Key Associations

Front 1

Actinic (Solar) Keratosis

Back 1

Squamos Cell Carcinoma

Front 2

Acute Gastric Ulcer associated with CNS injury

Back 2

cushing's ulcer (^ ICP stimulates vagal gastric secretion)

Front 3

Acute Gastric Ulcer associated with severe burns

Back 3

curling's ulcer (greatly reduced plasma volume results in sloughing of gasric mucosa)

Front 4

Alternating areas of transmural inflammation and normal colon

Back 4

skip lesions (crohn's disease; autoimmune)

Front 5

Aneurysm, dissecting

Back 5

hypertension

Front 6

Aortic aneurysm, abdominal and descending aorta

Back 6

atheroscierosis

Front 7

Aortic aneurysm, ascending

Back 7

3*

Front 8

Atrophy of the mammillary bodies

Back 8

wernicke's encephalopathy )thiamine deficiency causing ataxia, opthalmoplegiam and confusion)

Front 9

Autosplenectomy (fibrosis and shrinkage)

Back 9

sickle cell anemia ( HbS)

Front 10

Bacteremia/Pneumonia ( IV drug user)

Back 10

S. aureus

Front 11

Bacteria associated with stomach cancer

Back 11

H. pylori

Front 12

Bacterial meningitis (adults and elderly)

Back 12

Streptococcus pneumoniae

Front 13

Bacterial meningitis (newborns and kids)

Back 13

Group B streptococcus (newborns), S. pneumoniae/Neisseria meningitidis (kids)

Front 14

Benighn melanocytic nevus

Back 14

spitz nevus (most common in first two decades)

Front 15

Bleeding disorder with Gplb deficiency

Back 15

Bernard-Soulier disease (defect in platelet adhesion)

Front 16

Aortic aneurysm, abdominal and descending aorta

Back 16

atheroscierosis

Front 17

Aortic aneurysm, ascending

Back 17

3*

Front 18

Atrophy of the mammillary bodies

Back 18

wernicke's encephalopathy )thiamine deficiency causing ataxia, opthalmoplegiam and confusion)

Front 19

Autosplenectomy (fibrosis and shrinkage)

Back 19

sickle cell anemia ( HbS)

Front 20

Bacteremia/Pneumonia ( IV drug user)

Back 20

S. aureus

Front 21

Brain tumor (adults)

Back 21

supratentorial: mets > astrocytoma (including glioblastoma multiforme) > meningioma

Front 22

Brain tumor (kids)

Back 22

Infratentorial: medulloblastoma (cerebellum) or supratentorial: craniopharyngioma (cerebrum)

Front 23

Breast Cancer

Back 23

Infiltrating ductal carcinoma (in the US, 1 in 9 women will develop breast cancer)

Front 24

Breast mass

Back 24

1. Fibrocystic change
2. Carcinoma (in postmenopausal women)

Front 25

Bug in debilitated, hospitalized pneumonia patient

Back 25

Klebsiella

Front 26

Cardiac 1* tumor (kids)

Back 26

Rhabdomyoma

Front 27

Cardiac manifestation of lupus

Back 27

Libman-Sacks endocariditis (nonbacterial, affecting mitral)

Front 28

Cardiac Tumor (adults)

Back 28

1. Metastasis
2. 1* myxoma (4:1 left to right atrium, "ball and valve")

Front 29

Cardiomyopathy

Back 29

Dilated cardiomyopathy (40% are familial)

Front 30

Cerebellar tonsillar herniation

Back 30

Arnold-Chiari malformation (often causes hydrocephalus)

Front 31

Chronic arrhythmia

Back 31

Atrial Fibrillation (associated with high risk of emboli)

Front 32

Chronic atrophic gastritis (autoimmune)

Back 32

predispostion to gastric carcinoma (can also cause pernicious anemia)

Front 33

Clear cell adenocarcinoma of the vagina

Back 33

DES exposure to utero

Front 34

Congenital adrenal hyperplasia

Back 34

21-hydroxylase deficiency

Front 35

Congenital Cardiac Anomaly

Back 35

VSD

Front 36

Congenital conjugated hyperbilirubinemia (black liver)

Back 36

Dubin-Johnson syndrome (inability of hepatocytes to secrete conjugated bilirubin into bile)

Front 37

Constictive pericarditis in developing world

Back 37

Tuberculosis

Front 38

Cornonary Artery involved in thrombosis

Back 38

LAD>RCA>LCA

Front 39

Cretinism

Back 39

Iodine deficit/hypothyroidism

Front 40

Cushing's Syndrome

Back 40

1. Corticosteroid therapy
2. Excess ACTH secretion by pituitary

Front 41

Cyanosis (early; less common)

Back 41

Tetralogy of Fallot, transposition of great vessels, truncus arteriousus

Front 42

Cyanosis (late; more common)

Back 42

VSD, ASD, PDA

Front 43

Death in CML

Back 43

Blast crisis

Front 44

Death in SLE

Back 44

lupus nephropathy

Front 45

Dementia

Back 45

1. Alzheimer's Disease
2. Multiple infarcts

Front 46

Demyelinating disease

Back 46

Multiple Sclerosis

Front 47

DIC

Back 47

Gram-negative sepsis, obstetric complications, cancer, burn trauma

Front 48

Dietary Deficit

Back 48

Iron

Front 49

Diverticulum in pharynx

Back 49

Zenker's diverticulum (diagnosed by barium swallow)

Front 50

Ejection click

Back 50

Aortic/pulmonic stenosis

Front 51

Esophageal cancer

Back 51

squamous cell carcinoma

Front 52

Food poisoning

Back 52

S. aureus

Front 53

Gene involved in cancer

Back 53

p53 tumor suppressor gene

Front 54

Glomerulonephritis (adults)

Back 54

Berger's Disease (lgA nephropathy)

Front 55

Gynecologic malignancy

Back 55

Endometrial Carcinoma

Front 56

Heart Murmur

Back 56

mitral valve prolapse

Front 57

heart vavle in bacterial endocarditis

Back 57

mitral (rheumatic fever), tricuspid (IV drug abuse), aortic (2nd affected in rheumatic fever)

Front 58

Helminth infection (U.S.)

Back 58

1. Enterobius vermicularis
2. Ascaris lumbricoides

Front 59

Hematoma-epidural

Back 59

Rupture of middle meningeal artery (arterial bleeding is fast)

Front 60

Hematoma-subdural

Back 60

Rupture of bridging veins (trauma; venous bleeding is slow)

Front 61

Hemochromatosis

Back 61

multiple blood transfusions (can result in CHF in ^ risk of hepatocellular carcinoma)

Front 62

Hepatocellular Carcinoma

Back 62

cirrhotic liver (often associated with hepatitis B and C)

Front 63

Hereditary bleeding disorder

Back 63

von Willebrand's disease

Front 64

Hereditary harmless jaundice

Back 64

Gilbert's syndrome (benign congenital unconjugated hyperbilirubinemia)

Front 65

HLA-B27

Back 65

Ankylosing spondylitis, Reiter's syndrome, ulcerative colitis

Front 66

HLA-DR3 OR -DR4

Back 66

diabetes mellitus type 1, rheumatoid arthritis, SLE

Front 67

Holosystolic murmur

Back 67

VSD, tricuspid regurgitation, mitral regurgitation

Front 68

Hypercoagulability, endothelial damage, blood stasis

Back 68

virchow's triad (results in venous thrombosis)

Front 69

Hypertension, 2*

Back 69

Renal disease

Front 70

Hypoparathyroidism

Back 70

Thyroidectomy

Front 71

Hypopituitarism

Back 71

Adenoma

Front 72

Infection in blood transfusion

Back 72

Hepatitis C

Front 73

Kidney Stones

Back 73

1. Calcium = radiopaque
2. Struvite (ammonium) = radiopaque (formed by urease-positive organsims such as Proteus vulgaris or Staphylococcus)
3. Uric Acid = radiolucent

Front 74

Late cyanotic shunt (uncorrected L --> R becomes R-->L

Back 74

Eisenmenger's syndrome (caused by ASD, VSD, PDA; results in pulmonary hypertension/polycythemia)

Front 75

Liver Disease

Back 75

Alcoholic Liver Disease

Front 76

Lysosomal storage disease

Back 76

Gaucher's Disease

Front 77

Male Cancer

Back 77

Prostatic carcinoma

Front 78

Malignancy associated with noninfectious fever

Back 78

Hodgkin's Lymphoma

Front 79

Malignant skin tumor

Back 79

basel cell carcinoma (rarely metastasizes)

Front 80

Mental Retardation

Back 80

1. Down Syndrome
2. Fragile X Syndrome

Front 81

Mets to bone

Back 81

breast, lung, thryoid, testes, prostate, kidney

Front 82

mets to brain

Back 82

lung, breast, skin (melanoma), kidney (renal cell carcinoma), GI

Front 83

mets to liver

Back 83

colon, gastric, pancreatic, breast, and luncg carcinoms

Front 84

mitral valve stenosis

Back 84

rheumatic heart disease

Front 85

motor neuron disease

Back 85

ALS

Front 86

myocarditis

Back 86

Coxsackie B

Front 87

Neoplasm (kids)

Back 87

1. ALL
2. Cerebellar Medulloblastoma

Front 88

Nephrotic syndrome (adults)

Back 88

Membranous glomerylonephritis

Front 89

Nephrotic syndrome (kids)

Back 89

minimal change disease (associated with infections/vaccinations; treat with corticosteroids)

Front 90

Obstruction of male urinary tract

Back 90

BPH

Front 91

Opending snap

Back 91

mitral stenosis

Front 92

opportunistic infection in AIDS

Back 92

Pneumocystis jiroveci (formely carinii) penumonia

Front 93

Organ receiving mets

Back 93

Adrenal glands (due to rich blood supply

Front 94

Organ sending mets

Back 94

lung>breast, stomach

Front 95

osteomyelitis

Back 95

S. aureus

Front 96

osteomyelitis in patients with sickle cell disease

Back 96

salmonella

Front 97

Osteomyelitis with IV drug use

Back 97

Pseudomonas

Front 98

Ovarian metastasis from gastric carcinoma or breast cancer

Back 98

Krukenberg tumor (mucin-secreteing signet-ring cells)

Front 99

Ovarian tumore (benign)

Back 99

Serous cystadenoma

Front 100

ovarian tumor (malignant)

Back 100

Serous cystadenocarcinoma

Front 101

Pancreatic Tumor

Back 101

Adenocarcinoma (head of pancreas)

Front 102

Pancreatitis (acute)

Back 102

EtOH and gallstones

Front 103

Pancreatitis (chronic)

Back 103

EtOH (adults), cystic fibrosis (kids)

Front 104

Patient with ALL/CLL/AML/CML

Back 104

ALL: child, CLL: adult >60, AML: adult >60, CML: adult 35-50

Front 105

Patient with Hodgkin's disease

Back 105

young male (except nodular sclerosis type; female)

Front 106

Pelvic inflammatory disease

Back 106

Neisseria gonorrhoeae (monoarticular arthritis)

Front 107

Philadelphia chromosome t(9;22) (bcr-abl)

Back 107

CML (may sometimes be associated with ALL/AML)

Front 108

Pituitary Tumor

Back 108

1. prolactinoma
2. somatotropic "acidophilic" adenoma

Front 109

Pneumonia, hospital acquired

Back 109

Klebsiella

Front 110

Primary amenorrhea

Back 110

Turner's syndrome (XO)

Front 111

Primary bone tumor (adults)

Back 111

multiple myeloma

Front 112

Primary hyperaldosteronism

Back 112

adenoma of adrenal cortex

Front 113

Primary hyperpartathyroidism

Back 113

1. adenomas
2. hyperplasia
3. carcinoma

Front 114

Primary Liver Cancer

Back 114

Hepatocellular carcinoma (aka heptoma)

Front 115

Pulmonary hypertension

Back 115

COPD

Front 116

Recurrent inflammation/thrombosis of small/medium vessels in extremeties

Back 116

Buerger's disease (strongly associated with tobacco)

Front 117

Renal tumor

Back 117

renal cell carcinoma: associated with con Hippel-Lindau and adult polycystic kidney disease; paraneoplastic syndromes (erythropoietin, renin, PTH, ACTH)

Front 118

Right heart failure due to a pulmonary cause

Back 118

Cor pulmonale

Front 119

S3 (protodiastolic gallop)

Back 119

^ ventricular filling (L-->R shunt, mitral regurgitation, LV failure [CHF])

Front 120

S4 (presystolic gallop)

Back 120

stiff/hypertrophic ventricle (aortic stenosis, restrictive cardiomyopathy)

Front 121

Secondary hyperparathyroidism

Back 121

Hypocalcemia of chronic kidney disease

Front 122

Sexually Transmitted Disease

Back 122

Chlamydia

Front 123

SIADH

Back 123

small cell carcinoma

Front 124

site of diverticula

Back 124

sigmoid colon

Front 125

site of metastasis

Back 125

1. regional lymph nodes
2. liver

Front 126

Sites of atherosclerosis

Back 126

abdominal aorta > coronary >popliteal > carotid

Front 127

stomach cancer

Back 127

adenocarcinoma

Front 128

stomach ulcerations and high gastrin levels

Back 128

Zollinger-Ellison syndrome (gastrinoma of duodenum or pancreas)

Front 129

t(14;18)

Back 129

Follicular lymphomas (bcl-2 activation)

Front 130

t(8;14)

Back 130

Burkitts's lymphoma (c-myc activation)

Front 131

t(9;22)

Back 131

philadelphia chromosome, CML (bcr-abl hybrid)

Front 132

Temporal arteritis

Back 132

risk of ipsilateral blindness due to thrombosis of ophthalmic artery

Front 133

testicular tumor

Back 133

seminoma

Front 134

thyroid cancer

Back 134

papillary carcinoma

Front 135

tumor in women

Back 135

leiomyoma (estrogen dependent)

Front 136

tumor in infancy

Back 136

hemangioma

Front 137

tumor or the adrenal medulla (adults)

Back 137

pheochromocytoma (usually benign)

Front 138

tumor of the adrenal medulla (kids)

Back 138

neuroblastoma (malignant)

Front 139

type of Hodgkin's

Back 139

nodular sclerosis (vs. mixed cellularity, lymphocytic predominance, lymphocytic depletion)

Front 140

type of non-hodgkin's

Back 140

diffuse large cell

Front 141

UTI

Back 141

E. coli, Staphylococcus saprophyticus (young women)

Front 142

viral encephalitis

Back 142

HSV

Front 143

vitamin deficiency (U.S.)

Back 143

Folic acid (pregnant women are at high risk; body stores only 3-4 month supply)