Review (Q 1-5) Flashcards
atypical cell with halo appearance
koilocytosis
saw tooth appearance of rete ridges
lichen planus
Poorly differentiated vulvar cancer is associated with
HPV/non-keratinizing
Most common male birth defect is
cryptorchidism
adenocarcinoma of the ovary with a worse prognosis
signet cells
cancer with lobular pattern of cells
seminoma
Vaginal d/c that contains squamous cells covered with little dots (Clue Cells)
Gardnerella Vaginosis
What vulvar condition presents with red, white, and yellow colors
VIN
What is the most common site of endometriosis for implantation
ovaries
What organism is most characteristic of Gram Neg diplococci
Gonorrhea
Which vaginal infection will have a pH of 4.5 or lower
candida
Which serum marker is not associated with embryonal type testicular cancer
Alk Phos
What is henoch schonlein associated with
IgA Nephropathy
Most commonly associated with eosinophilia (kidney)
acute interstitial nephritis
Rhomboid, cuboid and square in shape
uric acid stone
michaelis-gutmann bodies associated with
malakoplakia
childhood pkd is (genetically)
autosomal recessive
simple cysts increase with
age
Adult PKD concurrent with
liver cysts
kidney dialysis increased risk of
Renal Cell Carcinoma
Diffuse thickening of the basement membrane wall, thickening of the capillary loops with no cellular proliferation
membranous GN
MC cause of Nephrotic syndrome in African Americans
Focal Segmental GN
Which condition is seen with little or no glomerular change under light microscopy
Lipoid
What habit is high risk for development of bladder cancer
Tobacco
which is the microorganism that might be more associated with cystitis
E. coli
What type of cell is mostly associated with renal cell carcinoma
clear cell
What is the pathognomic characteristic of interstitial cystitis
Hunner’s ulcers (cells?)
What are the Four hallmark features of Nephrotic Syndrome
Proteinuria
Decreased serum protein Increased serum lipid levels
Generalized edema
Protein spilled with Multiple Myeloma
Bence Jones
Which condition of the renal vessels presents with “Skip lesions”
Ischemic
Most common renal tumor in children
Wilms
Which appearance of arteriolar tissue presents with hyperplastic changes that look like an “Onion ring” appearance
Malignant nephrosclerosis
Tumor lysis syndrome (stone)
Uric Acid
Bacterial urea lysing (stone)
Triple phosphate
Basic urine pH (stone)
Triple phosphate
Genetic cause (stone)
cysteine
Beta cell hylanization and amyloid deposition without lympocytes
DM 2
condition with hypercalcitonin secretion
medullary thyroid cancer
First visible microscopic change seen in DM II
capillary thickening
What underliying condition has hypercalemia in the presence due to elevated PTHrP
Small cell lung CA
Mostly common anterior pituitary functional tumor
Prolactinoma
c peptide and what form of diabetes are levels highest
DM 2
Second common cause of Hyperparathyroidism
Parathyroid (Primary) Hyperplasia
What condition is associated with “Rosette Cells”
Neuroblastoma
Frond like appearance
papillary
Thyroid CA that is well encapsulated
follicular
Thyroid CA that is poorly differentiated/undifferentiated cells
anaplastic
Psamomma bodies are associated with
papillary thyroid cancer
Chromaffin Cells are associated with
pheochromocytoma
De Quervan’s is associated with
Granulomas
Most common cause of Hypercalcemia in outpatient setting is
parathyroid adenoma (?)
type of diabetes with Ab’s against insulin, islet cells and GAD
Types 1 and 1.5
In which condition would you see the largest increase in TSH
Primary hypothyroidism
2 hormones that are diminished in congenital 21 hydroxylase deficiency
cortisol and aldosterone
Why does 1ry addison’s has hyperpigmentation and 2ry addison’s doesn’t
1ry Addisons is due to problems in the adrenal glands, so the pituitary is noticing adrenal hormones deficiency and producing a bunch of ACTH that stimulate melanocytes. 2ry can be due to long term use of glucocorticoids which shuts down the pituitary ability to produce ACTH and this causes the palor.
second most common CAH is
11 hydroxylase deficiency
Associated with thymoma in men
myasthenia gravis
mosaic pattern of lamellar bone
Paget’s disease
Disease associated w/ mixed B and T cells
Dermatomyositis
Most common organism involved in osteomyelitis is
Staph Aureus
Antibodies against presynaptic calcium channels
Lambert-Eaton syndrome
Hypermineralization of bone
osteopetrosis
uniform, densely packed, tumor cells with a single, round or oval nucleus appearance somewhat resembling lymphocytes
Ewing sarcoma
Anti-CCP is most sensitive for?
RA
gritty red appearance surrounded by dense sclerotic bone
osteoid osteoma
honeycombing appearance (bone)
aneurysmal bone cyst
skip lesions (bone)
sarcoma of bone
symmetrical appearance (bone)
simple bone cyst
spindle shaped cells (bone)
fibrosarcoma
antibodies directed against acetylcholine receptors
myasthenia gravis
Fibrous-lined cysts in the subchondral bone with osteophytes
osteoarthritis
Deposits of amyloid-related proteins within the muscle cells and inclusions
inclusion myositis
Which joint is most commonly affected in gout
1st metatarsal
Which is the protein that is deficient in Duchenne dystrophy
dystrophin
What is the most common soft tissue tumor in children
rhabdomyosarcoma
what is the mineral deposition that causes pseudogout
Calcium pyrophosphate
Describe a Myasthenic Crisis
“Myasthenic crisis is a life-threatening condition, which is defined as weakness from acquired myasthenia gravis that is severe enough to necessitate intubation or to delay extubation following surgery. The respiratory failure is due to weakness of respiratory muscles.” (Up To Date)
lobe affected by HSV
temporal lobe
70 yr old patient with bacterial meningitis (type)
strep pneumonia
Low MAFP associated w/
Downs Syndrome
Most common cause of acute generalized paralysis in US
Guillain-Barre Syndrome
how is gaze affected in occulomotor nerve
downward and lateral
Bilateral Bell’s Palsy most like from
Borrelia Burgdorferi
most common location of ulnar entrapment
elbow
india ink used to detect what organism
cyrptococcus
what condition is associated with periventricular leukomalacia
cerebral palsy
what organism is most likely the causative agent in a neonate with bacterial meningitis
E. coli
Cerebral Palsy percentage that occurs in childbirth
10%
What is Hutchinson’s sign and why is it important
A skin lesion on the tip of the nose. Precedes development of ophthalmic herpes zoster which leads to chronic ocular inflammation, vision loss, and debilitating pain.
Protein defective in neurofibromatosis type 2
Protein Merlin
List 3 mechanisms for diabetic neuropathy
hypoxia, ischemia, chronic hyperglycemia. Could also say increased sorbitol, decreased inositol, and reduced Na/K ATPase activity.
What nerve is involved in meralgia paresthetica
lateral cutaneous nerve