FA Key Associations Flashcards

(132 cards)

1
Q

Actinic (solar) keratosis

A

Precursor to squamous cell carcinoma

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2
Q

Acute gastric ulcer associated with CNS injury

A

Cushing Ulcer (increased intracranial pressure stimulates vagal gastric sloughing of gastric mucosa)

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3
Q

Acute gastric ulcer associated with severe burns

A

Curling ulcer (greatly reduced plasma volume results in sloughing of gastric mucosa)

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4
Q

Age Ranges of ALL/CLL/AML/CML

A

ALL: child

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5
Q

Alternating areas of transmural inflammation and normal colon

A

Skip lesions (Crohn disease)

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6
Q

Aortic aneurysm, abdominal

A

Atherosclerosis

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7
Q

Aortic aneurysm, ascending or arch

A

Tertiary syphilis (syphilitic aortitis), vaso vasorum destruction

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8
Q

Aortic aneurysm, thoracic

A

Marfan syndrome (idiopathic cystic medial degeneration)

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9
Q

Aortic dissection

A

Hypertension

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10
Q

Atrophy of the mamillary bodies

A

Wernicke encephalopathy (thaimine deficiency causing ataxia, ophthalmoplegia, and confusion)

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11
Q

Autosplenectomy (fibrosis and shrinkage)

A

Sickle cell disease (hemoglobin S)

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12
Q

Bacteria associated with gastritis, peptic ulcer disease, and gastric malignancies (eg. adenocarcinoma, MALToma)

A

H. pylori

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13
Q

Bacterial meningitis (adults and elderly)

A

S. pneumoniae

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14
Q

Bacterial meningitis (newborns and kids)

A

Group B strep/E coli (newborns)

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15
Q

Bilateral ovarian metastases from gastric carcinoma

A

Krukenburg tumor (mucin-secreting signet ring cells)

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16
Q

Bleeding disorder with GpIb deficiency

A

Bernard-Soulier syndrome (defect in platelet adhesion to vWF)

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17
Q

Brain tumor in adults

A

Supratentorial: metastasis, astrocytoma (including glioblastoma multiforme), meningioma, schwannoma

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18
Q

Brain tumor in children

A

Infratentorial: medulloblastoma (cerebellum) or

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19
Q

Breast cancer

A

Invasive ductal carcinoma

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20
Q

Breast mass

A

Fibrocystic change, carcinoma (in postmemopausal women)

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21
Q

Breast tumor (benign, young woman)

A

Fibroadenoma

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22
Q

Cardiac primary tumor (kids)

A

Rhabdomyoma, often seen in tuberous sclerosis

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23
Q

Cardiac manifestations of lupus

A

Marantic/thrombotic endocarditis (nonbacterial)

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24
Q

Cardiac tumor (adults)

A

Metastasis, myxoma (90% in left atrium, “ball and valve”)

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25
Cerebellar tonsillar herniation
Chiari II malformation
26
Chronic arrhythmia
Atrial fibrillation (associated with high risk emboli)
27
Chronic atrophic gastritis (autoimmune)
Predisposition to gastric carcinoma (can also cause pernicious anemia)
28
Clear cell adenocarcinoma of the vagina
DES exposure in utero
29
Congenital adrenal hyperplasia, hypotension
21-hydroxylase deficiency
30
Congenital cardiac anomaly
VSD
31
Congenital conjugated hyperbilirubinema (black liver)
Dubin-Johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin into bile)
32
Constrictive pericarditis
TB (developing world); idiopathic, viral illness (developed world)
33
Coronary artery involved in thrombosis
LAD > RCA > Circumflex
34
Cretinism
Iodine deficit/congenital hypothyroidism
35
Cushing syndrome
Iatrogenic- from corticosteroid therapy
36
Cyanosis (early; less common)
Tetrology of Fallot, transposition of great vessels, truncus arteriosus
37
Death in CML
Blast crisis
38
Death in SLE
Lupus nephropathy
39
Dementia
Alzheimers disease, multiple infarcts (vascular dementia)
40
Demyelinating disease in young women
Multiple sclerosis
41
DIC
Severe sepsis, obstetric complications, cancer, burns, trauma, major surgery, acute pancreatitis, APL
42
Diverticulum in pharynx
Zenker diverticulum (diagnosis by barium swallow)
43
Ejection click
Aortic stenosis
44
Esophageal cancer
Squamous cell carcinoma (worldwide); Adenocarcinoma (US)
45
Food poisoning (exotoxin mediated)
S. aureus, B. cereus
46
Gastric cancer
Adenocarcinoma
47
Glomerulonephritis (adults)
Berger disease (IgA nephropathy)
48
Gynecologic malignancy
Endometrial carcinoma (most common in US); cervical carcinoma (most common worldwide)
49
Heart murmur, congenital
Mitral valve prolapse
50
Heart valve in bacterial endocarditis
Mitral > aortic (rheumatic fever), tricuspid (IV drug abuse)
51
Helminthic infection (US)
Enterbius vermicularis, Ascaris lumbricoides
52
Hematoma - epidural
Rupture of middle meningeal artery (trauma; lentiform shaped)
53
Hematoma - subdural
Rupture of bridging veins (crescent shaped)
54
Hemochromatosis
Multiple blood transfusions or hereditary HFE mutation (can result in heart failure, bronze diabetes, and increased risk of HCC)
55
Hepatocellular carcinoma
Cirrhotic liver (associated with hepatitis B and C and with alcoholism)
56
Hereditary bleeding disorder
von Willebrand disease
57
Hereditary harmless jaundice
Gilbert syndrome (benign congenital unconjugated hyperbilirubinemia)
58
HLA-B27
Psoriatic arthritis, ankylosing spondylitis, IBD-associated arthritis, reactive arthritis (formerly Reiter syndrome)
59
HLA-DR3
Diabetes mellitus type 1, SLE, Graves disease, Hashimoto thyroiditis, Addison disease
60
HLA-DR4
Diabetes mellitus type 1, rheumatoid arthritis, Addison disease
61
Holosystolic murmur
VSD, tricuspid regurgitation, mitral regurgitation
62
Hypercoagulability, endothelial damage, blood stasis
Virchow triad (elevated risk of thrombosis)
63
Hypertension, secondary
Renal artery stenosis, chronic kidney disease (eg. polycystic kidney disease, diabetic nephropathy), hyperaldosteronism
64
Hypoparathyroidism
Accidental excision during thyroidectomy
65
Hypopituitarism
Pituitary adenoma (usually benign tumor)
66
Infection secondary to blood transfusion
Hepatitis C
67
Infection in chronic granulomatous disease
S. aureus, E coli, Aspergillus [catalase (+)]
68
Intellectual disability
Down syndrome, fragile X syndrome
69
Kidney stones
Calcium - radiopaque
70
Late cyanotic shunt (uncorrected left to right becomes right to left)
Eisenmenger syndrome (caused by ASD, VSD, PDA; results in pulmonary hypertension/polycythemia)
71
Liver disease
Alcoholic cirrhosis
72
Lysosomal storage disease
Gaucher disease
73
Male cancer
Prostatic carcinoma
74
Malignancy associated with noninfectious fever
Hodgkin lymphoma
75
Malignancy (kids)
ALL, medulloblastoma (cerebellum)
76
Metastases to bone
Prostate, breast > lung > thyroid
77
Metastases to brain
Lung > breast > genitourinary > melanoma > GI
78
Metastases to liver
Colon >> stomach, pancreas
79
Microcytic anemia
Iron deficiency
80
Mitochondrial inheritance
Disease occurs in both males and females, inherited through females only
81
Mitral valve stenosis
Rheumatic heart disease
82
Mixed (UMN + LMN) motor neuron disease
Amyotrophic lateral sclerosis
83
Myocarditis
Coxsackie B virus
84
Nephrotic syndrome (Adults)
Focal segmental glomerulosclerosis
85
Nephrotic syndrome (Kids)
Minimal change disease
86
Neuron migration failure
Kallman syndrome (hypogonadotropic hypogonadism and anosmia)
87
Nosocomial pneumonia
S. aureus. Pseudomonas, other enteric gram (+) rods
88
Obstruction of male urinary tract
BPH
89
Opening snap
Mitral stenosis
90
Opportunstic infections with AIDS
Pneumocystis jirovecii pneumonia
91
Osteomyelitis
S. aureus (most common overall)
92
Osteomyelitis in sickle cell disease
Salmonella
93
Osteomyelitis with IV drug use
Pseudomonas, Candida, S. aureus
94
Ovarian tumor (benign, bilateral)
Serous cystademona
95
Ovarian tumor (malignant)
Serous cystadenocarcinoma
96
Pancreatitis (acute)
Gallstones, alcohol
97
Pancreatitis (chronic)
Alcohol (adults), cystic fibrosis (kids)
98
Pelvic inflammatory disease
C trochomatis, N gonorrhoeae
99
Philadelphia chromosome t(9;22) (BCR-ABL)
CML (may sometimes be associated with ALL/AML)
100
Pituitary tumor
Prolactinoma, somatotropic adenoma
101
Primary amenorrhea
Turner syndrome (45,XO or 45XO/46XX mosaic)
102
Primary bone tumor (adults)
Multiple myeloma
103
Primary hyperaldosteronism
Adenoma of adrenal cortex
104
Primary hyperparathyroidism
Adenomas, hyperplasia, carcinoma
105
Primary liver cancer
HCC (chronic hepatitis, cirrhosis, hemochromatosis, alpha1-antitrypsin deficiency, Wilson disease)
106
Recurrent inflammation/thrombosis of small/medium vessels in extremities
Buerger disease (strongly associated with tobacco smoking)
107
Refractory peptic ulcers and high gastrin levels
Zollinger-Ellison syndrome (gastrinoma of duodenum or pancreas), associated with MEN1
108
Renal tumor
Renal cell carcinoma: associated with von Hippel-Lindau and cigarette smoking; paraneoplastic syndromes (EPO, renin, PTHrP, ACTH)
109
Right heart failure due to pulmonary cause
Cor pulmonale
110
S3 heart sound
Elevated ventricular filling pressure (eg. mitral regurgitation, HF), common in dilated ventricles
111
S4 heart sound
Stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)
112
Secondary hyperparathyroidism
Hypocalcemia of chronic kidney disease
113
Sexually transmitted disease
C trochomatis (usually coinfected with N gonorrhoeae)
114
SIADH
Small cell carcinoma of the lung
115
Site of diverticula
Sigmoid colon
116
Site of atherosclerosis
Abdominal aorta > coronary artery > popliteal artery > carotid artery
117
t(14;18)
Follicular lymphoma (BCL-2 activation, anti-apoptotic oncogene)
118
t(8;14)
Burkitt lymphoma (c-myc fusion, transcription factor)
119
t(9;22)
Philadelphia chromosome, CML (BCR-ABL, activation, tyrosine kinase oncogene)
120
Temporal arteritis
Risk of ipsilateral blindness due to occlusion of ophthalmic artery; polymyalgia rheumatica
121
Testicular tumor
Seminoma (malignany, radiosensitive), elevated placental ALP
122
Thyroid cancer
Papillary carcinoma (childhood irradiation)
123
Tumor in women
Leiomyoma (estrogen dependent, non precancerous)
124
Tumor of infancy
Strawberry hemangioma (grows rapidly and regresses spontaneously by childhood)
125
Tumor of the adrenal medulla (adults)
Pheochromocytoma (usually benign)
126
Tumor of the adrenal medulla (kids)
Neuroblastoma (malignant)
127
Type of Hodgkin lymphoma
Nodular sclerosing (vs. mixed cellularity, lymphocytic predominance, lymphocytic depletion)
128
Type of Non-Hodgkin lymphoma
Diffuse large B cell lymphoma
129
UTI
E coli, S. saprophyticus (young women)
130
Vertebral compression fracture
Osteoporosis (type I: postmenopausal woman; type II: elderly man or woman)
131
Viral encephalitis affecting temporal lobe
HSV-1
132
Vitamin deficiency (US)
Folate (pregnant women are at high risk; body stores only 3-4 month supply; prevents neural tube defects)