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Flashcards in High Yield Deck (47)
1

Inhibitors of cytochrome oxidase

CO and cyanide

2

Most common metal deficiency in alcoholics

Magnesium

3

Cells capable of respiratory burst

Neutrophils and monocytes (not macrophages)

4

Caisson disease

Diver comes up too quickly, nitrogen bubbles expand (the bends)

5

Precursor to clear cell adenocarcinoma of the vagina

Vaginal adenosis

6

Anemia in a breastfeeding baby with a mother who is a vegan

B12 deficiency

7

Hypogonadism, MR, unilateral gynecomastia

Klinefelter

8

Hypogonadism and color blindness

Kallmann (absent GnRH)

9

Hypogonadism, MR, retinitis pigmentosum

Laurence-Moon-Biedl syndrome

10

Male with hypogonadism, MR, short stature, webbed neck

Noonan syndrome (like Turner for men)

11

Hypogonadism and anosmia

Kallmann syndrome

12

What is goats milk low in compared to cows milk

Folate, B6, iron. High in potassium, chloride, arachidonic acids, linoleic acids compared to cows milk

13

Difference between children and adults in salicylate poisoning

Children typically develop only the metabolic acidosis (not the respiratory alkalosis)

14

What disease is more likely to infect the fetus after the first trimester

Syphilis

15

Causes of angiosarcoma of the liver

Vinyl chloride, arsenic, thorotrast

16

What cancer is B2-microglobulin a tumor marker for?

Multiple myeloma (excellent prognostic factor)

17

What tumors is bombesin a tumor marker for?

Small cell of lung and neuroblastoma

18

What tumor is CA 15-3 a tumor marker for?

Breast cancer

19

What cancer is LDH a marker for?

Hodgkins disease

20

What cancers is neuron specific enolase (NSE) a marker for?

Small cell of lung, neuroblastoma

21

Vitamin abnormality in primary hypothyrodism

B-carotenima. Decreased conversion of b-carotenes into retinoic acid in intestine (thyroxine is cofactor). Patient is yellow

22

Cerebellar dysfunction, hemolytic anemia, hemorrhagic diathesis

Vitamin E def

23

Acrodermatitis enteropathica

AR. Decreased intestinal absorption of zinc. Rare

24

What compounds cause a decrease in adhesion molecule synthesis

Catecholamines, corticosteroids, lithium

25

Drug induced lupus antibodies vs regular SLE antibodies

Drug induced - anti-histone and antissDNA. Regular SLE - anti-Sm and anti-dsDNA (note dsDNA vs ssDNA)

26

Baby with viral icterus and edema

Most likely congenital CMV

27

Most common cause of thoracic and abdominal abcesses

Bacteroides fragilis below the diaphragm, b melanogenicus above the diaphragm

28

Window sill test

AIP. When porphobilinogen in urine oxidized by light it becomes porphobilin, giving the urine a port wine color

29

Causes of iatrogenic problems in AIP

Their symptoms are often mistaken for surgical emergenices (acute abdomen) and thus they may be operated on repeatedly

30

Black spot on leg

Ecthyma (pyoderma) gangrenosum. Due to pseudomonas, forms black ulcers. Relationship with UC

31

People in a room with a space heater have a headache.

CO poisoning. Treat with 100 percent oxygen

32

Distribution of the rash in patient on tetracycline

Sun exposed areas (consider what kind of clothes the person wears)

33

What organisms can be identified with a string test (enterotest)?

Giardia, strongyloides, cryptosporidium

34

Young man develops extreme fatigue, muscle cramp after exercising, and a pink colored urine. Lactic acid levels do not increase after exercise

McArdles disease

35

Nabothian cyst

Blocked endocervical glands with mucous retention

36

Deviation of uvula to opposite side in patient with exudative tonsillitis

Peritonsillar abscess

37

What disorder is membranous GN associated with?

Hepatitis B

38

Why do patients with gastric ulcers tend to lose weight?

They have pain upon eating, so they often become afraid to eat

39

Mass in the vulva

Bartholins gland cyst, relationship with gonoococcus

40

Foamy macrophages in the lamina propria

Whipples disease

41

Werndigg-Hoffman disease

Childhood version of ALS

42

Proptosis of the eye with poor eye movements

Consider cavernous sinus thrombosis (will see papilledema) and orbital cellulitis (no papilledema)

43

Choromosome of abnormality in wilms tumor

11

44

What should you think about in sterile pyuria?

Renal Tb. If not tb check for chlamydia next

45

What are antimicrosomal antibodies in besides hashimotos?

Graves disease

46

Most common pathology of renovascular hypertension

Men - atherosclerosis of renal artery, women - fibromuscular hyperplasia

47

Hypertension in otherwise asymptomatic young woman

OCPs increase angiotensinogen synthesis in liver