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133 Cards in this Set

  • Front
  • Back
Actinic (solar) keratosis
Precursor to squamous cell carcinoma
Acute gastric ulcer associated with CNS injury
Cushing ulcer (increased intracranial pressure stimulates vagal gastric secretion)
Acute gastric ulcer associated with severe burns
Curling ulcer (greatly reduced plasma volume results in sloughing of gastric mucosa)
Alternating areas of transmural inflammation and normal colon
Skip lesions (Crohn disease)
Aneurysm, dissecting
Hypertension
Aortic aneurysm, abdominal and descending aorta
Atherosclerosis
Aortic aneurysm at the arch ~~
3° syphilis - vasa vasorum destruction
Aortic aneurysm, ascending
Marfan syndrome (cystic medial degeneration)
Atrophy of the mammillary bodies
Wernicke encephalopathy (thiamine deficiency causing ataxia, ophthalmoplegia, and confusion)
Autosplenectomy (fibrosis and shrinkage)
Sickle Cell Anemia (HbS)
Bacteria associated with gastritis, peptic ulcer disease, and stomach cancer
H. pylori
Bacterial meningitis (adults and elderly)
Streptococcus pneumoniae
Bacterial meningitis (newborns and kids)
Group B streptococcus/E.coli (newborns), S. pneumoniae/ Neisseria meningitidis (kids)
Benign melanocytic nevus
Spitz nevus (most common in 1st two decades)
Bleeding disorder with GP1B deficiency
Bernard-Soulier syndrome (plats can't bind vWF)

=> more plats being pumped out => large b/c they're immature
Brain tumor (adults)
mets > astrocytoma (including GBM) > meningioma > schwannoma
Brain tumor (kids)
Infratentorial: medulloblastoma (cerebellum) or supratentorial: craniopharyngioma
Breast cancer
Infiltrating ductal carcinoma
Breast mass
Fibrocystic change, carcinoma (in postmenopausal women)
Breast tumor (benign)
Fibroadenoma
Cardiac 1° tumor (kids)
RhabdoMYOMA, often seen in tuberous sclerosis
Cardiac manifestation of lupus
Libman-Sacks endocarditis (nonbacterial, affecting both sides of mitral valve)
Cardiac tumor (adults)
mets,

1° myxoma

(4:1 left to right atrium; "ball and valve")
Cerebellar tonsillar herniation
Chiari II malformation
Chronic arrhythmia
Atrial fibrillation (associated with high risk of emboli)
Chronic atrophic gastritis (AI) =>
predisposition to gastric CA

(can also cause pernicious anemia - lack of RBC's due to B12 deficiency)
Clear cell adenocarcinoma of the vagina
DES exposure in utero
Compression fracture
Osteoporosis (type I: postmenopausal woman; type II: elderly man or woman)
Congenital adrenal hyperplasia, hypotension
21-hydroxylase deficiency
Congenital cardiac anomaly
VSD
Congenital conjugated hyperbilirubinemia (black liver)
Dubin-Johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin into bile)
Constrictive pericarditis seen with:
TB (developing world);


SLE (developed world)
Coronary arteries and frequency of thrombosis:
LAD > RCA > LCA
Cretinism
Iodine deficit/hypothyroidism
Cushing syndrome
Iatrogenic Cushing (from corticosteroid therapy)

Adrenocortical adenoma (secretes excess cortisol)

ACTH-secreting pituitary adenoma

Paraneoplastic Cushing (due to ACTH secretion by tumors)
Constrictive pericarditis
TB (developing world); SLE (developed world)
Cyanosis (Eisenmenger/late):
VSD, ASD, PDA
Death in CML
Blast crisis
Death in SLE
DPGN
Dementia
Alzheimer disease, multiple infarcts
Demyelinating disease in young women
Multiple sclerosis
causes of DIC:

(6)
1. severe sepsis

2. obstetric complications

3. cancer

4. burns

5. trauma

6. major surgery
Dietary deficit
Iron
Diverticulum in pharynx
Zenker diverticulum (diagnosed by barium swallow)
Ejection click
Aortic/pulmonic stenosis
Esophageal cancer
Squamous cell carcinoma (worldwide); adenocarcinoma (U.S.)
Food poisoning (exotoxin mediated)
S. aureus, B. cereus
Glomerulonephritis (adults)
Berger disease (IgA nephropathy)
m.c. gynecologic malignancy in US:
Endometrial CA

- cervical CA most common worldwide
Heart murmur, congential
Mitral valve prolapse
Heart valve in bacterial endocarditis
Mitral>aortic (rheumatic fever), tricuspid (IV drug abuse)
Helminth infection (U.S.)
Enterobius vermicularis, Ascaris lumbricoides
Rupture of middle meningeal artery:
epidural hematoma

(trauma; lens shaped)
Rupture of bridging veins:
subdural hematoma

(crescent shaped)
Hemochromatosis can result in:

(3)
1. CHF,

2. "bronze diabetes,"

3. inc. HCC
Hepatocellular carcinoma
Cirrhotic liver (associated with hepatitis B and C and with alcoholism)
Hereditary bleeding disorder
von Willebrand disease
Hereditary harmless jaundice
Gilbert syndrome (benign congenital unconjugated hyperbilirubinemia)
HLA-B27
Ankylosing spondylitis, reactive arthritis, psoriatic arthritis, reiter's
HLA-DR3 or -DR4

(3)
DM1, RA, SLE
Holosystolic murmur
VSD, tricuspid regurgitation, mitral regurgitation
Hypercoagulability, endothelial damage, blood stasis
Virchow triad (results in venous thrombosis)
secondary HTN ~~
2° Renal disease,

or renal artery stenosis
Hypoparathyroidism
Accidental excision during thyroidectomy
Hypopituitarism
Pituitary adenoma (usually benign tumor)
Infection 2° to blood transfusion
Hepatitis C
Infections in chronic granulomatous disease
Staphylococcus aureus, E. coli, Aspergillus (catalase positive)
Intellectual disability
Down syndrome, fragile X syndrome
Kidney stones
Calcium = radiopaque

Struvite (ammonium) = radiopaque (formed by urease positive organisms such as Proteus vulgaris or Staphylococcus)

Uric acid = radiolucent
Late cyanotic shunt (uncorrected left to right becomes right to left)
Eisenmenger syndrome (caused by ASD, VSD, PDA; results in pulmonary hypertension/polycythemia)
Liver disease
Alcoholic cirrhosis
Lysosomal storage disease
Gaucher disease
Male cancer
Prostatic carcinoma
Malignancy associated with noninfectious fever
Hodgkins lymphoma
Malignancy (kids)
ALL, medulloblastoma (cerebellum)
mets to bone:
PBKTL

in that order
Metastases to brain
Lung > breast > genitourinary > melanoma > GI
Metastases to liver
Colon >> stomach, pancreas
Mitochondrial inheritance
Disease occurs in both males and females, inherited through females only
Mitral valve stenosis, think:
Rheumatic heart disease
Mixed (UMN and LMN) motor neuron disease
Amyotrophic lateral sclerosis
myocarditis is often caused by:
Coxsackie B
Nephrotic syndrome (adults)
Focal segmental glomerulosclerosis
Nephrotic syndrome (kids)
Minimal change disease
Neuron migration failure
Kallmann syndrome (hypogonadotropic hypogonadism and anosmia)
causes of nosocomial pneumonia

(3)
Klebsiella, E. coli, Pseudomonas aeruginosa
Obstruction of male urinary tract
BPH
Opening snap
Mitral stenosis
Opportunistic infection in AIDS
Pneumocystis jirovecii pneumonia
Osteomyelitis
S. aureus
Osteomyelitis in sickle cell disease
Salmonella
Osteomyelitis with IV drug use
Pseudomonas, S. aureus
Ovarian metastasis from gastric carcinoma or breast cancer
Krukenberg tumor (mucin-secreting signet-ring cells)
Ovarian tumor (benign, bilateral)
Serous cystadenoma
Ovarian tumor (malignant)
Serous cystadenoCA
Pancreatitis (acute)
Gallstones, alcohol
Pancreatitis (chronic)
Alcohol (adults), cystic fibrosis (kids)
Patient with ALL /CLL /AML /CML
child/elderly/elderly/MA adult
Pelvic inflammatory disease
Chlamydia trachomatis, Neisseria gonorrhoeae
Philadelphia chromosome t(9;22) (bcr-abl)
CML (may sometimes be associated with ALL/AML)
Pituitary Tumor
Prolactinoma, somatotropic "acidophilic" adenoma
1° amenorrhea
Turner syndrome (45,XO)
1° bone tumor (adults)
Multiple myeloma
1° hyperaldosteronism ~~
Conn syndrome = primary, aldo-secreting tumor
1° hyperparathyroidism
Adenomas, hyperplasia, carcinoma
1° liver cancer
Hepatocellular carcinoma (chronic hepatitis, cirrhosis, hemochromatosis, α1-antitrypsin deficiency)
PHTN is seen in:
COPD, asthma

(not to mention CHF)
Recurrent inflammation/thrombosis of small/medium vessels
Buerger disease (strongly associated with tobacco) in extremities
Renal tumor
Renal cell carcinoma: associated with von Hippel-Lindau and cigarette smoking; paraneoplastic syndromes (EPO, renin, PTH, ACTH)
Right heart failure due to a pulmonary cause
Cor pulmonale
S3 (gallop) ~~
increased ventricular volume
(left-to-right shunt, MR, LV failure [CHF])
S4 (presystolic gallop)
Stiff/hypertrophic ventricle (AS, RCM)
2° hyperparathyroidism
Hypocalcemia of chronic kidney disease
Sexually transmitted disease
Chlamydia (usually coinfected with gonorrhea)
SIADH
Small cell carcinoma of the lung
Site of diverticula
Sigmoid colon
Sites of atherosclerosis
Abdominal aorta > coronary artery > popliteal artery > carotid artery
Stomach cancer is usually:
adenoCA
Stomach ulcerations and high gastrin levels
Zollinger-Ellison syndrome (gastrinoma of duodenum or pancreas)
t(14;18)
Follicular lymphomas (bcl-2 activation)
t(8;14)
Burkitt lymphoma (c-myc activation)
t(9;22)
Philadelphia chromosome, CML (bcr-abl fusion)
Temporal arteritis
Risk of ipsilateral blindness due to thrombosis of ophthalmic artery; polymyalgia rheumatica
Testicular tumor
Seminoma (malignant, radiosensitive)
Thyroid cancer
Papillary carcinoma
benign gynecological tumor:
Leiomyoma (EST-dependent, not precancerous)
Tumor of infancy
Hemangioma (like strawberry - usually regresses spontaneously by childhood)
Tumor of the adrenal medulla (adults)
Pheochromocytoma (usually benign)
Tumor of the adrenal medulla (kids)
Neuroblastoma (malignant)
Type of Hodgkin
Nodular sclerosis (vs. mixed cellularity, lymphocytic predominance, lymphocytic depletion)
UTI
E. coli,

Staph. saprophyticus (young women)
Viral encephalitis that affects temporal lobe is caused by:
HSV-1
Vitamin deficiency (U.S.)
Folate (pregnant women are at high risk; body stores only 3- to 4-month supply; prevents neural tube defects)