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28 Cards in this Set
- Front
- Back
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4 exceptions to confidentiality
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child or elder abuse
dx of a communicable disease gunshot or stabbing may harm self or others |
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Blood supply of upper ureter
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renal artery
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Blood supply of distal ureter and superior bladder
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Superior Vesical Artery
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Viral cause of acute hemorrhagic cystitis in children
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Adenovirus (more specifically, type B serotype 11, 21)
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Drugs which inhibit folic acid synthesis
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Trimethoprim
Methotrexate Pyrimethamine |
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MOA of pyrimethamine
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Inhibits parasitic DHFR
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Most common cause of fetal hydronephrosis
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Inadequate recanalization of the ureteropelvic junction
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Why are ACEi the DOC in ADPKD?
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Decreased perfusion of glomeruli increases the amount of renin secreted JG leading to HTN
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Female patient has an ovarian fibroma, ascites, and pleural effusion. What is the syndrome?
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Meigs Syndrome
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A woman is admitted to the hospital with painful bleeding who is 30 weeks pregnant. Her history is significant for smoking and HTN. What do you suspect? Plus pathogenesis? Outcome?
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Abruptio placentae
Premature detachment of placenta from implantation site. Fetal death |
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A multigravid woman gives birth to a heatlhly boy but parturition is followed by massive bleeding. Her past pregnancies have all occurred by C-section. What do you suspect? Pathogenesis? Outcome?
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Placenta accreta
Defective decidual later allows placenta to attach to myometrium. Requires hysterectomy if placenta is not delivered. |
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A multigravid woman has continuous painless bleeding throughout her pregnancy. Her past pregnancies have all been delivered via C-section. What do you suspect? How would you test to confirm?
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Placenta previa
DO NOT DO A PELVIC EXAM. Use ultrasound. |
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Causes of S3 heart sound
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MR
CHF volume overload of LV |
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Aggressive scraping of the endometrium can cause result in the removal of all cell layers. Known as?
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Asherman Syndrome
Loss of decidua basalis |
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Pathognomonic feature of Leydig Cell Tumors
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Reinke crystals
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A 30 year old man comes to the clinic because of mass on testes. Testing reveals elevated AFP levels. What is the likely tumor and what diagnostic feature would be apparent?
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Yolk Sac tumor
glomeruloid-like structures (schiller duval bodies) |
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Neoplasms w/ Psammoma bodies
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Papillary (thyroid)
Serous (ovary) Meningioma Mesothilioma |
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Why does gynecomastia occur in the setting of cirrhosis?
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Inability to metabolize estrogen and 17-ketosteroids
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Drugs causing gynecomastia
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Spironolactone
Ketoconazole DES Digoxin Flutamide Leuprolide |
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Why does gynecomastia present in patients with choriocarcinoma?
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Cancer produces hCG which is an LH analogue
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A 60 year old patient comes in to the clinic complaining of a greenish brown nipple discharge. This is pathognomonic for which condition?
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Mammary duct ectasia (plasma cell mastitis)
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A patient presents with painful, palpable cord in the breast. Testing indicates this to be a superficial thrombophlebitis of the vein. This syndrome is called???
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Mondor's disease
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A 30 year old presents with a lump in her breast. Mammography is performed and microcalcifications are seen. What is the likely etiology?
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Sclerosing adenosis
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Unique circumstances in which fibroadenoma can develop?
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On cyclosporine following renal transplant.
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Benign breast tumor w/ "leaf like" extensions
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Phyllodes tumor
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A 40 year old woman presents with bloody nipple discharge due to benign tumor in the lactiferous ducts. The most likely cause is ???
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Intraductal papilloma
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"Stellate" morphology is pathognomonic for which breast cancer?
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Invasive Ductal Carcinoma
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Histological appearance of Invasive Lobular Carcinoma
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Orderly row of cells
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