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63 Cards in this Set

  • Front
  • Back
List the major organ involvments in diabetes mellitus
• Angiopathy
• Nephropathy
• Retinopathy
• Polyneuropathy
Vascular changes in diabetes mellitus are
• Arteriosclerosis
• Hyalinos arteriolosclerosis
• Diabetic microangiopathy
Elements of diabetic nephropathy
• Glomerulopathy
• Arterio-/arteriolosclerosis
• Recurrent pyelonephritis
Forms of ischemic heart disease
• Angina pectoris
• Acute myocardial infar
• Chronic ischemic heart
• Sudden cardiac death
Causes of reduced coronary perfusion are
• Stenosis (atherosclerotic plaque)
• Coronary thrombosis
• Vasospasm
The course of AMI at tissue level
• Ischemic cell injury (swelling)
• Coagulation necrosis
• Acute inflammatory infiltration
• Granulation tissue formation
• Scarring
Major cardial complications of AMI
• Cardiac arrest
• Arrythmia
• Mural thrombosis
• Myocardial rupture
• Fibrinous pericarditis
• Left ventricle aneurysm
Major causes of cor pulmonale
• Pneumoconiosis
• Interstitial pulmonary fibrosis
• COPD
• Tumors of the lung
General forms of arteriosclerosis
• Atherosclerosis
• Calcifying mediasclerosis (Mönckeberg)
• Arteriolosclerosis
Clinical complications of atherosclerosis
• AMI
• Cerebral stroke
• Aortic aneurysm
• Renal insufficiency
• Peripheral arteriopathy (gangraena)
Major porto-caval venous anastomoses significant in portal hypertension (liver cirrhosis)
• Esophageal venous plexus
• Rectoanal (hemorrhoidal) veins
• Retroperitoneal venous plexus
• Umbilical/abdominal veins
Features of Barrett-esophagust?
• Reddish spots on the esophageal mucosa
• Glandular epithelial cell metaplasia
• Complication of esophageal reflux
• Transformation potential to adenocarcinoma
Basic components of acute gastritis
• Mucosal erosion
• Acute inflammatory infiltration
• Superficial haemorrhage
Basic components of chronic gastritis
• Chronic inflammatory infiltration
• Mucosal atrophy
• Intestinal metaplasia
• Regeneratory dysplasia
Major causes of chronic gastritis
• Helicobacter pylori
• Autoimmune processes
Significant factors in the development of peptic ulcers
• H. pylori
• Hyperacidity
• Non-steroid anti-inflammatory drugs
• Fast stomach emptying
Histological layers of a chronic ulcer are
• Superficial necrosis
• Acute inflammatory layer
• Granulation tissue layer
• Massive fibrosis
Common complications of chronic peptic ulcers are
• Gastric haemorrhage
• Perforation
• Scarring
Benign tumors of the stomach are
• Hyperplastic polyps
• Adenomas
• Tumors of soft tissue and neural origin
Basic features of Krukenberg-tumor
• Bilateral ovarial metastasis
• Histological type is signet-ring cell adenocarcinoma
• Primary site is the stomach, breast or pancreas
Histological features of acute pancreatitis are
• Parenchymal edema
• Acute inflammatory infiltration
• Fat necrosis
• Haemorrhagia
What are the common causes of ARDS
• Sepsis
• Shock
• Pneumonia
• Aspiration
Major histological components in ARDS
• Alveolar edema
• Necrosis
• Neutrophils
• Hyaline membrane
Bronchiectasis develops on the basis of
• destructive bronchitis
The principal mechanism of alveolar wall destruction in emphysema
• insufficient anti-protease production
Which histological types of bronchial carcinomas are strongly related to cigarette smoking
• squamous cell carcinoma
• small cell lung carcinoma
Epithelial precursor lesions of lung cancer are
• squamous dysplasia
• atypical adenomatosus hyperplasia
Paraneoplastic syndromes frequently associated with small cell lung carcinoma are
• ACTH secretion
• ADH secretion
Which histiological type of oral squamous cell carcinoma has the most favourable prognosis
• verrucous carcinoma
Hepatotrop viruses infecting through a fecal-oral route are
• hepatitis A
• hepatitis E
Hepatotrop viruses infecting parenterally
• hepatitis B
• hepatitis D
• hepatitis C
Which part of the hepatic lobule is affected by hepatocyte damage in chronic active hepatitis
• periphery of the lobule (= limiting plate)
What is the Budd-Chiary syndrome
• Thrombosis of the hepatic vein
The most frequent primary carcinomas of the liver are
• Hepatocellular carcinoma
• Cholangiocellular carcinoma
Main forms of inflammatory bowel disease (IBD)
• Crohn disease
• Ulcerative colitis
Characteristic features of ulcerative colitis
• Limited to the colon
• Distribution is diffuse
• Ulceration is superficial
• Pseudopolyps are marked
• Malignant potential
Characteristic features of Crohn disease
• Ileum and colon involved
• Skip lesions
• Deep ulcers
• Fistulas
• Granulomas
• Malignant potential
Carcinomas of the large intestine are
• Adenocarcinoma
• Squamous cell carcinoma of the anus
Common non-epithelial tumors of the large intestine
• Lymphoma
• GIST
• Carcinoid
Most important marker for prostate carcinoma detection and monitoring
• Prostate specific antigen (PSA)
What is Paget disease
• Nipple and/or epidermal infiltration by DCIS
Morphological subtypes of invasive breast cancer are
• Ductal
• Lobular
• Medullary
• Inflammatory
• Mucinous
• Tubular
Major forms of thyroiditis
• Chronic lymphocytic (Hashimoto)
• Subacute granulomatous (de Quervain)
• Subacute lymphocytic (postpartum)
The enlagement of the thyroid is called
• Goiter (struma)
Carcinomas of the thyroid are
• Papillary carcinoma
• Follicular carcinoma
• Medullary carcinoma
• Anaplastic carcinoma
Endocrin neoplasms of the pancreas are
• Insulinoma
• Gastrinoma
• Glucagonoma
• Somatostatinoma
Major causes of the Cushing syndrome
• Pituitary hyperfunction (adenoma)
• Adrenal hyperfunction
• Paraneoplastic (ACTH producing tumor)
• Iatrogenic
Patterns of brain herniation
• Subfalcine
• Transtentorial
• Tonsillar
Major forms of hydrocephalus
• Non-communicating
• Communicating
• Hydrocephalus ex vacuo
The most frequent cause of subarachnoid hemorrhage is
• Rupture of saccular (berry) aneurysm
Cause of epidural hematoma
• Injury of the middle meningeal artery
Cause of subdural hematoma
• Disruption of the bridging veins
Major routes of infective agents to the CNS
• Hematogenous
• Direct posttraumatic
• Continous extension
• Nerve chanals
Forms of infectious meningitis
• Acute bacterial meningitis
• Viral meningitis
• Chronic meningitis (syphilis, tuberculosis)
Major types of gliomas are
• Astrocytomas
• Oligodendrogliomas
• Ependymomas
Most common primary tumors causing brain metastases
• Lung cancer
• Breast carcinoma
• Melanoma
• Renal cancer
• Gastrointestinal adenocarcinomas
List the four histological types of colorectal polyps!
• inflammatory
• hyperplastic
• hamartomatous
• adenomatous
What type of colorectal polyps do you know based on the macroscopical appearance?
• peduncuted
• sessile
Which are the two major genetic routes of colorectal carcinoma?
• APC/β-catenin pathway
• microsatellite instability (mismatch repair) pathway
Which are the most important complications associated with acute calculosus cholecystitis?
• empyema
• gangrene
• perforation
• bilestone ileus
Which are the common bone-forming tumors?
• osteoma
• osteoid osteoma
• osteoblastoma
• osteosarcoma
Which are the common cartilage-forming tumors?
• enchondroma
• osteochondroma
• chondroblastoma
• chondrosarcoma
Which are the most frequent complications of rickets?
• caput quadratum
• rachitic rosary
• pectus carinatum/excavatum
• rachitic bowleg/knock knee
• scoliosis