Tulane (Module Exam) Flashcards

1
Q

Define cornual pregnancy

A

Ectopic pregnancy in intrauterine portion of fallopian tube

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2
Q

Define chronic follicular salpingitis

A

Inflammation, scarring d/t PID (common cause of ectopic pregnancy)

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3
Q

What causes hydrops fetalis

A

Parvovirus B19 (aka 5ths disease)

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4
Q

Genes associated with low-grade ovarian surface epithelial tumors

A

KRAS/BRAF/HER2

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5
Q

Which ovarian tumor is associated with cystic teratomas?

A

Mucinous

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6
Q

Gene associated with ovarian mucinous tumors

A

KRAS

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7
Q

Define strauma ovarii

A

Thyroid tissue in an ovarian teratoma

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8
Q

HPV genital warts treatment

A

Podofilox + imiquimod

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9
Q

What type of virus is HPV?

A

Circular, nonenveloped dsDNA

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10
Q

Granulosa cell tumor marker

A

Inhibin

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11
Q

Disease associated with chancre; disease associated with chancroid

A

Syphilis (treponema); Haemophilus ducreyi

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12
Q

Haemophilus ducreyi culture medium requirements

A

“Chocolate agar” requires hematin (X-factor) and NAD (V factor)

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13
Q

HSV type of virus

A

Enveloped dsDNA

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14
Q

Trichomonas vaginalis presentation

A

Yellow-green frothy discharge, vaginal erythema (strawberry cervix), musty odor

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15
Q

Pubic lice treatment

A

Permethrin/pyrethrin (make sure everyone treated at same time)

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16
Q

Basal (myoepithelial) cells in breast IHC stain

A

p63

17
Q

Define hyperemia

A

Incr. # of blood vessels

18
Q

Risk factor associated with fat necrosis of breast

A

Trauma (e.g. seatbelt, surgery)

19
Q

Phyllodes tumor vs. fibroadenoma differentiation

A

Leaf-like pattern (Phyllodes); overgrowth of fibrous component (Phyllodes); adolescent & young adult (fibroadenoma) vs postmenopausal (Phyllodes)

20
Q

Types of DCIS

A

Micropapillary, Cribiform, Solid, Comedo

21
Q

Risk factors for DCIS recurrence

A

Comedo, size, margins, High nuclear grade

22
Q

Adrenal insufficiency general sx

A

Weakness, hypotension, weight loss, hyperpigmentation (only primary)

23
Q

ACE inhibitors side effects

A
Cough
Angioedema
Proteinuria (reduction in type II diabetes)
Taste changes
Orthostatic hypotension
Pregnancy (contraindicated)
Rash
Incr. renin (and decr. Angiotensin II ofc)
Lyte disturbances (d/t hyperkalemia)
24
Q

What type of endometrial cancer is associated with microsatellite instability?

A

Type I (hyperplastic/estrogen-driven)

25
Q

Hobnail cells

A

Clear cell cancer (ovarian or endometrial)

26
Q

MMMT stereotypical patient

A

Older woman with h/o pelvic radiation

27
Q

Number 1 way to prevent infections in diabetes

A

Glucose control glucose control glucose control

28
Q

Define epistaxis

A

Bleeding from nose

29
Q

Symptoms/sequelae of hypercalcemia (that you want to remember)

A

Acute pancreatitis, constipation, PUD, nephrocalcinosis, nephrolithiasis (Ca oxalate), depression, shortened QT interval

30
Q

What is considered THE feared complication/sequelae of primary hyperparathyroidism?

A

Decr. BMD (d/t sequelae)

31
Q

Treatment for tertiary hyperparathyroidism

A

Surgery or cinacalcet

32
Q

Vitamin D “classical” roles

A

Ca++ absorption, bone metabolism, neuromuscular function

33
Q

Pseudohypoparathyroidism presentation

A

Labs: incr. PTH, decr. Ca++, incr. PO4-

  • Type 1a: shortened 4th metacarpal, knuckle dimpling
  • Type 1b: same pathophys w/o phenotypic effects (except skeletal changes)
  • Type 2: mild
34
Q

Paget’s disease genetics

A

SQSTM1

35
Q

Define Plummers Syndrome

A

Toxic multinodular goiter

36
Q

Headache + vision problems…

A

Brain tumor until proven otherwise

37
Q

“Bloody nipple discharge”

A

Intraductal papilloma number 1 (cancer is tempting and can be on differential, but not 1st place)

38
Q

Congenital Rubella presentation

A

Thrombocytopenia (“blueberry muffin baby,” not unique), heart things (PDA), eye things (cataracts), brain things

39
Q

Risk factors for Candida albicans vaginal colonization

A

Diabetes, feminine products, recent abx use