RR 593

Question 1

Congenital conjugated hyperbilirubinemia (black liver)

Answer 1

Dubin-Johnson syndrome

Question 2

Constrictive pericarditis

Answer 2

TB (developing world); SLE (developed world)

Question 3

Coronary artery involved in thrombosis

Answer 3

LAD>RCA>LCA

Question 4

Cretinism

Answer 4

Iodine Deficit/hypothyroidism

Question 5

Cushing’s syndrome

Answer 5

1. corticosteroid therapy
2. Excess ACTH secretion by pituitary
3. small cell lung carcinoma

Question 6

Cyanosis (early; less common)

Answer 6

tetralogy of fallot, transposition of great vessels, truncus arteriosus

Question 7

Cyanosis (late; more common)

Answer 7

VSD, ASD, PDA (Eisenmerger’s syndrome)

Question 8

Death in CML

Answer 8

Blast crisis

Question 9

Death in SLE

Answer 9

Lupus nephropathy

Question 10

Dementia

Answer 10

1. Alzhemier’s dz

2. Multiple infarcts

Question 11

Demyelinating dz in young women

Answer 11

Multiple sclerosis

Question 12

DIC (STOP Making New Thrombosis)

Answer 12

Sepsis, Trauma, Obstetric complications, (Pancreatitis, Malignancy, Nephrotic syndrome, Transfusion)
Gram-neg sepsis, cancer, burn

Question 13

Dietary deficit

Answer 13

Iron

Question 14

Diverticulum in pharynx

Answer 14

Zenker’s diverticulum (diagnosed by barium swallow)

Question 15

Ejection click

Answer 15

Aortic/pulmonic stenosis

Question 16

Esophageal cancer

Answer 16

Squamous cell carcinoma (worldwide); adenocarcinoma (U.S.)

Question 17

Food poisoning (exotoxin mediated)

Answer 17

Staph aureus, B. cereus

Question 18

Glomerulonephritis (adults)

Answer 18

Berger’s dz (IgA nephropathy)

Question 19

Gynecologic malignancy

Answer 19

Endometrial carcinoma (common in US); cervical carcinoma (worldwide)

Question 20

Heart murmur, congenital

Answer 20

mitral valve prolapse

Question 21

heart valve in bacterial endocarditis

Answer 21

Mitral (rheumatic fever); tricuspid (IVDU); aortic (2nd effected in rheumatic)

Question 22

Helminth infection (US)

Answer 22

1. Enterobius vermicularis

2. Ascaris lumbricoides

Question 23

Hematoma – epidural

Answer 23

Rupture of middle meningeal artery (trauma, convex shape, non-contrast CT)

Question 24

Hematoma– subdural

Answer 24

rupture of bridging veins (crescent shaped)

Question 25

Hemochromatosis

Answer 25

Mult blood transfusions (sickle cell, thalessemia pt.) or hereditary HFE mutation (can result in CHF – inc Iron in heart), inc risk hepatocellular carcinoma (AFP inc)

Question 26

Hepatocellular carcinoma

Answer 26

cirrhotic liver (assoc with hep B/ hep C)