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35 Cards in this Set

  • Front
  • Back
Legionella requires which growth mediums for culture?
Cysteine & Iron
Which microbe requires potato for growth medium?
Bordetella Pertussis
Chest X-ray of a pt. w/ pneumonia shows obliteration of the R heart border.
Which lobe of the lung would you expect the pnemonia to be in?
The Righ Middle lobe - Classic Silhouette sign
A pnemonia pt. X-ray shows obscured diaphragm borders in the R field.
Which lung lobe is likely infected?
The right lower lobe
Colorectal cancer is associated w/ which tumor marker?
AFP
CA-125
CEA
S-100
CEA
Hepatocellular cancer is associated w/ which tumor marker?
AFP
CA-125
CEA
S-100
AFP
Ovarian cancer is associated w/ which tumor marker?
AFP
CA-125
CEA
S-100
CA-125
Melanoma is associated w/ which tumor marker?
AFP
CA-125
CEA
S-100
S-100

Think of Spf 100 for sun block
What are the causative agents for a pt. who develops progressive numbness and loss of motor control of a patient beginning in their lower limbs and ascending simetrically?
Campylobacter Jejuni
mycoplasma Pneumoniae

Pt. in the case described has Gullain-Barre syndrome
Which of the following agents is associated w/ gout?

Lisinopril
Metformin
Niacin
Sulfonylurea
Losartan
Niacin

Other affects:
Cutaneous flushing
Dyspepsia
Your AIDS pt. presents w/ several painless patches on his trunk and head.
Which of the following is most likely associated w/ his skin lesions?
It rarely spreads beyond the skin
Involves proliferation of endothelial cells
Caused by a fungal infection
Infectous agent lies dormant in sensory ganglia
Caused by a hypersensitivity reaction
Involves proliferation of endothelial cells

This pt. has HHV-8 leading to Kaposi Sarcoma
In January a mother brings her 8 month old into the ER w/ respiratory distress.
A chest X-ray shows hyperinflated lungs.
The child is breathing at 66 resp. per minute and wheezing is appreciated.
The child most likely has:
Bacterial pneumonia
Epiglotitis
Croup
Adenovirus
RSV
RSV

Any child that presents w/ fever, cough and respiratory distress in the winter, think RSV until proven otherwise
Your patient has been diagnosed w/ pemphigus vulgaris.
Which of the follwoing is characteristic of her disease?
Autoimmune arthritis of the fingers with nail discoloration
Associated malabsorption syndrome
Antibodies against desmosomes
Antibodies against basement membranes
Negative Nikolsky's sign
Antibodies against desmosomes
Differentiate between Wegener's & Goodpastures in relation to P-ANCA & C-ANCA
Wegeners = C-ANCA Positive
Wegeners = Wind = Cough = C

GoodPastures = P-ANCA Positive
"P" in Pastures is P-ANCA
Your 33 yo pt. presents for examination of a mass on his testicle.
The mass is biopsied and diagnosed as a seminoma.
Which of the following is the most accurate statement about this tumor?
hCG is elevated
AFP is elevated
It is benign
It commonly metastasizes through the blood
A history of cryptorchidism is a risk factor
A history of cryptorchidism is a risk factor

Cryptorchidism is a risk factor for ALL testicular cancers
A 45 yo. pt presents w/ a WBC count of 300,000.
Her RBC count is normal.
Leukocyte alkaline phosphatase activity is decreased.
Which of the following is characteristic of her disease?
Pos. staining for TRAP
Expression of a fusion gene w/ tyrosine kinase activity
Decreased erythropoietin
Expression of a fusion gene that inhibits apoptosis
Increased serum globulin
Expression of a fusion gene w/ tyrosine kinase activity

This pt. has CML
A 45 yo. pt presents w/ a WBC count of 300,000.
Her RBC count is normal.
Leukocyte alkaline phosphatase activity is decreased.
Which translocation is most likely?
8:14
11:22
14:18
9:22
9:22

This pt. has CML
Which glomerulonephropathy would be associated with:

Anti-basement membrane antibodies
Goodpasture's
Which glomerulonephropathy would be associated with:

Anti-mitochondrial antibodies
Primary biliary cirrhosis
Which glomerulonephropathy would be associated with:

C-ANCA
Wegener's Granulomas
Which glomerulonephropathy would be associated with:

P-ANCA
Microscopic polyangitis
A 50 yo pt. presents for follow-up on his lung cancer.
He complains of M weakness, especially in the morning, that is relieved w/ movement.
Which of the following best explains his pathology?
Abs. against the pre-synaptic membrane
Inflammation of the muscle tissue
Abs. against teh post-synaptic membrane
Glucocorticoid induced myopathy
Denervation
Abs. against the pre-synaptic membrane

This pt. has developed Lambert-Eaton syndrome
Which portion of the bowel is affected by celiac disease?
JEJUNUM
Which of the following Chapman's points is most likely to cause a positive response in a pt. w/ Crohn's disease:
R proximal femur
L proximal femur
R mid femur
L mid femur
R distal femur
R proximal femur

The terminal ileum is the most common location for Crohn's disease
Your pt. is being treated for bipolar disease and develops fatiuge, acne and cold intolerance.
Which of the following additional findings would also be likely?
Leukopenia
Tremor
Concentrated urine
Urinary retention
AV nodal block
Tremor

the most common adverse effect of lithium is tremor
What is the gold standard treatment for acute sinusitis treatment?
Gentamicin
Amoxicillin/Clavulanate
Ofloxacin
Ciprofloxacin
Loratadine
Amoxicillin/Clavulanate

Useful for:
S. Pneumonia
H. Influenzae
M. Catarrhalis
Which portion of the bowel is affected by celiac disease?
JEJUNUM
Which of the following Chapman's points is most likely to cause a positive response in a pt. w/ Crohn's disease:
R proximal femur
L proximal femur
R mid femur
L mid femur
R distal femur
R proximal femur

The terminal ileum is the most common location for Crohn's disease
Your pt. is being treated for bipolar disease and develops fatiuge, acne and cold intolerance.
Which of the following additional findings would also be likely?
Leukopenia
Tremor
Concentrated urine
Urinary retention
AV nodal block
Tremor

the most common adverse effect of lithium is tremor
What is the gold standard treatment for acute sinusitis treatment?
Gentamicin
Amoxicillin/Clavulanate
Ofloxacin
Ciprofloxacin
Loratadine
Amoxicillin/Clavulanate

Useful for:
S. Pneumonia
H. Influenzae
M. Catarrhalis
Which portion of the bowel is affected by celiac disease?
JEJUNUM
Which of the following Chapman's points is most likely to cause a positive response in a pt. w/ Crohn's disease:
R proximal femur
L proximal femur
R mid femur
L mid femur
R distal femur
R proximal femur

The terminal ileum is the most common location for Crohn's disease
Your pt. is being treated for bipolar disease and develops fatiuge, acne and cold intolerance.
Which of the following additional findings would also be likely?
Leukopenia
Tremor
Concentrated urine
Urinary retention
AV nodal block
Tremor

the most common adverse effect of lithium is tremor
What is the gold standard treatment for acute sinusitis treatment?
Gentamicin
Amoxicillin/Clavulanate
Ofloxacin
Ciprofloxacin
Loratadine
Amoxicillin/Clavulanate

Useful for:
S. Pneumonia
H. Influenzae
M. Catarrhalis
Which of the following is descriptive of a patient with loss of pain and temperature sensation and weakness in the upper extremities:
Tabes dorsalis
MS
ALS
Syringomyelia
Muscular dystrophy
Syringomyelia