Flashcards in High Yield Deck (47)
Inhibitors of cytochrome oxidase
CO and cyanide
Most common metal deficiency in alcoholics
Cells capable of respiratory burst
Neutrophils and monocytes (not macrophages)
Diver comes up too quickly, nitrogen bubbles expand (the bends)
Precursor to clear cell adenocarcinoma of the vagina
Anemia in a breastfeeding baby with a mother who is a vegan
Hypogonadism, MR, unilateral gynecomastia
Hypogonadism and color blindness
Kallmann (absent GnRH)
Hypogonadism, MR, retinitis pigmentosum
Male with hypogonadism, MR, short stature, webbed neck
Noonan syndrome (like Turner for men)
Hypogonadism and anosmia
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
Difference between children and adults in salicylate poisoning
Children typically develop only the metabolic acidosis (not the respiratory alkalosis)
What disease is more likely to infect the fetus after the first trimester
Causes of angiosarcoma of the liver
Vinyl chloride, arsenic, thorotrast
What cancer is B2-microglobulin a tumor marker for?
Multiple myeloma (excellent prognostic factor)
What tumors is bombesin a tumor marker for?
Small cell of lung and neuroblastoma
What tumor is CA 15-3 a tumor marker for?
What cancer is LDH a marker for?
What cancers is neuron specific enolase (NSE) a marker for?
Small cell of lung, neuroblastoma
Vitamin abnormality in primary hypothyrodism
B-carotenima. Decreased conversion of b-carotenes into retinoic acid in intestine (thyroxine is cofactor). Patient is yellow
Cerebellar dysfunction, hemolytic anemia, hemorrhagic diathesis
Vitamin E def
AR. Decreased intestinal absorption of zinc. Rare
What compounds cause a decrease in adhesion molecule synthesis
Catecholamines, corticosteroids, lithium
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)
Baby with viral icterus and edema
Most likely congenital CMV
Most common cause of thoracic and abdominal abcesses
Bacteroides fragilis below the diaphragm, b melanogenicus above the diaphragm
Window sill test
AIP. When porphobilinogen in urine oxidized by light it becomes porphobilin, giving the urine a port wine color
Causes of iatrogenic problems in AIP
Their symptoms are often mistaken for surgical emergenices (acute abdomen) and thus they may be operated on repeatedly
Black spot on leg
Ecthyma (pyoderma) gangrenosum. Due to pseudomonas, forms black ulcers. Relationship with UC
People in a room with a space heater have a headache.
CO poisoning. Treat with 100 percent oxygen
Distribution of the rash in patient on tetracycline
Sun exposed areas (consider what kind of clothes the person wears)
What organisms can be identified with a string test (enterotest)?
Giardia, strongyloides, cryptosporidium
Young man develops extreme fatigue, muscle cramp after exercising, and a pink colored urine. Lactic acid levels do not increase after exercise
Blocked endocervical glands with mucous retention
Deviation of uvula to opposite side in patient with exudative tonsillitis
What disorder is membranous GN associated with?
Why do patients with gastric ulcers tend to lose weight?
They have pain upon eating, so they often become afraid to eat
Mass in the vulva
Bartholins gland cyst, relationship with gonoococcus
Foamy macrophages in the lamina propria
Childhood version of ALS
Proptosis of the eye with poor eye movements
Consider cavernous sinus thrombosis (will see papilledema) and orbital cellulitis (no papilledema)
Choromosome of abnormality in wilms tumor
What should you think about in sterile pyuria?
Renal Tb. If not tb check for chlamydia next
What are antimicrosomal antibodies in besides hashimotos?
Most common pathology of renovascular hypertension
Men - atherosclerosis of renal artery, women - fibromuscular hyperplasia