March 18 test 1 Flashcards Preview

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Flashcards in March 18 test 1 Deck (19):
1

What is Libman-Sacks endocarditis and what disease is it seen with?

Nonbacterial, verrucous thrombi usually on mitral or aortic valve

Late complication of SLE

2

Name the killed vaccines...

Rabies
Influenza (injected)
Salk Polio
HAV

RIP Always

SalK--Killed

3

Facial droop means _____ is pooped?

AICA--Anterior inferior cerebellar artery

Vomiting
Vertigo
Nystagmus
Paralysis of face
Decreased lacrimation and salivation
Decreased taste from anterior 2/3 of tongue
Ipsilateral decreased pain and temp on face
Contralateral decreased pain and temp on body
Ataxia
Dysmetria

4

What type of cells are seen with asplenia?

Target cells and Howell-Jolly bodies--usually removed by the spleen--nuclei remnant

5

Why are ACEi CI in pregnancy?

Can cause Potter syndrome --renal dysfunction in fetus

6

Basilar artery infarct and other causes of damage to the ventral pons causes what?

Locked-in syndrome
-Preserved consciousness, vertical eye movement, blinking
-Quadriplegia, loss of voluntary facial, mouth and tongue movements

Due to damage of the corticospinal and corticobulbar tracts bilaterally

7

What are the 2 causes of megaloblastic anemia?

Folate deficiency and Vit B12 deficiency

Folate is responsible for the 1-carbon unit transfer

Folate--no neuro symptoms
Vit B12--Neuro symptoms

8

What disorder is associated with advanced paternal age and presents with small limbs and normal sized head and trunk? Due to defect in fibroblast growth factor receptor (FGFR3).

Achondroplasia

9

What chromosomal abnormality is associated with coarctation of the aorta?

Turner syndrome --X0

10

What is used for tx of neuroepileptic malignant syndrome?

Dantrolene or bromocriptine--D2 agonist

11

What type of leukemia is associated with mediastinal mass?

Acute lymphoblastic leukemia/lymphoma

12

What are the 3 metastases seen with gastric cancer?

Virchow node--involvement of left supraclavicular node

Krukenberg tumor--bilateral metastases to ovaires--abundant mucin-secreting, signet ring cells--associated with diffuse

Sister Mary Joseph nodule--Subcutaneous periumbilical metastasis--associated with intestinal

13

What is a common finding in peripheral blood smear of a pt with multiple myeloma?

Rouleaux formation--RBCs stacked like poker chips in blood smear

14

What leukemia is associated with DIC and Auer rods?

Acute myelogenous leukemia M3 type--which is acute promyelocytic leukemia

15

What translocation is associated with Acute myelogenous leukemia M3 type--which is acute promyelocytic leukemia ?

t(15;17)

16

Where are sarcomas derived from?

Mesenchymal origin

17

What clotting factor is deficient in hemophilia A?

Factor VIII--increased PTT

18

What clotting factor is deficient in hemophilia B?

Factor IX--increased PTT

19

What is the common presentation of hemophilia?

Bleeding into joints, easy bruising, and major bleeding after trauma or surgery