USMLE Buzzwords - WLB Flashcards
What is the most common cause of neural tube defects?
Folate deficiency
What is the most common preventable cause of congenital malformations in the U.S.?
Alcohol use
Hyeprflexible joints, arachnodactyly, aortic dissection, lens dislocation
Marfan Syndrome (defect in fibrilin)
Hereditary nephritis, cataracts, sensorineural hearing loss
Alport Syndrome (defect in Type IV collagen)
What is the most common site of a berry aneurysm?
Anterior Communicating Artery
What diseases are often associated with berry aneurysms?
Autosomal Dominant PKD
Ehlers-Danlos Syndrome
Which type of intracranial hemorrhage is associated with: “Worst headache of my life” ?
Subarachnoid hemorrhage
Which type of intracranial hemorrhage is associated with: Lucid interval following head trauma ?
Epidural hemorrhage
Which type of intracranial hemorrhage is associated with: Blood CSF on LP ?
Subarachnoid hemorrhage
What is the most common cause of a subdural hematoma?
Rupture of bridging veins
What is the most common cause of a epidural hematoma?
Rupture of middle meningeal artery
What is the most common cause of dementia?
Alzheimer Disease
What is the second most common cause of dementia?
Vascular Dementia
What disease has extracellular amyloid deposits in the gray matter?
Alzheimer Disease
What disease has intracellular deposits of hyperphosphorylated tau protein?
Alzheimer Disease
intracellular hyperphosphorylated tau proteins = neurofibrillary plaques/tangles
What disease has intracellular spherical aggregates of tau protein seen on silver stain?
Frontotemporal Dementia (Pick Disease)
What do you call amyloid deposits in the gray matter of the brain?
Senile plaques (Alzheimer Disease)
Drooling farmer
organophosphate poisoning
What is the medical treatment for a pheochromocytoma?
Alpha-antagonists (Phenoxybenzamine)
What is the selective Alpha-1 antagonist used to treat BPH?
Tamsulosin
Alpha-1AD receptor antagonist
What congenital heart defect causes a continuous, machinery-like heart murmur?
Patent Ductus Arteriosis (PDA)
What congenital heart defect demonstrates a “boot-shaped heart” on chest x-ray?
Tetralogy of Fallot (in children)
VSD, Pulmonary stenosis, Right ventricular hypertrophy, overriding aorta
What congenital heart defect causes rib notching that may be seen on chest x-ray?
Coarctaton of Aorta
What is the most common congenital cardiac anomaly?
Ventricular Septal Defect (VSD)
What is the most common congenital cause of early cyanosis?
Tetralogy of Fallot
VSD, Pulmonary stenosis, Right ventricular hypertrophy, overriding aorta
What type of heart murmur is often associated with bounding pulses, head bobbing, and diastolic murmur?
Aortic Regurgitation
What type of heart murmur is often described as a continuous, machine-like murmur?
Patent Ductus Arteriosus
What bone disease is characterized by bone enlargement, bone pain, and arthritis?
Paget disease of bone
Wha bone disease is characterized by vertebral compression fractures?
Osteoporosis
What joint disease is characterized by swollen, hard, painful finger joints?
Osteoarthritis
What joint disease is characterized by swollen, boggy, painful finger joints?
Rheumatoid Arthritis
What joint disease is characterized by cartilage erosion with polished bone beneath (eburnation of bone)?
Osteoarthritis
What joint disease is characterized by swollen, red, acutely painful great toe joint/MTP (“podagra”)?
Gout
What joint disease is characterized by positively birefringent rhomboid-shaped crystals?
Pseudogout
What joint disease is characterized by negatively birefringent needle-shaped crystals?
Gout
What joint disease is characterized by “bamboo spine” on x-ray?
Ankylosing spondylitis
What diseases are charactized by HLA-B27?
Seronegative spongyloarthropathies: “PAIR”
1) Psoriasis (psoriatic arthritis)
2) Ankylosing spondylitis
3) IBD
4) Reactive Arthritis
What joint disease is characterized by “Pencil-in-cup” deformity on x-ray of the finger?
Psoriatic arthritis
What rheumatologic disorder is characterized by anti-Smith and anti-dsDNA antibodies?
Systemic Lupus Erythematosus
What rheumatologic disorder is characterized by anti-histone antibodies?
Drug-induced Systemic Lupus Erythematosus
What rheumatologic disorder is characterized by anti-centromere antibodies?
CREST Syndrome = Calcinosis + Raynaud Phenomenon + Esophageal dysfunction + Sclerodactyly + Telangiectasias
What rheumatologic disorder is characterized by anti-topoisomerase antibodies?
Diffuse Scleroderma
What rheumatologic disorder is characterized by anti-Jo-1 antibodies?
Polymyositis
What rheumatologic disorder is characterized by anti-Ro antibodies?
Sjogren Syndrome
What rheumatologic disorder is characterized by arthritis, dry mouth, and dry eyes?
Sjogren Syndrome
What skin disorder is characterized by keratin pearls on skin biopsy?
Squamous cell carcinoma
What is the most common malignant skin tumor?
Basal cell carcinoma
What is the main artery of the pelvis?
Internal Iliac Artery
What is the main nerve of the pelvis?
Pudendal Nerve
What gonadal drainage disorder is characterized by a “bag of worms” scrotum?
Varicocele
What is the most common cancer in men?
Prostate Cancer
What is the most common cause of urinary obstruction in men?
BPH
What is the most common treatment of erectile dysfunction?
Phosphodiesterase Inhibitors
Use of what reproductive drug is associated with hepatic adenomas?
Oral contraceptive pills
What reproductive disease is characterized by “grape-like” vaginal tumors?
Sarcoma botryoides (Embryonal rhabdomyosarcoma variant)
What reproductive disease is associated with koilocytes?
HPV infection
What is the most common benign tumor in women?
Leiomyoma
What reproductive disease is characterized by a “chocolate cyst” of the ovary?
Endometriosis (of ovary = endometrioma)
What reproductive disease is characterized by a “powder burn” lesion?
Endometriosis
What is the most common cause of infertility in women?
PCOS
What do you call midcycle pain associated with ovulation?
Mittelschmerz
What syndrome is characterized by ovarian tumor + ascites + hydrothorax?
Meigs Syndrome
What type of teratoma causes hyperthyroidism?
Struma Ovarii
What reproductive disorder is characterized by “snowstorm” appearance on ultrasound?
Hydatidiform mole
What is the most common genetic cause of intellectual disability?
Trisomy 21 = Down Syndrome
What is the second most common genetic cause of intellectual disability?
Fragile X Syndrome
What chromosomal disorder is characterized by horshoe kidneys, congenital heart defects, streak ovaries, and cystic hygroma?
Turner Syndrome (XO)
What chromosomal disorder is characterized by rocker-bottom feet, clenched hands, microcephaly with prominent occiput and small jaw?
Trisomy 18 = Edward Syndrome
What is the most common cancer in women in the U.S.?
Breast cancer
What is the most common benign breast tumor?
Fibroadenoma?
What is the most common malignant breast tumor?
Infiltrating ductal carcinoma
What breast disease is characterized by a blue dome cyst in the breast?
Fibrocystic change
What is the treatment for ER+ breast cancer?
Tamoxifen
What breast disease is characterized by a red, itchy, swollen rash on the areola and nipple?
Paget disease of the breast
What bacteria is characterized by branching, filamentous, gram-positive rods with sulfur granules?
Actinomyces israelii
What is the standard treatment for Treponema pallidum?
Penicillin
Penicillin G = IV, or if allergy give Doxycycline
What zoonotic bacterial infection results in cellulitis from a dog or cat bite?
Pasteurella multocida
What do you call a non-painful, indurated, ulcerated genital lesion? What is the name of the disease?
Chancre => Primary Syphillis
What do you call a moist, smooth, flat, white genital lesion? What is the name of the disease?
Condylomata lata => Secondary Syphillis
What disease is characterized by a large bull’s-eye rash?
Lyme Disease
bull’s eye rash => erythema migrans
What bacterial infection is associated with a Ghon focus or Ghon complex (Ghron focus + hilar lymphadenopathy)?
Primary Tuberculosis
Ghon focus = lung lesion
What bacterial infection is associated with lung infiltrate in the apical-posterior segments of upper lobes?
Reactive Tuberculosis
What is the standard initial treatment regimen for TB?
RIPE:
Rifampin
Isoniazid (+Pyridoxine/B6)
Pyrazinamide
Ethambutol
What immunological disease is characterized by eczema + recurrent cold abscesses + high serum IgE?
Hyper IgE Syndrome (Job Syndrome)
What immunological disease is characterized by large phagosomal vesicles in neutrophils?
Chediak-Higashi Syndrome
What is the treatment for absence seizures?
Ethosuximide
What neurological disorder is characterized by conjugate lateral gaze palsy, with nystagmus and diplopia during lateral gaze?
Internuclear ophthalmoplegia (MLF Syndrome)
Seen in Multiple Sclerosis
What neurological disorder is characterized by degeneration of the dorsal columns?
Tabes dorsalis
Seen in Tertiary Syphilis
What neurological disorder is characterized as a demyelinating disease in a young woman?
Multiple Sclerosis
What neurological disorder is characterized by mixed upper and lower motor neuron disease?
Amyotrophic Lateral Sclerosis (ALS)
What neurological disorder is characterized by the depigmentation of the substantia nigra?
Parkinson disease
What neurological disorder is characterized by chorea, dementia, and atrophy of the caudate and putamen?
Huntington disease
What neurological finding is characterized by eosinophilic inclusions in the cytoplasm of neurons? What disease?
Lewy bodies => Parkinson Disease, Lewy Body Dementia
What brachial plexus lesion is characterized by a newborn with arm paralysis following a difficult labor?
Erb-Duchenne Palsy (C5-C6 roots)
What gastrointestinal condition is characterized by dysphagia (esophageal webs) + glossitis + iron deficiency anemia?
Plummer-Vinson Syndrome
What gastroinestinal condition is characterized by hematemesis with retching?
Mallory-Weiss Syndrome/Tear
What do you called a mucin-filled cell with a peripheral nucleus? What pathology does it indicate?
Signet Ring Cell
Could be Gastric cancer or Lobular Carcinoma In Situ (LCIS)
What is the most common type of stomach cancer?
Adenocarcinoma
What do you call an ovarian metastasis from gastric cancer?
Krukenberg Tumor
What gastrointestinal condition is characterized by gastric ulcerations and high gastrin levels?
Zollinger-Ellison Syndrome
What gastrointestinal condition is characterized by an acute gastric ulcer associated with elevated ICP or head trauma?
Cushing ulcer
What gastrointestinal condition is characterized by an acute gastric ulcer associated with severe burns?
Curling ulcer
What gastrointestinal disease is characterized by weight loss, diarrhea, arthritis, fever, adenopathy, and hyperpigmentation?
Whipple Disease
What disease is associated with anti-tranglutaminase and anti-gliadin antibodies?
Celiac Disease
What vitamin is given to pregnant women to prevent neural tube defects?
Folic acid
What is the most common surgical emergency?
Appendicitis
What physical exam finding is characterized by severe RLQ pain with rebound tenderness?
McBurney’s Point sign/tenderness
What disorder is characterized by GI hamartomas and hyperpigmentation of the mouth and hands?
Peutz-Jegher Syndrome
What disorder is characterized by multiple colonic polyps, osteomas, and soft tissue tumors?
Gardner Syndrome
What should you suspect if “apple core” lesions are found on barium enema studies?
Colon cancer (until proven otherwise)
What is the most common site of colonic diverticula?
Sigmoid colon
What condition is associated with a “string sign” on contrast x-ray?
Crohn’s Disease
What condition is associated with a “lead pipe” appearance of the colon on contrast x-ray?
Ulcerative Colitis
What condition is characterized by painless jaundice?
Pancreatic cancer
What is the most common cause of Acute Pancreatitis?
Alcohol/Gallstones
What is the most common cause of chronic pancreatitis?
Alcohol abuse
What condition presents as severe hyperbilirubinemia in a neonate?
Crigler-Najjar Syndrome (Type I)
What condition is characterized by mild, benign hyperbilirubinemia?
Gilbert Syndrome
What disease is characterized by triglyceride accumulation in hepatocytes?
Fatty liver disease
can be Hepatic steatosis from heavy alcohol use or Non-alcoholic fatty liver disease from metabolic syndrome
What pathologic finding is characterized by eosinophilic inclusions in the cytoplasm of hepatocytes?
Mallory bodies (common in alcoholic hepatitis)
What type of cancer is closely linked to cirrhosis?
Hepatocellular Carcinoma
What condition is characterized by hepatomegaly, abdominal pain, and ascites?
Budd-Chiari Syndrome
What disease is characterized by green/yellow corneal deposits?
Kayser-Fleischer rings => Wilson Disease
What disease is characterized by low ceruloplasmin?
Wilson Disease
What condition is characterized by cirrhosis, diabetes, and hyperpigmentation?
Hemochromatosis (“Bronze Diabetes”)