key association

Question 1

aortic aneurysm- abdominal

Answer 1

atherosclerosis

Question 2

aortic aneurysm- aortic arch/ascending

Answer 2

syphilis (tertiary)- vasa vasorum destruction

Question 3

aortic aneurysm - thoracic

Answer 3

Marfan’s- cystic medial degradation

Question 4

bacterial meningitis in newborns/kids

Answer 4

newborn- E coli, GBS

kids - neisseria, strep pneumo

Question 5

bleeding disorder - GP1b deficiency

Answer 5

bernard soulier syndrome - can’t bind vWF

Question 6

primary cardiac tumor in kids

Answer 6

rhabdomyoma (tuberous sclerosis)

Question 7

cerebellar tonsil herniation

Answer 7

chiari 2

Question 8

chronic arrythmia

Answer 8

atrial fibrillation

Question 9

constrictive pericarditis

Answer 9

TB, idiopathic, viral illness

Question 10

coronary artery thrombosis

Answer 10

LAD>RCA>circumflex

Question 11

early cyanosis

Answer 11

tetrology, truncus arteriosus, transposition of great vessels

Question 12

death in CML

Answer 12

blast crisis

Question 13

DIC

Answer 13

sepsis, obstetric complication, cancer, burn, trauma, major surgery, acute pancreatitis, APML

Question 14

ejection click

Answer 14

bicuspid aortic valve/aortic stenosis

Question 15

food poisoning from exotoxin

Answer 15

staph aureus, bacillus cereus

Question 16

adult glomerulonephritis

Answer 16

IgA nephropathy

Question 17

congenital heart mumur

Answer 17

MVP

Question 18

US helminth infection

Answer 18

enterobius (pinworm), ascaris

Question 19

HLA DR3

Answer 19

T1DM, addisons, lupus, graves, hashimotos

Question 20

HLA DR4

Answer 20

T1DM, addisons, rheumatoid arthritis

Question 21

infection from blood transfusion

Answer 21

HCV

Question 22

infections of chronic granulomatous disease

Answer 22

staph aureus, E coli, aspergillus

Question 23

intellectual disability

Answer 23

Down syndrome, fragile X

Question 24

kidney stone

Answer 24

calcium - radioopaque
struvite (ammonium)- radioopaque - klebsiella, proteus, staph saphrophyticus ureas splitting
uric acid - radiolucent
cystine - radiolucent

Question 25

childhood cancer

Answer 25

ALL, medulloblastoma of cerebellum

Question 26

bone metastasis

Answer 26

prostate, breast > lung > thyroid

Question 27

brain metastasis

Answer 27

lung > breast > GU > melanoma > GI

Question 28

adult nephrotic syndrome

Answer 28

FSGS

Question 29

nosocomial pneumonia

Answer 29

staph aureus, pseudamonas, Gram negative rod enteric

Question 30

opportunistic infection AIDS

Answer 30

pneumocystis jirovecii

Question 31

osteomyelitis in IV drug user

Answer 31

pseudamonas, candida, staph aureus

Question 32

primary bone tumor of adult

Answer 32

multiple myeloma

Question 33

renal tumor

Answer 33

renal cell carcinoma- VHL, smoking | EPO, renin, PTHrP, ACTH

Question 34

S3 heart sound

Answer 34

increased LV filling pressure (volume overload) | mitral regurg, CHF; dilated ventricle

Question 35

S4 heart sound

Answer 35

stiff/hypertrophic ventricle | HTN, aortic stenosis, restrictive cardiomyopathy

Question 36

site of atheroscleorisis

Answer 36

abdominal aorta> coronary> popliteal> carotid

Question 37

testicular tumor

Answer 37

seminoma (placental ALP)

Question 38

tumor of infancy

Answer 38

strawberry hemangioma

Question 39

type of hodgkin lymphoma

Answer 39

nodular sclerosing (vs mixed cellularity, lymphocyte depleted, lymphocyte predominant)

Question 40

type of hodgkin lymphoma

Answer 40

diffuse large B cell lymphoma