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13 Cards in this Set

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A-148. Your pt is a 50yo female with a single palpable thyroid nodule and signs of hyperthyroidism. What is the likely dx?
Follicular Adenoma
A-148. Explain the progression of Renal Osteodystrophy.
CRF --> dec phosphate excretion and vit D activation (phos binds to calcium and pulls it from the serum) these both cause hypocalcemia --> leads to inc PTH --> then lastly bone demineralization
A-148. What enzyme is lacking in maturit onset diabetes of the young (MODY) and what is the result?
Glucokinase

Hyperglycemia due to cells secreting out the unphosphorlated glucose they can't use
A-148. The adrenal and thyroid medullas are locations of MEN types?
IIA and IIB

AM: HTN episodes

TM: inc calcitonic, hypocalcemia
A-148. A cutaneous horn that is the dysplasia before malignant carcinoma and is due to too much sun?
Actinic Keratosis
A-148. Your 30yo pt has multiple pigmented papules on his penis. You tell him they relatively benign and rarely transition to squamous cell carcinoma.
Bowenoid Papulosis
A-148. Pt has a condition where Abs cause loss of attachment b/t heratinocytes leading to fluid filling b/t the spaces and resulting in vesicles. What's your dx?
Pemphigus
A-148. Xmas tree rash pattern and is often preceded by Herald Patches.
Pityriasis
A-148. Pt has a large, dilated vascular channel on their face and has a hx of Sturge-Weber disease and seizures. What lesion is this?
Cavernous Hamangioma
A-148. A metallic taste in the mouth is a sign of what toxin?
Cadmium
A-148. Paresthesia, tremors, ataxia, and blindness are signs of what toxin?
Mercury
A-148. Garlic smell on breath is a sign of what toxin?
Arsenic
A-148. Recurrent vinyl chloride exposure can cause.....
Portal Vein Fibrosis