson- White syndrome (Bundle of Kent bypasses AV node)

61
Q

“desquamated epitheiul casts in sputum”

A

Curschmann spirals (bronchial asthma; can result in whorled mucous plug)

62
Q

“electrical alternans (alternating amplitude on EKG)”

A

Pericardial tamponade

63
Q

“enlarged cells with intranuclear inclusion bodies”

A

“owl eye” appearance of CMV

64
Q

“enlarged thyroid cells with ground glass nuclei with central clearing”

A

“orphan annie” eyes nuclei (papillary carcinoma of the thyroid)

65
Q

“eosinophilic inclusion bodies in cytoplasm of hippocamal and cerebellar neurons”

A

Negri bodies

66
Q

“heart nodules (granulomatous)”

A

Aschoff bodies (rheumatic fever)

67
Q

“hexagonal, double pointed, needle-like crystals in bronchial secretions”

A

Bronchial asthma (Charcot- Leyden Cysstals : eosinphilic granules)

68
Q

“hypertension, hypokalemia, metabolic acidosis”

A

Conn Syndrome (primary hyperaldosteronism)

69
Q

Intranuclear eosinophilic droplet- like bodies

A

Cowdry type A bodies (HSV or VZV)

70
Q

“large granules in phagocytes, immunodeficiency”

A

Chediak- Higashi disease (congenital failure of phagolysosome formation)

71
Q

“mammary gland (blue domed) cyst”

A

Fibrocystic change of the breast

72
Q

“onion skin” periosteal reaction

A

Ewing sarcoma (malignant small blue cell tumor)

73
Q

Cancers associated with Psammoma bodies?

A

Meningiomas, Papillary thyroid carcinoma, mesothelioma, papillary serious carcinoma of the endometrium and ovary

74
Q

“pseudopalisading tumor cells on brain biopsy”

A

Glioblastoma multiforme

75
Q

“recurrent infections, eczema, thrombocytopenia”

A

Wiskott- Aldrich syndrome

76
Q

“rib notching”

A

Coartication of the aorta

77
Q

“soap bubble” in femur or tibia on x ray

A

Giant cell tumor of bone (generally benign)

78
Q

“steeple” sign on CXR

A

Croup (parainfluenza virus)

79
Q

“thumb sign” on lateral neck xray?

A

Epiglottitis (H. influenzae)

80
Q

“thyroid like appearance of kidney”

A

Chronic pyelonephritis (usually due to recurrent infections)

81
Q

“tram-track” appearance of capillary loops of glomerular basement membranes on light microscopy

A

Membranoproliferative glomerulonephritis

82
Q

WBC casts in urine

A

Acute pyelonephritis

83
Q

“smudge cells”

A

CLL