Review Game Flashcards
What are the names of the spots on the iris for children with down syndrome?
Brushfield spots
A 26 year old pregnant female presents to ER with a myocardial infarction. She does not have a history of heart disease. What is the most likely cause?
Cocaine
Which diagnostic test may be the first indicator of hemochromatosis?
- Elevated LFT
- iron levels
Which spinal disorder in a tall youth should make you consider marfans?
scoliosis
Identify types of cancer that are related to BRCA 1 and 2
- prostate
- pancreatic
- breast
- ovarian
Patient presents with brown macules on lips, what condition may they have?
Peutz-jeghers
Which bacteria results from cat scratch?
bordetella henselae
Which infections are prevented by DTP vaccine series?
- diphtheria
- tetanus
- pertussis
Which atypical pneumonia causing bacteria caused walking pneumonia in adolescents and teenagers?
mycoplasma pneumonia
Which medication is the most common cause of hypokalemia?
diuretics
What type of process is in place when there is direct hyperbilirubinemia?
blockage
What type of injury will cause hyperkalemia?
crush injury
What is the normal rate for erythrocyte sedimentation rate?
under 20
Identify three symptoms of HYPERthyroidism?
- irritability
- fast metabolism, hunger
- heat intolerant
What is the name of the fatty eyelid deposit found in familial hypercholesterolemia?
xanthelasma
What are the three cardinal symptoms of acute chest syndrome in sickle cell anemia?
- chest pain
- dyspnea
- fever
Which gram-negative bacillus is responsible for an infected hand wound after a bar fight?
eikenella corrodens
Which bacteria that causes pneumonia can be caused by sitting in a hot tub or working with water?
legionella pneumoniae
Which gram negative bacteria not typically found in the US is responsible for rice water stools?
cholera
Which gram negative bacteria which causes pneumonia is typically given person to person especially in hospital, displays currant jelly sputum?
klebsiella pneumonia
Which pathogenic organism responsible for diarrhea is obtained from eating undercooked pigs?
yersinia enterocolitica
Which of red blood cell indices classify macro micro normocytic?
MCV
Patient with low hemoglobin, low hematocrit, low iron, but ferritin is normal/ high. What type of anemia?
If there is low H&H, low iron and low ferritin, what type of anemia is this?
- anemia of chronic disease
- iron deficiency anemia
Why would ferritin be normal to high in anemia of chronic disease?
acute phase reactant
Which organ should we blame in the case of indirect hyperbilirubinemia?
liver
Identify two hormones that regulate calcium levels in the body?
- parathyroid hormone
- calcitonin
Which gram positive bacteria that grows in chains is most common cause of bacterial pneumonia?
streptococcus pneumonia
What is the normal value for a total WBC?
4.5-11
If you have a patient and they have an ESR above 100, what is the most likely occurrence you think is happening with this patient ?
- overwhelming bacterial infection
- cancer
What animal does the typical hallmark rash of lupus resemble?
butterfly
Which bacteria causes infections often in hospitals and immunocompromised patients and has a grape odor and causes a blue green pus?
pseudomonas aeruginosa
What is the name of the gram positive bacteria that causes white exudates, sore throat, and anterior cervical lymphadenopathy?
streptococcus pyogenes
Bacteria that causes us to have positive reactions at 10 millimeters because of our job?
mycobacterium tuberculosis
What is wrong specifically with a hypochromic erythrocyte?
- pale because it lacks hemoglobin
When your patient has a high alkaline phosphatase level what two organs are indicated?
- liver
- bones
At what percentage of the hemoglobin A1C do we tell the patient they have diabetes?
6.5%
Pt has been diabetic for 10 years, what is their goal A1C?
7.0
What 2 positively charged substances when released cause RBC (Rouleaux) stacking?
- fibrinogens
- immunoglobulins
What autoimmune disease leads to joint pain, muscle pain, and hardening of the skin of the hands and mouth?
scleroderma
What autoimmune disease manifests with dry membranes, dry eyes, vaginal dryness, and increased risk of lymphoma?
sjogrens syndrome
What test should be ordered when you suspect that Group A strep(strep pyogenes) is the cause of their rash, suspect they have rheumatic fever, or kidney damage?
ASO titer
Identify the letters of the 4 bacteria that are considered pathogenic on a stool culture, that is not E. coli?
SSYC:
- Shigella
- Salmonella
- Yersinia
- Campylobacter
What is the name of the primary dermatologic manifestation in early syphilis?
chancres
Which genotype is represented in klinefelter’s syndrome?
XXY
What is the appearance of the chest with a patient with turner’s syndrome?
wide chest/wide nipples
Which medication which we use to treat blood clots causes nasal hypoplasia as a teratogen?
warfarin
What type of palmar defect is present in fetal alcohol syndrome?
hockey stick crease
How is early onset alzheimer’s transmitted?
autosomal dominant
3 genes associated with early onset alzheimer’s?
- APP
- presenilin 1
- presenilin 2
What is the medical term for spider fingers in Marfan’s syndrome?
arachnodactyly
What are the two pectus malformations with Marfan’s syndrome?
- pectus excavatum
- pectus carinatum
What is the name of the hereditary colorectal syndrome when the mutation occurs at the end of the FAP gene?
attenuated FAP
What gram negative diplococcus named after disease it causes purpura fulminans races, headache and stiff neck?
neisseria meningitidis
What bacteria causes trismus (lockjaw) and lives in soil?
clostridium tetani
Which pathogen results from eating spoiled food leads to bilateral eyelid drooping (ptosis), double vision, difficulty swallowing, and generalized muscle weakness?
clostridium botulinum
Which diarrhea pathogen is acquired from soft cheese and deli meat which is why these are contraindicated in pregnancy?
listeria monocytogenes
What is the most common reason for lymphocytosis?
viral infection
Which teratogen can cause intrauterine passage of meconium and can cause the baby to be born addicted so they have to be weaned off with morphine?
opioids
Which teratogen can cause placental previa, PPROM, and increases the chances of SIDS, and can also cause anal atresia?
tobacco use
Which teratogen can cause cyanosis and hypotonia in a newborn?
benzodiazepines
Which teratogen is the most dangerous SSRI for the fetus and can cause gastroschisis, oomphalocele, alone with craniosynostosis and anencephaly?
paroxetine (paxil)
Which medication used to treat blood pressure can cause oligohydramnios?
ACEs/ARBs
Providers wanting to prescribe accutane have to submit what type of registration?
iPLEDGE
DES daughters have an increased risk for what cancers?
- cervical
- vaginal (early onset)
Which medication when taken during pregnancy can cause amelia, meromelia, or phocomelia?
thalidomide
Which drug can cause neurotoxicity, cardiac toxicity, and hepatotoxicity on the fetus if taken during pregnancy?
methamphetamine
What is the name of the crease on the palm of an individual with DS?
simian crease
An individual with DS can have extra space between which toes?
1 and 2
Why do individuals with DS have an increased risk of Alzheimer’s?
APP gene found on chromosome 21
What is the genotype of turner syndrome?
XO
What are some characteristics of an individual with turners syndrome?
- short stature
- primary amenorrhea
- increased risk of cardiac issues
In which syndrome is the paternal copy inactivated so only the maternal copy is active?
angelman syndrome
In which syndrome is the maternal copy inactivated, so only the paternal copy is active?
prader-willi syndrome
- Which APOE gene reduces risk of alzheimer’s?
- Which one means an individual has no risk and is most common?
- Which one means an individual is at an increased risk?
- APOE epsilon 2
- APOE epsilon 3
- APOE epsilon 4
How many CAG repeats to say that the patient and kids will develop Huntington’s disease?
over 40
Which NF is more common?
NF 1
Which NF is associated with cafe-au-lait macules, cutaneous neurofibromas, plexiform neurofibromas, optic gliomas, and tibia bowing?
NF 1
- What does NF1 mutation suppress?
- What about NF2?
- neurofibromin
- merlin