Day 10 Review - HemOnc1, HemOnc2, HemOnc3 Flashcards

1
Q

Most likely cause of aortic stenosis in a 50 yo pt

A

Congenital bicuspid aortic valve

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2
Q

Most common cause of aortic stenosis in a 70 yo pt

A

Senile or degenerative aortic calcification

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3
Q

Classic but rare EKG finding in PE

A

S in lead 1 and Q plus inverted T in lead 3 (S1Q3T3)

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4
Q

Most likely cause of secondary HTN: HTN in arms, but low bp in lower extremities

A

Aortic coarctation

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5
Q

Most likely cause of secondary HTN: Proteinuria seen w/ renal disease, hypokalmia

A

Hyperaldosteronemia

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6
Q

Most likely cause of secondary HTN: Tachycardia, diarrhea, heat intolerance

A

Hyperthyroidism

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7
Q

Most likely cause of secondary HTN: Hyperkalemia

A

Renal failure; Renal artery stenosis

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8
Q

Most likely cause of secondary HTN: episodic sweating, tachycardia

A

Pheochromocytoma

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9
Q

Elderly F w/ h/o cholecystitis p/w 5 day history of vague recurrent ab pain

A

Gallstone ileus

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10
Q

Pt in ER p/w painful, irreducible inguinal mass - next step

A

OR; Incarcerated inguinal hernia requires surgical correction

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11
Q

4 mo child p/w non-bilious vomiting despite changing formula from milk based to soy based

A

Congenital pyloric stenosis

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12
Q

Pt for F/U w/ bp 150/85, record states bp was 145/95 in visit one mo ago - next step

A

Re-check bp in 2-4 wks; 3 sep bp’s on separate occassions required to dx HTN

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13
Q

Glomerular disorder: Most common nephrotic syndrome in children

A

Minimal change disease

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14
Q

Glomerular disorder: Granular pattern of immune complex deposition and hypercellular glomeruli

A

Post streptococcal (or post-infectious) glomerulonephritis

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15
Q

Glomerular disorder: Linear pattern immune deposition on BM

A

Goodpasture’s syndrome

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16
Q

Glomerular disorder: Kimmelstel Wilson nodular glomerulosclerosis

A

Diabetic glomerulopathy

17
Q

Glomerular disorder: Most common nephrotic syndrome in adults

A

Membranous glomerulonephritis

18
Q

Glomerular disorder: EM shows loss of epithelial foot processes

A

Minimal change disease

19
Q

Glomerular disorder: Nephrotic syndrome assoc. w/ hep B

A

Membranoproliferative glomerulonephritis

20
Q

Glomerular disorder: assoc. w/ HIV

A

FSGS

21
Q

Glomerular disorder: Anti-GBM antibodies, hemoptysis, hematuria

A

Goodpasture’s syndrome

22
Q

Glomerular disorder: EM shows subepithelial humps & tram track appearance

A

Membranoproliferative glomerulonephritis

23
Q

Glomerular disorder: nephritis, deafness, cataracts

A

Alport’s syndrome

24
Q

Glomerular disorder: On LM, crescent formation

A

RPGN (or crescentic) glomerulonephritis

25
Q

Glomerular disorder: LM shows segmental sclerosis, hyalinosis

A

FSGS

26
Q

Glomerular disorder: purpura on back and legs, IgA nephropathy, ab pain

A

Henoch-Schonlein purpura

27
Q

Glomerular disorder: Positive ANCA

A

Crescentic glomerulonephritis (or RPGN)

28
Q

Glomerular disorder: anti-dsDNA antibodies

A

Lupus nephritis