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High Yield Associations
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714
Medical
Graduate
12/26/2012

Additional Medical Flashcards

 


 

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Term
Type I Collagen Defect
Definition
Osteogenesis imperfecta
Term
Type III Collagen Defect
Definition
Ehlers-Danlos
Term
Type IV Collagen Defect
Definition
Alport Syndrome
Term
Inhibition of Hydroxylation of collagen (proline and lysine residues)
Definition
Vit C deficiency (Scurvy)
Term
Brittle Bone Disease
Definition
Osteogenesis Imperfecta
Term
Blue Sclerae
Definition
Osteogenesis Imperfecta
Term
Hyperextensible skin, Hypermobile joints, Easy bruising
Definition
Ehlers-Danlos
Term
Progressive hereditary nephritis & deafness
Definition
Alport Syndrome (Type IV Defect)
Term
Defect in Fibrillin
Definition
Marfan's Syndrome
Term
Early emphysema (& cirrhosis)
Definition
alpha1-antitrypsin deficiency
Term
Ragged red fibers on microscopy
Definition
Mitochondrial myopathies
Term
Elevated LDL due to defective or absent LDL receptor
Definition
Familial Hypercholesterolemia
Term
Cell signaling defect of fibroblast growth factor 3 (FGR 3)
Definition
Achondroplasia
Term
Defect in spectrin or ankyrin
Definition
Hereditary Sperocytosis (IN MCHC)
Term
Trinucleatide repeat disorders
Name 4 with repeat

X-Girlfriend's First Aid Helped Ace My Test
Definition
1) Fragile X Syndrome (CGG)
2)Friedreich's ataxia (GAA)
3) Huntington's Disease (CAG)
4) Myotonic dystrophy (CTG)
Term
RET gene mutations
Definition
MEN 2A & 2B
Term
NF2 gene on chromosome 22
Definition
Neurofibromatosis type 2
Term
X-linked recessive disorders (name them all)

Be Wise Fool's GOLD Heeds Silly Hope
Definition
Burton's Agammaglobulinemia
Wiskott-Aldrich Syndrome
Fabry's disease
G6PD deficiency
Ocular albinism
Lesch-Hyhan syndrome
Duchenne's (and Becker's) muscular dystrophies
Hunter's Syndrome
Hemophilia A & B
Term
Deletion of dystrophin gene
Definition
Duchenne's Muscular Dystrophy (Diagnose with IN CPK muscle biopsy)
Term
Gower's maneuver
Definition
Duchenne's
Term
FMR1 gene expression defect
Definition
Fragile X Syndrome
Term
Most common cause of congenital mental retardation
Definition
Down Sydrome
Term
Congenital microdeletion of short arm of chromosome 5
Definition
Cri du chat
Term
Vitamin B1 (Thiamine) deficiency
Definition
Beri-Beri & Wernicke-Korsakoff
Term
Most common Vitamin deficiency in US
Definition
Folic acid (give in pregnancy to reduce neural tube defects)
Term
Vitamin D Deficiency
Definition
-Rickets (children)
-Osteomalcia (adults)
-Hypocalemic tetany
Term
Protein Malnutrition
Definition
Kwashiorkor
Term
Energy Malnutrition
Definition
Marasmus
Term
NADPH oxidase deficiency
Definition
Chronic Gramulomatous disease
Term
Infant fed honey
Definition
Botulinism (Clostridium Botulinum)
Term
"Rusty" sputum pneumonia
Definition
Streptococcus pneumoniae
Term
Parasite:

Brain cysts, seizures
Definition
Tanenia solium (cysticercosis)
Term
Parasite:

Liver cysts
Definition
Echinococcus granulosus
Term
Parasite:

B12 deficiency
Definition
Diphyllobothrium latum
Term
Parasite:

Biliary tract disease, cholangiocarcinoma
Definition
Clonorchis sinensis
Term
Parasite:

Hemoptysis
Definition
Paragonimus westermani
Term
Parasite:

Portal HTN
Definition
Schistosoma mansoni
Term
Parasite:

Hematuria, badder cancer
Definition
Schistosoma haematobium
Term
Parasite:

Microcytic anemia
Definition
Ancylostoma, Necator
Term
Parasite:

Perianal pruritis
Definition
Enterobius
Term
TSI's (Thyroid Stimulating Ig's
Definition
Graves' Disease
Term
#1 cause of Cushing's Syndrome
Definition
Exogenous (iatrogenic) steroids
Term
Most common cause of hypothyroidism
Definition
Hashimoto's thyroiditis
Term
Most common thyroid cancer
Definition
Papillary carcinoma (Orphan Annie eyes)
Term
Most common pituitary adenoma
Definition
prolactinoma
Term
Nucleotide excision repair mutation
Definition
Xeroderma pigmentosum - prevents repair of pyrimidine dimers from UV light exposure
Term
Mutation of Mismatch repair
Definition
HNPCC (Hereditary nonpolyposis colorectal cancer)
Term
Mutation of Nonhomologous end joining
Definition
Ataxia telangiestasia
Term
SLE (Lupus)
Definition
Anti-Smith Abs against snRNPs
Term
Palisading nuclei
Definition
Basal cel carcinoma
Term
"keratin" pearls
Definition
squamous cell carcinoma
Term
Mutation in BRAF kinase
Definition
Melanoma
Term
Actinic keratosis
Definition
Precurosor to squamous cell carcinoma
Term
honey colored crusting ok skin
Definition
impetigo (s. aureus or s. pyogenes)
Term
HHV-8
Definition
Kaposi's sarcoma
Term
"owl's eyes" inclusions
Definition
CMV
Term
Tzanck test
Definition
HSV identification
Term
HLA-A3
Definition
Hemochromatosis
Term
HLA-B27
Definition
Psoriasis
Ankylosing spondylitis
Inflammatory bowel disease
Reiter's Syndrome
Term
DQ2/DQ8
Definition
Celiac disease
Term
DR2
Definition
Multiple sclerosis
Hay fever
SLE
Goodpasture's
Term
DR3
Definition
Diabetes mellitus type I
Grave's disease
Term
DR4
Definition
Rheumatoid arthritis
Diabetes mellitus type I
Term
DR5
Definition
Pernicious anemia --> B12 deficiency
Hashimoto's thyroiditis
Term
Toxin of this inhibits EF-2 (elongation factor-2 or ADP-ribosylation) used in protein translation
Definition
Pseudomonas & Diptheria toxin
Term
Failure of addition of mannose-6-phosphate to lysosome proteins
Definition
I-cell disease
Term
mutations in collagen genes and lysine hydroxylase genes
Definition
Ehlers-Danlos Syndrome
Term
Mutation in Lysosomal trafficking regulator gene (LYST)
Definition
Chediak-Higashi Syndrome
Term
Infant with ground glass appearance of lungs on CXR
Definition
Neonatal respiratory Distress Syndrome
Term
Lecithin: Spingomyelin ratio < 2
Definition
Neonatal respiratory Distress Syndrome
Term
Mutation of fibroblast growth factor- receptor 3 (FGF-3)
Definition
Achondroplasia
Term
Mutation of PKD1 on chromosome 16
Definition
Autosomal Dominant Polycystic Kidney Disease
Term
Mutation of APC gene on chromosome 5q21
Definition
Familial Adenomatous Polyposis
Term
Mutation of LDL receptor gene on chromosome 19
Definition
Familial Hypercholesterolemia
Term
Defects in ankyrin and spectrin (component of erythrocyte cell membrane)
Definition
Hereditary Spherocytosis
Term
defect of HD on chromosome 4
Definition
Huntington Disease
Term
Expansion of CAG repeat
Definition
Huntington's Disease
Term
Mutation of fibrillin gene on chromosome 15g21
Definition
Marfan Syndrome
Term
Mutation of RET proto-oncogene
Definition
MEN 2A & MEN 2B
Term
Constitutive activation of HIF
Definition
von Hippel-Lindau Disease
Term
Mutation of CFTR gene on chromosome 7
Definition
Cystic Fibrosis
Term
Diagnosis of CF
Definition
Chloride sweat test
Term
Deletion of dystrophin gene
Definition
Duchenne's Muscular Dystrophy
Term
Diagnosis of Muscular dystrophy
Definition
Increase CPK and biopsy of muscle
Term
CGG repeat expansion
Definition
Fragile X Syndrome
Term
Necrosis and phagocytosis of muscle fibers on biopsy
Definition
Duchenne's muscular dystrophy
Term
Glycogen accumulation in muscle fibers
Definition
McArdle syndrome
Term
Abnormal accumulation of lipid in myocyte
Definition
Defects in carnitine palmitoyltransferase enzyme
Term
Blunting of villi in small bowel biopsy
Definition
Celiac Disease
Term
anti-tissue transglutaminase
Definition
Celiac Disease
Term
Hurthle cells and lymphocytic infiltration of thyroid with germinal centers
Definition
Hashimoto's Thyroiditis
Term
Granulomatous inflammation of thyroid (note thyroid is very tender)
Definition
Subacute Thyroiditis (de Quervain's)
Term
Thyroid replaced by fibrous tissue
Definition
Riedel's Thyroiditis
Term
Nests of polygonal cells in amyloid stroma in thyroid
Definition
Medullary carcinoma
Term
Branch chain ketoacid dehydrogenase deficiency (Val, Leu, Iso)
Definition
Maple syrup urine disease
Term
Opthalmoplegia, Confusion, Ataxia
Definition
Wernicke-Korsaoff
Term
Polyneuritis, Symmetrical muscle wasting
Definition
Dry Beri-Beri
Term
High-output cardiac failure, edema in alcoholic
Definition
Wet Beri-beri
Term
Cheilosis, Corneal neovascularization, Magenta-colored tongue
Definition
Riboflavin deficiency
Term
AR disease impaired AA absorption --> tryptophan deficiency
Definition
Harnup Disease
Term
Diarrhea, Dementia, Dermatitis (3 D's)
Definition
Pellagra (B3 deficiency- Niacin)
Term
Prophylaxis for TB
Definition
Isoniazid
Term
Sideroblastic anemia, Cheilosis/stomatitis, Convulsions
Definition
B6 (Pyridoxine) deficiency
Term
Dermatitis, alopecia, enteritis, and muscle pain after eating raw eggs
Definition
Biotin deficiency (B7)
Term
Macrocytic, megoblastic anemia with neurological symptoms
Definition
B12 (Cobalamin) defieiency
Term
Macrocytic, megoblastic anemia with no neurological symptoms
Definition
B9 (Folic Acid) Deficiency
Term
Night blindness and dry skin
Definition
Vit A deficiency
Term
Warfarin antidote in non-acute setting
Definition
Vit K
Term
Loss of lung elasticity
Definition
Emphysema
Term
Libman-Sacks endocarditis associated with
Definition
Lupus and antiphospholipid antibody
Term
chronic hemolytic anemia, INcrease 2,3-BPG, NO heinz bodies
Definition
Pyruvate Kinase deficiency
Term
Diarrhea, bloating, cramps after milk ingestion
Definition
lactase deficiency
Term
Galactosemia/galactosuria and cataracts in childhood
Definition
Galactokinase deficiency
Term
cataracts in childhood, jaundice, lethargy, mental retardation, galactosemia/galactosuria, vomiting after milk ingestion
Definition
Gal-1-P uridyl transferase deficiency (Classic Galactosemia)
Term
Deficiency in aldolase B
Definition
Fructose intolerance
Term
Defect in fructokinase
Definition
Essential fructosuria (benign)
Term
Lactic acidosis and neurological defects
Definition
Pyruvate Kinase Deficiency
Term
Cyanide poisoning antidote
Definition
Nitrites (creates methemoglobin)
Term
ETC uncouplers
Definition
2,4-DNP, ASA, thermogenin in brown fat
Term
Exercise intolerance, muscle cramps, myoglobinuria
Definition
McArdle's Disease
Term
Glucose-6-phosphatase deficiency
Definition
Von Gierke's Disease
Term
Lysosomal a-1,4-glucosidase deficiency
Definition
Pompe's disease
Term
Debrancing enzyme deficiency
Definition
Cori's Disease
Term
Branching enzyme defiency
Definition
Anderson's Disease
Term
Muscle glycogen phosphorylase deficiency
Definition
McArdle's Disease
Term
Hepatic glycogen phosphorylase deficiency
Definition
Hers Disease
Term
Episodic self-limiting hemolytic anemia induced by infection and drugs such as primaquine
Definition
Glucose-6-phosphate dehydrogenase deficiency
Term
Vomiting, diarrhea, hypoglycemia, lactic acidosis, hyperuricemia, and hyperphosphatemia at time of weaning from milk to foods with fructose or sucrose
Definition
Hereditary fructose intolerance (aldolase B deficiency)
Term
Poor prognostic indicator in Neuroblastoma
Definition
N-myc oncogene
Term
HVA (Hemovanillic acid) elevated in urine
Definition
Neuroblastoma
Term
Urinary VMA elevated
Definition
Pheochromcytoma
Term
Episodic
-Pressure (elevated BP)
-Pain (HA)
-Perspiration
-Palpitations
-Pallor
Definition
Pheochromocytoma
Term
Thrombocytopenic purpura
Infections
Eczema
Definition
Wiskott-Aldrich Syndrome
Term
Inhibition of COX pathway leading to relative decrease of prostoglandin bronchodilators to leukotriene bronchoconstrictors
Definition
ASA induced asthma
Term
Type I hypersensitivity asthma
Definition
atopic asthma
Term
enhanced vagal stimulation asthma
Definition
nonatopic asthma
Term
Type I Hypertriglyceridemia
Definition
LPL deficiency (Apo-CII deficiency)
Term
orange-red eruptive xanthomas, fatty liver, acute pancreatitis
Definition
Type I Hypertriglyceridemia (LPL or Apo-CII deficiency)
Term
Familial Hypercholesterolemia
Definition
LDL receptor deficiency (AD)
Term
Type III Familial hyperlipoproteinemia or Dysbetalipoproteinemia
Definition
Abnormal Apo-E
Term
Hypolipidemia
Definition
Low or absent apo-B100 or apo-B48
Term
Fasting hypoglycemia, No ketone bodies, dicarboxylic acidemia, C8-10 acyl carnitines in serum
Definition
MCAD deficiency (Medium Chain Acyl-Dehydrogenase deficiency)
Term
muscle aches/weakness, myoglobulinuria, provocked by exercise, Increased muscle TG's
Definition
Myopathic Carnitine Acyltransferase Deficiency (CAT/CPT)
Term
polyuria, dehydration, sweet fruity breath, CNS depression and coma
Definition
Ketoacidosis
Term
Hexosaminidase A deficiency
Definition
Tay-Sachs disease
Term
GM2 ganglioside accumulation
Definition
Tay-Sachs disease
Term
Cherry red spots on macula
Definition
Tay-Sachs disease
Term
Most Common Lysosomal storage disease
Definition
Gaucher's disease
Term
ß-Glucocerebrosidase deficiency
Definition
Gaucher's disease
Term
Glucocerebroside accumulation
Definition
Gaucher's disease
Term
Hepatosplenomegaly in adulthood, bone erosions, pancytopenia/thrombocytopenia and macrophages that resemble "crumpled paper"
Definition
Gaucher's Disease
Term
alpha-galactosidase A deficiency
Definition
Fabry's disease
Term
Ceramide trihexoside accumulation
Definition
Fabry's disease
Term
Burning sensation in hands, angiokeratomas, cloudiness in cornea, peripheral neuropathy, renal failure
Definition
Fabry's disease
Term
Sphingomyelinase deficiency
Definition
Niemann-Pick disease
Term
Sphingomyelin accumulation
Definition
Niemann-Pick Disease
Term
progressive neurodegenberation, microcephaly, severe mental retardation, hepatosplenomegaly, cherry red spots on macula
Definition
Nieman-Pick Disease
Term
Galactocerebrosidase deficiency
Definition
Krabbe Disease
Term
Galactocerebroside accumulation
Definition
Krabbe Disease
Term
Developmental delay, peripheral neuropathy, optic atrophy, globoid cells
Definition
Krabbe Disease
Term
arylsulfatase A deficiency
Definition
Metachromatic Leukodystrophy
Term
sulfatide accumulation
Definition
Metachromatic Leukodystrophy
Term
ataxia, dementia, seizures, with sulfatide accumulation
Definition
Metachromatic Leukodystrophy
Term
alpha-L-iduronidase deficiency
Definition
Hurler's syndrome
Term
heparan sulfate and deratan sulfate accumulation
Definition
Hurler's Syndrome
Term
gargoylism, corneal clouding, hepatosplenomegaly, airway obstruciton, and developmental delay
Definition
Hurler's Syndrome
Term
Iduronate sulfatase deficiency
Definition
Hunter's syndrome
Term
heparan sulfate accumulation and dermatan sulfate accumulation
Definition
Hunter's Syndrome
Term
developmental delay, gargoylism, airway obstruction, hepatosplenomegaly, agressive behavior (no corneal clouding)
Definition
Hunter's Disease
Term
Treatment for Hyperammonemia
Definition
IV benzoate
Oral phenylbutyrate
Lactuloase
Term
Defect in phenylalanine hydroxylase or tetrahydrobiopterin
Definition
PKU (Phenylketonuria)
Term
mental and groth retardation + musty body odor
Definition
PKU
Term
Deficiency of homogentisic acid oxidase
Definition
Alkaptonuria (Ochronosis)
Term
dark CT, brown sclera, black urine if exposed to air, arthlagia
Definition
Alkaptanuria (achronsis)
Term
Tyrosinase deficiency or defective tyrosine transporters
Definition
Albinism
Term
alpha-ketoacid dehydrogenase deficiency
Definition
Maplee Syrup Urine Disease
Term
Blocked degradation of Ile, Leu, Val
Definition
Maple Syrup Urine disease
Term
Marfanoid features _ spontaneous thromboembolism
Definition
Homcytinuria
Term
AA responsible for forming...
-Thyroid hormone
-melanin
-catecholamines
Definition
Tyrosine
Term
AA responsible for forming...
-Serotonin
-NAD
-NADP
Definition
Tryptophan
Term
AA responsible for forming...
-Heme
Definition
Glycine
Term
AA responsible for forming...
-GABA
Definition
Glutamate
Term
AA responsible for forming...
-NO
Definition
Arginine
Term
AA responsible for forming...
-Histamine
Definition
Histidine
Term
Porphobilinogen deaminase deficiency
Definition
Acute Intermittent Porphyria
Term
port-wine urine with ALA and PBG
Definition
Acute Intermittent Porphyria
Term
Uroporphyrinogen decarbyylase deficiency
Definition
Porphyria Cutanea Tarda
Term
photosensitivity, skin inflammation, cirrhosis
Definition
Prophrya Cutaea Tarda
Term
Sideroblastic anemia
Definition
B6 deficiency
Term
Leads inhibits
Definition
Ferrochelatase and ALA dehydratase
Term
Lead poisoning treatment
Definition
Dimercaprol and EDTA
Term
Absent UDP-glucuronyl transferase
Definition
Crigler-Najjar syndrome
Term
Mild decreased UDP-glucuronyl transferase
Definition
Gilbert Syndrome
Term
Reltion between...

Hodgkin's lymphoma
Burkitt's lymphoma
Nasopharyngeal carcinoma
Definition
Ebstein-Barr Virus (EBV)
Term
DNA Viruses
Definition
HHAPPPPy

Hepadna
Herpes
Adeno
Pox
Parvo
Papilloma
Polyoma
Term
Naked (non-enveloped) viruses
Definition
give PAPP smear and CPR to naked Heppy

Papillomavirus
Adenovirus
Picornavirus
Polyomavirus
Calcivirus
Parvovirus
Reovirus
Hepevirus
Term
Prevent release of GABA and glycine NTs in spinal cord leading to rigid paralysis
Definition
Clostridium Tetani (Tetanospasmin)
Term
Prevent release of ACh in neuromuscular junctions leading to flaccid paralysis
Definition
Clostridium botulinum (Botulinum toxin)
Term
Overactivates adenylate cyclase (cAMP) by disbaling Gi, impairing phagocytosis and permitting survival of microbe
Definition
Bordetella pertussis
Term
Edema factor
Definition
Bacillus anthracis
Term
Alpha toxin
Definition
Clostridium perfringens
Term
Streptolysin O
Definition
Streptococcus pyogenes
Term
Exotoxin A
Definition
Streptococcus pyogenes
Term
tumbling motility seen on microscope
Definition
Liisteria monocytogenes
Term
Oral facial abscesses with yellow granules trated w/ PCN
Definition
Actinomyces
Term
Drug regiment for Tuberculoid form of Leprosy
Definition
Dapsone
Rifampin
Term
Drug regiment for Lepromatous form of Leprosy
Definition
Dapsone
Rifampin
Clofazimine
Term
Trauma of skeletal muscle converting to bone
Definition
Myositis ossificans
Term
Streak ovary (due to hypoplasia)
Definition
Turner Syndrome
Term
Classical triad of abdominal pain, ascites and hepatomegaly
Definition
Budd-Chiari Syndrome
Term
Classic appearance cherry red appearance of skin
Definition
CO poisoning
Term
Classic causes of methemoglobinemia
Definition
oxidant stresses (Sulfa and nitrates) & newborns
Term
Cyanosis with chocalate-colored blood
Definition
Methemoglobenmia
Term
Treatment for Methemoglobenemia
Definition
IV methylene blue
Term
Loss of nucleus (hallmark of cell death) occurs through these stage
Definition
Pyknosis
Karyorrhexis
Karyolysis
Term
Liquefactive necrosis classically seen in (3)
Definition
1) brain infarction
2) abscess
3) pancreatitis
Term
Ischemia of lower limb and GI tract result in
Definition
Gangrenous necrosis
Term
Bright pink staining of blood vessel wall
Definition
Fibrinoid necrosis
Term
Characteristic diseases of Fibrinoid necrosis
Definition
Malignant HTN
Vasculitis
Term
Key mediator of apoptosis
Definition
capsases
Term
activator of caspases
Definition
Cytochrome c
Term
Normal regulator of cytochrome C
Definition
Bcl2
Term
Decreased production of apolipoproteins leads this change in liver
Definition
fatty liver
Term
Congo red staining and apple-green birefringence characteristic of
Definition
Amyloidosis
Term
Systemic deposition of AL amyloid derived from
Definition
Ig light chain
Term
AR dysfunction of neutrophils
Definition
Familial Mediterranean Fever (FMF(
Term
Episodes of fever and acute serosal inflammation with AA amylod deposit
Definition
Familial Mediterranean Fever
Term
Nephrotic syndrome
Restrictive cardiomyopathy or arrhythmia
Tongue enlargement, malabsorption, and hepatosplenomegaly
Definition
Systemic Amyloidosis
Term
Diagnosis and Treatment of Systemic amyloidosis
Definition
Tissue biopsy (congo red staining and apple-green birefringence)

transplant of damaged organ
Term
Non-mutated serum transthyretin deposited in heart
Definition
Senile Cardiac Amyloidosis
Term
Mutated serum transthyretin deposited in heart leading to restrictive cardiomyopathy
Definition
Familial amyloid cardiomyopathy
Term
Aß amyloid; chromosome 21
Definition
Alzheimer Disease
Term
ß2-microglobulin deposits in joints
Definition
Dialysis-associated amyloidosis
Term
Tumor cells in amyloid background from thyroid mass
Definition
Medullary carcinoma of thyroid
Term
CD found on macrophages that recognize LPS
Definition
CD14
Term
Neutrophil attractants
Definition
1) C5a
2) LTB4
3) Il-8
4) bacterial products
Term
Mast cells activated by
Definition
1) tissue trauma
2) complement proteins C3a and C5a
3) cross-linking of cell-surface IgE by antigen
Term
Second phase of mast cell response mediated by
Definition
leukotrienes
Term
Mediators of pain
Definition
PGE2 (Fever too)
Bradykinin (vasodilation & increased vascular permeability)
Term
Key mediators of vasodilation (rubor and calor)
Definition
1) histamine
2) prostaglandins
3) bradykinins
Term
Key mediators of swelling in acute inflammation
Definition
1) histamine
2) tissue damage
Term
Neutrophil entry occurs at this location of vasodilation...
Definition
post-capillary venules
Term
Released from Weibel-Palade bodies in response to histamine
Definition
P-selection (also vWF)
Term
E-selectin induced by
Definition
1) TNF
2) IL-1
Term
Factor on leukocytes that bind selectins to initiate rolling
Definition
siayl Lewis X
Term
Upregulators of ICAM and VCAM on endothelial cells for neutrophil adhesion
Definition
TNF
IL-1
Term
Upregulators of Integrins on eleukocytes for neutrophil adhesion
Definition
C5a
LTB4
Term
AR defect of integrins (CD18)
Definition
Leukocyte Adhesion deficiency
Term
Delayed umbilical cord separation
Increased circulating neutrophils
Recurrent bacterial infections with NO pus formation
Definition
Leukocyte Adhesion Deficiency (CD19)
Term
Phagocytosis enhanced by
Definition
Opsonins (IgG and C3b)
Term
AR protein trafficking defect characterized by impaired phagolysosome formation
Definition
Chediak-Higashi Syndrome
Term
Increased pyogenic infections
Neutropenia
Giant granules in leukocytes
Defective primary hemostasis
Albinism
Peripheral neuropathy
Definition
Chediak-Higashi Syndrome
Term
NADPH oxidase defect (AR or XL)
Definition
Chronic Granulomatous disease (CGD)
Term
Recurrent infections with granuloma formation esp from
Staph. aureus, Pseudomonas cepacia, Serratia marcescens, Nocardia, and Aspergillus
Definition
Chronic Granulomatous disease (CGD)
Term
Screening test for Chronic Granulomatous disease (CGD)
Definition
Nitroblue Tetrazolium test (NBT dye)
Term
Increased Candida infections NBT test normal
Definition
MPO deficiency (cant convert H2O2 to HOCl)
Term
O2 independent killing mediated by...
Definition
1) lysozyme in macrophages
2) major basic protein in eosinophils
Term
Anti-inflammatories produced by macrophages for resolution and healing after acute inflammation
Definition
Il-10
TGF-ß
Term
Cytokine produced by macrophages to continue acute inflammation (pus formation)
Definition
IL-8
Term
CD4+ Th1 cells secrete
Definition
IL-2 (T cell growth factor and CD8+ T cell activator)
IFN-gamma (Macrophage activator)
Term
CD4+ Th2 cells secrete
Definition
IL-4 (B cell class switching to IgG and IgE)
IL-5 (eosinophil chemotaxis, activation, maturation of B cells to plasma cells, and class switching to IgA)
IL-10 (Inhibits Th1 phenotype)
Term
Key cellular characteristic of granuloma
Definition
epithelioid histiocytes
Term
LAD in neck with non-caseating granuloma in stellate formation
Definition
Cat-Scratch disease
Term
Non-caseating granuloma DDx
Definition
1) rxn to foreign material
2) cat scratch disease
3) Beryllium exposure
4) Sarcoidosis
5) Crohn disease
Term
DDx in caseating necrosis
Definition
1) Tuberculosis
2) Fungal infections
Term
Cytokine that converts macrophage into epitheloid histiocyte and giant cells (hallmarks of granulomas)
Definition
IFN-gamma
Term
Etiologies of SCID
Definition
1) Cytokine receptor defects
2) Adenosine deaminase (ADA) deficiency
3) MHC class II deficiency
Term
Treatment of SCID
Definition
1) sterile isolation
2) stem cell transplant
Term
Mutation of Bruton tyrosine kinase
Definition
X-linked agammaglobulinemia
Term
6 month baby presents with recurrent bacterial infections, enteroviruses (polio, coxsackievirus), and Giardia lamblia
Definition
X-linked agammaglobulinemia
Term
Treatment for Giardia lamblia
Definition
Metronidazole
Term
Pt in late childhood presents with recurrent bacterial infections, enteroviruses (polio, coxsackievirus), and Giardia lamblia
Definition
Common Variable Immunodeficiency (CVID)
Term
Common Variable Immunodeficiency (CVID) increases risk for
Definition
autoimmune disease
lymphoma
Term
Increased risk of mucosal (Gi etc infections esp viral)
Definition
IgA Deficiency
Term
IgA Deficiency increased risk for
Definition
Celiac disease
Term
Defect/Mutation in CD40L or CD40 receptor
Definition
Hyper-IgM Deficiency
Term
Recurrent pyogenic infections and low IgA, IgG, and IgE
Definition
Hyper-IgM Deficiency
Term
Mutation in WASP gene (X-linked)
Definition
Wiskott-Aldrich Syndrome
Term
Thrombocytopenia, Eczema, Infections (recurrent)
Definition
Wiskott-Aldrich Syndrome
Term
C5-C9 deficiencies increased risk for
Definition
Neiserria infections (gonorrhea and meningitidis)
Term
C1 inhibitor deficiency
Definition
Hereditary angioedema
Term
Edema of skin (esp;. periorbital) and mucosal surfaces
Definition
Hereditary angioedema (C1 inhibitor deficiency)
Term
Sterile deposits on both sides of valve (assoc. with SLE)
Definition
Libman-Sacks endocarditis
Term
Ab characteristic of drug-induced lupus
Definition
Antihistone antibody
Term
Common causes of drug-induced Lupus
Definition
Hydralazine
Procainamide
Isoniazide
Term
Antibody leads to false-positive syphilis test
Definition
Anticardiolipin
Term
Antibody that leads to falsely elevated PTT studies
Definition
lupus anticoagulant
Term
Anticardiolipin and lupus anticoagulant characteristic of this subset of SLE
Definition
Antiphospholipid antibody syndrome
Term
Older woman complains "Can't chew crackers, dirt in my eyes"
Definition
Sjogren Syndrome
Term
target of anti-SS-A/Ro and anti-SS-B/La
Definition
ribonucleoprotein
Term
anti-SS-A/Ro and anti-SS-B/La
Definition
Sjogren Syndrome
Term
Unilateral enlargement of parotid gland late in disease course of Sjogren syndrome
Definition
B-cell(marginal zone) lymphoma
Term
Autoimmune destruction of what in Sjogren syndrome
Definition
lacrimal gland and parotid gland
Term
Most commonly affect organ in Diffuse Type Scleroderma
Definition
esophagus --> dysphagia of liquids and solids
Term
Diffuse type Scleroderma antibody
Definition
ANA and anti-DNA topoisomerase I (Scl-70)
Term
Localized type Scleroderma findings
Definition
CREST Syndrome
Calcinosis and anti-Centromere Ab
Raynaud phenomenom
Sclerodactyly
Telangiestastis of skin
Term
Localized type Scleroderma antibody
Definition
Anti-Centromere Ab
Term
Mixed COnnective Tissue Disease antibody
Definition
U1 ribonucleoprotein
Term
Location of stem cells in small and large bowel
Definition
mucosal crypts
Term
Location of stem cells in skin
Definition
basal layer
Term
stem cell of bone marrow
Definition
homatopoietic stem cells
Term
Marker for homatopoietic stem cells
Definition
CD34
Term
Stem cell of lung
Definition
Type II pnemocytes
Term
Permanent tissue that lacks regenerative potential
Definition
myocardium
skeletal muscle
neurons
Term
3 major tissues of granulation tissue
Definition
Fibroblasts (type III collagen)
capillaries
myofibroblasts (contract wound)
Term
Cofactor for collagenase removes type III collagen in scar formation
Definition
zinc
Term
Mediators of angiogenesis
Definition
FGF (Fibroblast Growth Factor)
VEGF (Vascular Endothelial Growth Factor)
Term
Cofactor in hydroxylation of proline and lysine
Definition
Vitamin C
Term
Cofactor for lysyl oxidase
Definition
Copper
Term
Cofactor for collagenase
Definition
Zinc
Term
Rupture of wound (typically after abdominal surgery)
Definition
Dehisence
Term
Excess production of scar tissue localized to wound
Definition
Hypertrophic scar
Term
Excess production of scar tissue out of proportion to wound
Definition
Keloid
Term
Excess collagen in Keloid
Definition
Type III collagen
Term
Neoplasia 3 major features
Definition
1) unregulated
2) irreversible
3) monoclonal
Term
Clonality can be determined by
Definition
G6PD isoforms (females)
Androgen receptor isoforms (males)
Term
Clonality of B lymphocyes determined by
Definition
Ig light chain phenotype (normal kappa to lambda light chain ratio 3:1)
Term
Top 3 most common cancers by INCIDENCE
Definition
1) Breast/prostate
2) Lung
3) Colorectal
Term
Top 3 most common cancers by MORTALITY
Definition
1) Lung
2) Breast/ prostate
3) Colorectal
Term
Aflatoxins from Aspergillus
Definition
Hepatocellular carcinoma
Term
Alkylating agents (SE of chemotherapy)
Definition
Leukemia/lymphoma
Term
Alcohol
Definition
1)Squamous cell carcinoma of oropharynx and upper esophagus
2) Pancreatic carcinoma
3) Hepatocellular carcinoma
Term
Arsenic (in cig smoke)
Definition
1) Squamous cell carcinoma of skin
2) Lung cancer
3) Angiosarcoma of liver
Term
Asbestos
Definition
1) Lung carcinoma (more likely)
2) Mesothelioma
Term
Cigarette smoke
Definition
Carcinoma of
1) oropharynx
2) esophagus
3) lung
4) kidney
5) bladder
Term
Nitrosamines (smoked foods)
Definition
Stomach carcinoma (intestinal type)
Term
Naphthylamine
Definition
Urothelial carcinoma of bladder
Term
Vinyl chloride
Definition
Angiosarcoma of liver
Term
Nickel
Definition
Lung carcinoma
Term
Chromium
Definition
Lung carcinoma
Term
Beryllium
Definition
Lung carcinoma
Term
Silica
Definition
Lung carcinoma
Term
EBV cancer risk
Definition
1) Nasopharyngeal carcinoma
2) Burkitt lyphoma
3) CNS lmyphoma in AIDs
Term
HHV-8 cancer risk
Definition
Kaposi sarcoma
Term
HBV and HCV cancer risk
Definition
Hepatocellular carcinoma
Term
HTLV-1
Definition
Adult T-cell leukemia/lymphoma
Term
HPV 16, 18, 31, 33 cancer risk
Definition
Squamous cell carcinoma of
1) vulva
2) vagina
3) anus
4) cervix
Adenocarcinoma of
5) cervix
Term
Ionizing radiation (radiotherapy and nuclear reactor accidents)
Definition
1) AML
2) CML
3) Papillary carcinoma of thyroid
Term
Non-ionizing radiation (UVB of sunlight- most common)
Definition
1) Basal cell carcinoma
2) Squamous cell carcinoma
3) Melanoma
Term
Notably carcinogenic agent in cigarette smoke
Definition
polycyclic hydrocarbons
Term
Categories of oncogenes
Definition
1) growth factors
2) growth factor receptors
3) signal transducers
4) nuclear regulators
5) cell cycle regulators
Term
PDGFB (Platelet-derived growth factor)
Definition
Astrocytoma
Term
HER2/neu
Definition
Epidermal growth factor receptor (breast carcinoma subset)
Term
KIT
Definition
Gastrointestinal stromal tumor
Term
ABL (Tyrosine kinase)
Definition
CML and adult ALL
Term
t(9,22)
Definition
CML and adult ALL
Term
c-MYC
Definition
Burkitt lymphoma
Term
t(8,14)
Definition
Burkitt lymphoma
Term
N-MYC
Definition
Neuroblastoma
Term
L-MYC
Definition
small cell lung carcinoma
Term
CCND1 (cyclin D1)
Definition
Mantle cell lymphoma
Term
t(11;14)
Definition
Mantle cell lymphoma
Term
CDK4 (cyclin dependent kinase)
Definition
Melanoma
Term
Germline mutation of p53 increased risk for carcinomas and sarcomas
Definition
Li-Fraumeni syndrome
Term
Sporadic mutation of Rb
Definition
unillateral retinoblastoma
Term
Familial retinoblastoma
Definition
Bilateral retinoblastoma
Osteosarcoma
Term
Normally stabalizes mitochondrial membrane, blocking release of cytochrome c
Definition
Bcl2
Term
p53 upregulates this to disrupt Bcl2
Definition
BAX
Term
Bcl2 overexpression
Definition
Follicular lymphoma
Term
t(14,18)
Definition
Follicular lymphoma
Term
lymphatic spread characteristic of
Definition
carcinoma
Term
hematogenous spread characteristic of
Definition
sarcoma
Term
carcinomas that due hematogenous spread
Definition
1) renal cell carcinoma
2) hepatocellular carcinoma
3) follicular carcinoma of thyroid
4) choriocarcinoma
Term
Omental caking
Definition
ovarian carcinoma
Term
seeding of body cavities
Definition
ovarian carcinoma
Term
Immunohistochemical stain for tumors... keratin
Definition
epithelium (carcinoma)
Term
Immunohistochemical stain for tumors... vimentin
Definition
mesenchyme (sarcoma)
Term
Immunohistochemical stain for tumors... Desmin
Definition
muscle
Term
Immunohistochemical stain for tumors... GFAP
Definition
Neuroglia
Term
Immunohistochemical stain for tumors... Neurofilament
Definition
Neurons
Term
Immunohistochemical stain for tumors... PSA
Definition
prostatic epithelium
Term
Immunohistochemical stain for tumors... ER
Definition
breast epithelium
Term
Immunohistochemical stain for tumors... Thyroglobulin
Definition
Thyroid follicular cells
Term
Immunohistochemical stain for tumors... Chromogranin
Definition
Neuroendocrine cells (small cell carcinoma of lung and carcinoid tumors)
Term
Immunohistochemical stain for tumors... S-100
Definition
melanoma
Term
Transient vasoconstriction mediated by
Definition
1) reflex neural stimulation
2) endothelin
Term
Primary hemostasis: Key clinical features
Definition
Mucosal and Skin bleeding
Term
Key sign of thrombocytopenia
Definition
petechiae
Term
Autoimmune production of IgG against platelet antigens
Definition
ITP (Immune Thrombocytopenic Purpura)
Term
Decreased ADAMTS13
Definition
TTP (Thrombocytopenic Purpura)
Term
Skin and mucosal bleeding
Microangiopathic hemolytic anemia
Fever
Renal insufficiency
Definition
HUS
Term
Skin and mucosal bleeding
Microangiopathic hemolytic anemia
Fever
CNS abnormalities
Definition
TTP
Term
Treatment for TTP (and HUS)
Definition
Plasmapheresis and corticosteroids
Term
GP1b deficiency
Definition
Bernard-Soulier syndrome
Term
GPIIb/IIIa deficiency
Definition
Glanzmann thrombasthenia
Term
Enalrged platelets on blood smear
Definition
Bernard-Soulier syndrome
Term
Clinical features of secondary hemostasis disorders
Definition
Deep tissue bleeding
Rebleeding after surgical procedures
Term
Factor VIII deficiency
Definition
Hemophilia A
Term
Factor IX deficiency
Definition
Hemophilia B (Christmas Disease)
Term
Decreased PTT; normal PT; normal platelet count and bleeding time; failed mixing study
Definition
coagulation factor inhibitor (anti-FVIII most common)
Term
Increased bleeding time; increased PTT; normal; abnormal ristocetin test
Definition
Von Willebrand Disease
Term
Treatment for Von Willebrand Disease
Definition
desmopressin
Term
test to follow liver failure and coagulation
Definition
PT
Term
Signs of thrombosis (PE) in pt that recently started heparin
Definition
HIT (Heparin Induced Thrombocytopenia)
Term
Best screening product for DIC
Definition
D-dimer (will be elevated)
Term
decreased platelet count; elevated PT/PTT; decreased fibronogen; microangiopathic anemia
Definition
DIC
Term
Treatment for Fibrinolysis disorders
Definition
Aminocaproic acid
Term
Increased PT/PTT; increased bleeding time; normal platelet count; increased fibrinogen split products; normal D-dimer
Definition
Fibrinolysis disorders
Term
Major risk factors for thrombosis (Virchow triangle)
Definition
1) disruption of blood flow
2) endothelial cell damage
3) hypercoagulable state
Term
Key features of thrombus
Definition
1) Lines of Zhan
2) attachment to vessel wall
Term
Cystathionine-ß synthase (CBS) deficiency
Definition
Homocystinuria
Term
Vessel thrombosis
Mental retardation
Lens dislocation
Long slender fingers
Definition
Homocystinuria
Term
Classic presentation in hypercoagulable state
Definition
recurrent DVTs or DVT at young age
Term
Warfarin skin necrosis
Definition
Protein C & S deficiency
Term
Cholesterol clefts in embolus
Definition
Atherosclerotic embolus
Term
Pt with fractured bone presents with dyspnea and petechiae on skin overlying chest
Definition
Fat embolus
Term
Decompression sickness
Definition
gas embolus
Term
Multifocal ischemic necrosis of bone
Definition
Caisson disease
Term
Saddle embolus
Definition
Sudden death in Pulmonary Embolus/Infarction
Term
Squamous cells and keratin debris in embolus
Definition
Amniotic fluid embolus
Term
4 types of microcytic anemia
Definition
1) iron deficiency anemia
2) Anemia of chronic disease
3) Sideroblastic anemia
4) Thalassemia
Term
Transporter of iron from duodenal enterocyte into blood
Definition
Ferroportin
Term
Transports and delivers iron to liver and bone marrow
Definition
Transferrin
Term
Stored intracellular iron bound to
Definition
Ferritin
Term
Iron deficiency anemia
Esophageal web (dysphagia)
atrophic glossitis (beefy red tongue)
Definition
Plummer-Vinson Syndrome
Term
Cause of iron deficiency anemia in elderly in Western world
Definition
Colon poylps/ carcinoma
Term
Cause of iron deficiency anemia in elderly in developing world
Definition
Hookworms (Ancylostoma duodenale and Necator americanus)
Term
Hepcidin
Definition
Anemia of chronic disease
Term
Defective protoporphyrin synthesis
Definition
Sideroblastic anemia
Term
Common causes of acquired sideroblastic anemia
Definition
Alcoholism
Lead poisoning
Vit B6 deficiency
Term
Thalassemias protected against
Definition
Plasmodium falciparum malaria
Term
Hb Barts
Definition
tetramer of gamma chains of Hb results in hydrops fetalis
Term
HbH
Definition
tetramer of ß chains of globin seen in alpha thalasemia with 3 alpha genes deleted
Term
Target cells
Definition
ß-thalassemia
Term
Crewcut apperance on x-ray
Definition
ß-thalassemia major
Term
risk of aplastic crisis with Parvovirus B19 infection
Definition
ß-thalassemia major
Term
Iron absorbed
Definition
Duodenum
Term
Folic acid absorbed
Definition
Jejunum
Term
B12 absorbed
Definition
Ileum
Term
autoimmune destruction of parietal cells
Definition
pernicious anemia
Term
Causes of B12 deficiency
Definition
1) Pernicious anemia
2) Pancreatic insuffiency
3) Damage to terminal ileum (Crohn disease and Diphyllobothrium latum)
4) vegan diet
Term
Spherocytes w/ loss of central pallor
Increase RDW and MCHC
Splenomegaly, jaundice
Definition
Hereditary spherocytosis
Term
Diagnostic test for Hereditary spherocytosis
Definition
osmotic fragility test (increased in hypotonic soln)
Term
Treatment for Hereditary spherocytosis
Definition
Splenectomy (spherocytes remain + Howell-Jolly bodies appear)
Term
Increased risk of sickling of cells
Definition
1) hypoexmia
2) dehydration
3) acidosis
Term
Treatment for Sickle cell anemia
Definition
hydroxyurea (increases levels of HbF)
Term
Common presenting sign of sickle cell anemia in infants
Definition
Dactylitis (swollen hands and feet)
Term
Late finding in Sickle Cell trait
Definition
Decreased ability to concentrate urine due to renal medula microinfarctions
Term
Hemoglobin C mutation
Definition
Glutamate to Lysine (E6K)
Term
Screening test to make HbS sickle
Definition
Metabisulfite
Term
Acquired defect in myeloid stem cells resulting in absence of GPI (glycosylphosphatidylinositol)
Definition
Paroxysmal Nocturnal Hemoglobinuria
Term
Absence of CD55 (DAF)
Definition
Paroxysmal Nocturnal Hemoglobinuria
Term
Tests for Paroxysmal Nocturnal Hemoglobinuria
Definition
Sucrose (screen)
Acidified serum (confirmatory)
Term
Complications of Paroxysmal Nocturnal Hemoglobinuria
Definition
Iron deficiency anemia
AML
Term
Main cause of death in Paroxysmal Nocturnal Hemoglobinuria
Definition
thrombosis of hepatic, portal, or cerebral veins
Term
Causes of oxidative stress leading to complications in G6PD deficiency
Definition
Infections
Drugs (primaquine, sulfa, and dapsone)
Fava beans
Term
Heinz bodies
Definition
G6PD deficiency
Term
Back pain and hemoglobinuria after taking TMP-SMX
Definition
G6PD deficiency
Term
Screen test for G6PD deficiency
Definition
Heinz preparation
Term
bite cell
Definition
G6PD deficiency
Term
Warm Auto-Immune Hemolytic Anemia --> Ig?
Definition
IgG
Term
Cold Auto-Immune Hemolytic Anemia --> Ig?
Definition
IgM
Term
Warm Auto-Immune Hemolytic Anemia causes
Definition
1) SLE (most common)
2) CLL
3) Drugs (PCN, cephalosporins, alpha-methyldopa)
Term
Treatment of Warm Auto-Immune Hemolytic Anemia
Definition
remove offending drug
steroids
IVIG
splenectomy
Term
Cold Auto-Immune Hemolytic Anemia associations
Definition
1) mycoplasma pneumoniae
2) infectious mononucleosis
Term
Schistocytes
Definition
Microangiopathic Hemolytic Anemia
Term
Microangiopathic Hemolytic Anemia causes
Definition
1) Microthrombi (TTP, HUS, DIC, HELLP)
2) Prosthetic heart valve
3) Aortic stenosis
Term
Malaria transmitted by
Definition
Anopheles mosquito (female)
Term
Pathologic process that replaces bone marrow
Definition
Myelophthisic process
Term
Pt with pancyopenia has biopsy of bone marrow revealing empty, fatty marrow
Definition
Aplastic Anemia
Term
Immature (left shift) neutrophils characterized by
Definition
Decreased Fc receptor (CD16)
Term
Eosinophilia causes
Definition
1) Allergic rxn
2) Parasitic infection
3) Hodgkin lymphoma (due to IN IL-5)
Term
Basophila causes
Definition
CML (Chronic Myeloid Leukemia)
Term
Lymphocytic Leukocytosis causes
Definition
1) viral infections
2) Bordatella pertussis
Term
Pt presents with pharyngitis, fatigue, generalized LAD, and splenomegaly with High WBC with atypical lymphocytes
Definition
Infectious Mononucleosis (EBV)
Term
EBV screening test
Definition
Heterophile Ab test
Term
>20% blasts in bone marrow
Definition
Acute Leukemia
Term
Key marker for ALL
Definition
TdT
Term
ALL commonly seen in
Definition
children
Down pts after 5
Term
Classic markers seen in B-ALL
Definition
TdT+
CD10
CD19
CD20
Term
Subtype of B-ALL seen in children with good prognosis
Definition
t(12,21)
Term
Subtype of B-ALL seen in adults with good prognosis
Definition
t(9,22) Ph+ALL
Term
Acute Lymphoblastic Lymphoma cell markers
Definition
TdT+
CD 2-8
Term
Thymic mass in teenager; Bone marrow biopsy shows >20% blasts
Definition
Acute Lymphoblastic Lymphoma
Term
Auer rods (MPO crystals)
Definition
AML
Term
t(15;17)
Definition
Acute Promyelocytic Leukemia (APL)
Term
Acute Promyelocytic Leukemia (APL) treatment
Definition
ATRA (all-trans-retinoic acid)
Term
Acute Promyelocytic Leukemia (APL) disruption of
Definition
Retinoic acid receptor (RAR) on chromosome 17
Term
Proliferation of monoblasts with gum infiltration/ swelling
Definition
Acute Monocytic Leukemia
Term
Leukemia associated with Down Syndrome before age of 5
Definition
Acute Megakaryoblastic Leukemia
Term
Pt previously treated for cancer. Presents with cytopenia, hypercellular bone marrow increased blasts <20%
Definition
Myelodysplastic Syndrome
Term
CLL (Chronic Lymphocytic Leukemia) cell markers
Definition
CD-5 and CD-20
Term
Smudge cells
Definition
CLL (Chronic Lymphocytic Leukemia)
Term
Complications of CLL (Chronic Lymphocytic Leukemia)
Definition
1) Hypogammaglobulinemia
2) Autoimmune Hemolytic Anemia
3) transformation to Diffuse largeB-cell lymphoma
Term
Tartrate-resistant acid phosphatase (TRAP)
Definition
Hairy Cell Leukemia
Term
Hairy Cell Leukemia treatment
Definition
2-CDA (cladribine) --> adenosine deaminase inhibitor
Term
Pt presents with splenomegaly and Bone Marrow tap is dry
Definition
Hairy Cell Leukemia
Term
Pr presents w/
lytic bone lesions
hypercalcemia
rash
LAD
HSM
Definition
Adult T-Cell Leukemia/Lymphoma (ATLL)
Term
Adult T-Cell Leukemia/Lymphoma (ATLL) association
Definition
HTLV-1
Term
Pautrier microabscesses
Definition
Mycosis Fungoides
Term
Cerebriform Nuclei
Definition
Sezary syndrome
Term
Teardrop cells (RBCs)
Definition
Myelofibrosis
Term
JAK2 Kinaase Mutation
Definition
1) Polycythemia Vera (PV)
2) Essential Thrombocythemia (ET)
3) Myelofibrosis
Term
t(9;22)
Definition
Chronic Myeloid Leukemia (CML)
Term
treatment for CML
Definition
Imatinib
Term
Pt presents with blurry vision and headache; face is flushed; pt comments on itchiness after bathing
Definition
Polycythemia Vera
Term
Painless LAD DDx
Definition
1) chronic inflammation
2) metastatic carcinoma
3) Lymphoma
Term
LAD w/ follicular hyperplasia- DDx
Definition
1) RA
2) early HIV
Term
LAD w/ paracortical hyperplasia- DDx
Definition
1) Viral infection
Term
LAD w/ sinus histiocyte hyperplasia (medulla)- DDx
Definition
1) cancer
Term
t(14;18)
Definition
Follicular Lymphoma
Term
Treatment for symptomatic Follicular Lymphoma
Definition
1) Chemotherapy
2) Rituximab
Term
t(11;14)
Definition
Mantle Cell Lymphoma
Term
Marginal Zone Lymphoma Associations
Definition
chronic inflammatory states
1) Hashimoto thyroiditis
2) Sjogren syndrome (enlargemtn of parotid gland)
3) H. pylori gastritis (MALToma)
Term
Burkitt Lymphoma African form found
Definition
jaw
Term
Burkitt Lymphoma Sporadic form found
Definition
abdomen
Term
t(8;14)
Definition
Burkitt Lymphoma
Term
starry sky appearance
Definition
Burkitt Lymphoma
Term
Neoplastic proliferation of large B-cells growing diffusely in sheets
Definition
Diffuse Large B-cell Lymphoma
Term
Follicular lymphoma can transform to
Definition
Diffuse Large B-cell Lymphoma
Term
Hodgkin Lymphoma cell markers
Definition
CD 15 and CD 30
Term
Reed-Sternberg cells
Definition
Hodgkin Lymphoma
Term
Lymph node divided by large bands of sclerosis with RS cells in lake-like spaces
Definition
Nodular Sclerosis Hodgkin Lymphoma
Term
"B" symptoms
Definition
fever
chills
night sweats
Term
Best prognosis in Hodgkin Lymphoma
Definition
Lymphocyte-rich
Term
Worst prognosis in Hodgkin Lymphoma
Definition
Lymphocyte-depleted (elderly and HIV)
Term
RS cells with abundant eosinophils
Definition
Mixed Cellularity Hodgkin Lymphoma
Term
Multiple Myeloma associ with IL-?
Definition
IL-6
Term
M spike on SPEP
Definition
Multiple Myeloma
Term
Lytic lesion on skull x-ray with bone pain and hypercalcemia
Definition
Multiple Myeloma
Term
Rouleaux formation of RBCs
Definition
Multiple Myeloma
Term
Bence-Jones proteins
Definition
Multiple Myeloma
Term
M spike on SPEP lacking other signs of Multiple Myeloma
Definition
MGUS (Monoclonal Gammopathy of Undetermined Significance)
Term
LAD with M spike on SPEP
No lytic lesions on bone
Visual and neurological defects
bleeding
Definition
Waldenstrom Macroglobulinemia
Term
Waldenstrom Macroglobulinemia treatment
Definition
plasmapheresis
Term
Birbeck (tennis racket) granules
Definition
Langerhans cell histiocytosis
Term
Langerhans cell histiocytosis cell markers
Definition
CD1a+
S100+
Term
Pathologic fracture of bone in child with Langerhans cells with mixed inflammatory cells including eosionophils
Definition
Eosinophilic Granuloma
Term
Child scalp rash, lytic skull defects, diabetes insipidus, and exopthalmus
Definition
Hand-Schuller-Christain Disease (malignant proliferation of langerhan cells)
Term
Infant (<2) with skin rash and cystic skeletal defects
Definition
Letterer-Siwe Disease (malignant proliferation of langerhan cells)
Term
Temporal arteritis flu-like symptoms and joint and muscle pain
Definition
Polymyalgia Rheumatic
Term
Treatment for Temporal (Giant cell) arteritis
Definition
corticosteroids
Term
Biopsy of malignant Temporal Arteritis
Definition
inflammed vessel wall with giant cells (granulomatous) and intimal fibrosis
Term
30 y.o. Asian female with visual disturbances and weak pulsees in upper extremities
Definition
Takayasu Arteritis
Term
strings of pearls on imaging
Definition
Polyarteritis Nodosa
Term
Polyarteritis Nodosa assoc.
Definition
HbsAg (Hep B surface Ag)
Term
Polyarteritis Nodosa treatment
Definition
cortiosteroids
cyclophosphamide
Term
Polyarteritis Nodosa histology finding
Definition
transmural inflammation with Fibrinoid necrosis
Term
3 y.o. Asian boy with fever, conjunctivitis, erythematous rash of palms and soles, enlarged cervical LAD
Definition
Kawasaki Disease
Term
Kawasaki Disease complication
Definition
Coronary artery involvement
1) thrombosis and MI
2) aneurysm with rupture
Term
treatment for Kawasaki Disease
Definition
ASA
IVIG
Term
Smoker with complaint of ulcers on fingers; in past dx w/ Raynaud phenomenon
Definition
Buerger Disease
Term
c-ANCA
Definition
Wegener Granulomatosis
Term
Middle aged man presents with sinusitis, hemoptysis, and hematuria
Definition
Wegener Granulomatosis
Term
Biopsy of Wegener Granulomatosis reveals
Definition
large necrotizing granulomas with adjacent necrotizing vasculitis
Term
Treatment for Wegener Granulomatosis
Definition
Cyclophosphamide and steroids
Term
Type of renal disorder seen in Wegener Granulomatosis
Definition
Rapidly Progressive Glomerulonephritis
Term
p-ANCA
Definition
1) Microscopic Polyangiitis
2) Churg-Strauss Syndrome
Term
Wegener Granulomatosis affects these sites
Definition
1) nasopharynx
2) lung
3) kidney
Term
Microscopic Polyangiitis affects these sites
Definition
1) lung
2) kidney
Term
Features that distinguish

1) Microscopic Polyangiitis
2) Churg-Strauss Syndrome
Definition
Churg-Strauss pts have
1) asthma
2) peripheral eosinophila
3) biopsy shows necrotixing granulomatous inflammation with eosinophils
Term
Child presents with rash on butt and legs last week child had Upper respiratory tract infection that resolved
Definition
Henoch-Scholein Purpura
Term
Henoch-Scholein Purpura assoc. renal pathology
Definition
IgA Nephropathy
Term
Vasculitis due to IgA immune complex deposition
Definition
Henoch-Scholein Purpura
Term
Renal Artery Stenosis causes
Definition
1) Atherosclerosis (elderly male)
2) Fibromuscular dysplasia (young female)
Term
Most commonly involved arteries in atherosclerosis
Definition
1) abdominal aorta
2) coronary artery
3) popliteal artery
4) internal carotid artery
Term
4 modifiable risk factors for atherosclerosis
Definition
1) HTN
2) Hypercholesterolemia
3) Smoking
4) Diabetes
Term
Complications of Atherosclerosis
Definition
1) Stenosis
a. Peripheral vascular disease (popliteal artery)
b. Angina (coronary arteries)
c. Ischemic bowel disease (mesenteric arteries)
2) Plaque rupture with thrombosis
a. MI
b. Stroke
3) PLaque rupture and embolization
4) Aneurysm due to weakening of vessel wall
Term
Causes of Hyaline Arteriolosclerosis
Definition
1) Benign HTN
2) Diabetes
Term
Complications of Hyaline Arteriolosclerosis
Definition
Arteriolonephroslcerosis --> chronic renal failure
Term
Thickening of blood vessel wall by smooth muscle hyperplasia
Definition
Hyperplastic Arteriolosclerosis
Term
onion skin appearance of blood vesels
Definition
Malignant HTN
Term
Cause of Hyperplastic Arteriolosclerosis
Definition
Malignant HTN
Term
Calcification of blood vessels in mammogram
Definition
Monckeberg Medial Calcific Sclerosis (benign)
Term
Inherited defects with risk of aortic dissection
Definition
1) Marfan syndrome
2) Ehlers-Danlos Syndrome
Term
Pt presents with sharp tearing chest pain that radiates to the back, what are the complications
Definition
Aortic Dissection
1) pericardial tamponade
2) fatal hemorrhage
3) Obstruction of branching arteries
Term
Tree-bark appearance of aorta
Definition
Tertiary syphilis
Term
Cause of Thoracic aneurysm
Definition
Tertiary syphilis
Term
Major complication of thoracic aneurysm
Definition
aortic valve insufficiency
Term
65 yo male smoker presents with pulsatile abdominal mass
Definition
Abdominal aortic Aneurysm
Term
Cause of Abdominal aortic Aneurysm
Definition
Atherosclerosis
Term
Child presents with red mass on skin; blanches w/ finger pressure
Definition
Hemangioma (resolves on own)
Term
Malignant proliferation of endothelial cells
Definition
1) Angiosarcoma
2) Kaposi Sarcoma
Term
Liver Angiosarcoma assoc.
Definition
1) Polyvinyl chloride
2) arsenic
3) Thorotrast
Term
Kaposi Sarcoma seen in...
Definition
1) Older eastern european males
2) HIV pts
3) Transplant recipients
Term
Complications of Fibrinolysis or Angioplasty in MI
Definition
1) Contraction band necrosis
2) Reperfusion injury
Term
Transmitter of Vancomycin resistance in Staph. aureus and Imipenem resistance in Pseudomonas aeruginosa
Definition
bacteriophages
Term
Defect in transporter of large neutral amino acids
Definition
Hartnup Disease
Term
Diarrhea, Dementia, Dermatitis with proteinuria
Definition
Hartnup Disease
Term
Median nerve innervates what part of thumb
Definition
thenar group for oppose, flex, abduct, and rotate
Term
Ulnar nerve innervates what part of thumb
Definition
Adduction --> Adductor pollicis
Term
Radial nerve innervates what part of thumb
Definition
Extension --> extensor pollicis longus and brevis
Term
Treatment for Bacillus anthracis
Definition
Ciprofloxacin or Doxycycline
Term
Hypotension, weakness, hyperpigmentation, and hyperkalemia
Definition
Addison Disease
Term
Hypertension, hypernatremia, hypokalemia
Definition
Conn Syndrome
Term
Genotypic male with feminized external genitalia and normal male reproductive tract
Definition
5-alpha reductase defcieincy
Term
Cowdry Type A inclusion bodies
Definition
Herpes
Term
Major Complication in first 4 hrs after MI
Definition
Cardiogenic shock
Term
Major Complication in first 24 hrs after MI
Definition
Arrhythmia
Term
Major Complication in first 1-3 days after MI
Definition
Fibrinous pericarditis
Term
Major Complication in first 4-7 days after MI
Definition
Rupture
Term
Major complication months after MI
Definition
1) Aneurysm
2) Mural thrombus
3) Dressler syndrome
Term
Pericarditis 6-8 weeks after MI
Definition
Dressler Syndrome
Term
Left-sided CHF histology finding in alveoli
Definition
Hemosiderin-laden macrophages (Heart-failure cells)
Term
DOC for CHF (left-sided)
Definition
ACE inhibitors (-pril)
Term
VSD assoc with
Definition
Fetal Alcohol Syndrome
Term
Down Syndrome assoc. w/ this heart defect
Definition
ASD- ostium primum
Term
Baby with split S2 on auscultation
Definition
ASD
Term
Complication of ASD
Definition
paradoxical emboli
Term
Patent Ductus Arteriosus (PDA) assoc. w/
Definition
congenital rubella
Term
Child with holosystolic 'machine-like' murmur
Definition
PDA
Term
Treatment for PDA
Definition
Indomethacin (reduces PGE)
Term
Boot-shaped heart on x-ray in child
Definition
Tetralogy of Fallot
Term
Tetralogy of Fallot findings
Definition
1) stenosis of right ventricular outflow tract (pulmonary artery)
2) VSD
3) Aorta overriding VSD
4) Ventricular hypertrophy
Term
Transposition of Great Vessels assoc. w/
Definition
Maternal diabetes
Term
Lower extremity cyanosis in pt w/ Turner Syndrome
Definition
Coarction of the Aorta (infantile form)
Term
Location of Coarction of aorta in infantile form
Definition
distal to aortic arch
proximal to PDA
Term
Coarction of aorta (adult form) assoc w/
Definition
Bicuspid aortic valve
Term
Notching of ribs on x-ray
Definition
Coarction of aorta (adult form)
Term
HTN in upper extermities
Hypotension in lower extremities w/ weak pulses
Definition
Coarction of aorta (adult form)
Term
Acute Rheumatic Fever complication of
Definition
Group A ß-hemolytic streptococci (streptococcal pharyngitis)
Term
Achoff bodies
Definition
Acute Rheumatic Fever
Term
Anitschkow cells
Definition
Acute Rheumatic Fever
Term
JONES Criteria
Definition
Acute Rheumatic Fever
J-oints (migratory polyarthtitis)
O- Heart- Pancarditis
N-odules- Subcutaneous nodules
E-rythema marginatum
S-yenham chorea
Term
Lab Tests to confirm group A ß-hemolytic streptococci
Definition
ASO
anti-DNAase B titers
Term
Fish-mouth appearance of mitral valve
Definition
Chronic Rheumatic Heart Disease
Term
Complications of Chronic Rheumatic Heart Disease
Definition
Infectious endocarditis
Term
Aortic Stenosis causes
Definition
1) Fibrosis and calcification (old age)
2) Bicuspid aortic valve (younger age)
3) Chronic Rheumatic valve disease
Term
Systolic ejection click with crescendo-decrescendo murmur
Definition
Aortic stenosis
Term
Complications of Aortic Stenosis
Definition
1) LVH
2) Angina and syncope w/ exertion
3) Microangiopathic anemia
Term
Early blowing diastolic murmur
Definition
aortic regurgitation
Term
Pt presents with wide pulse pressures, pulsating nail bed (Quincke pulse), bounding pulse (water-hammer pulse), and head bobbing
Definition
Aortic regurgitation
Term
Myxoid degeneration of valve
Definition
Mitral Valve Prolapse
Term
Mitral Valve Prolapse assoc.
Definition
Marfan Syndrome
Ehlers-Danlos Syndrome
Term
Mid-systolic click
Definition
Mitral Valve prolapse
Term
Complications of Mitral Valve prolapse
Definition
1) infectious endocarditis
2) arrhythmia
2) severe mitral regurgitation
Term
Causes of Mitral Valve Regurgitation
Definition
1) Mitral Valve Prolapse
2) LV dilatation
3) infectious endocarditis
4) acute rheumatic heart disease
5) papillary muscle rupture after MI
Term
Holosystolic "blowing" murmur louder with squatting
Definition
Mitral Regurgitation
Term
Opening snap followed by diastolic rumble and expiration
Definition
Mitral Stenosis
Term
Complications of Mitral Stenosis
Definition
Volume overload leads to
1) pulmonary congestion
2) pulmonary HTN
3) atrial fibrillation
Term
Subacute endocarditis
Definition
Strep. Virdidans
Term
endocarditis of prosthetic valves
Definition
Staph. epidermidis
Term
endocarditis in pts w/ colorectal cancer
Definition
Staph. bovis
Term
Endocarditis in pts w/ negative blood culture
Definition
HACEK organisms
Haemophilus
Actinobacillus
Cardiobacterium
Eikenella
Kingella
Term
Acute endocarditis
Definition
Staph. aureus
Term
Valve destroyed by Staph. aureus endocarditis
Definition
tricuspid
Term
Pt presents w/ fever, murmur, janeway lesions, and anemia
Definition
Endocarditis
Term
Sterile vegetations on both sides of mitral valve
Definition
Libman-Sacks Endocarditis
Term
Lymphocytic infiltrate of myocardium
Definition
Myocarditis due to Coxsackei A or B
Term
Sudden death in young athlete
Definition
Hypertrophic Cardiomyopathy
Term
Myofiber hypertrophy w/ disarray
Definition
Hypertrophic Cardiomyopathy
Term
Genetic mutations in sarcomere proteins
Definition
Hypertrophic Cardiomyopathy
Term
Pt presents with CHF; low-voltage EKG with diminished GRS amplitude
Definition
Restrictive cardiomyopathy
Term
Causes of Restrictive cardiomyopathy
Definition
1) amyloidosis
2) sarcoidosis
3) hemochromatosis
4) Endocardial fibroelastosis
5) Loeffler syndrome
Term
Benign mesenchymal tumor with gelatinous appearance and abundant ground substance found in left atrium
Definition
Myxoma
Term
Benign hamartoma of cardiac muscle in child
Definition
Rhabdomyoma
Term
Common causes of metastatic tumors in heart
Definition
breast
lung
melanoma
lymhoma
Term
Rhabdomyoma assoc w/
Definition
Tuberous sclerosis
Term
Metastatic tumor of heart presents as
Definition
pericardial effusion
Term
Codman's triangle (elevation of periosteum)
Definition
Osteosarcoma
Term
anaplastic small blue cell malignant tumor
Definition
Ewing's sarcoma
Term
Cancer assoc. w/ Sjogren's
Definition
B-cell lymphoma
Term
CHild with nasal polyps
Definition
cystic fibrosis
Term
Chinese male presents with cervical LAD; biopsy shows pleomorphic keratin-positive epithelial cells
Definition
Nasopharyngeal carcinoma
Term
Child presents with hig fever, sore throat, drooling with dysphagia, muffled voice, and inspiratory stridor
Definition
Acute epiglottitis (H.iB)
Term
child presents with hoarse, barking cough, and inspiratory stridor
Definition
Laryngotracheobronchitis (Croup) -- parainfluenza virus
Term
Benign papillary tumor of vocal cord
Definition
Laryngeal papilloma (HPV 6 &11)
Term
Risk factors for squamous cell carcinoma
Definition
Alcohol
Tobacco
Laryngeal papilloma (rare)
Term
Negative sense RNA viruses (can't complete life cycle w/o there own polymerases)
Definition
Arenaviruses
Bunyaviruses
Paramyxomviruses
Orthamyxoviruses
currantFilovirus
Rhabdoviruses
Term
currant jelly sputum
Definition
Klebsiella pneumoniae
Term
Scattered patchy consolidation centered around bronchioles; often multifocal and bilateral
Definition
Bronchopneumonia
Term
Pneumonia in cystic fibrosis
Definition
Psudeomonas aeruginosa
Term
Pneumonia (atypical) posttransplant pt
Definition
CMV
Term
Pneumonia with high fever in a farmer
Definition
Coxiella burnetii
Term
Side effects of Bisphosphanates (-dronates)
Definition
Corrosive esophagitis
osteonecrosis of jaw
Term
Drug used to diagnose Myasthenia Gravis
Definition
Edrophonium (Tensilon test)
Term
antidote for atropine overdose
Definition
Physostigmine
Term
Organophosphate poisoning antidote
Definition
atropine
2-PAM (pralidoxime)
Term
Signs of organophosphate poisoning
Definition
SLUDGE:
Salivation
Lacrimation
Urinating
Diapheresis (sweating)
GI motility (diarrhea)
Emesis
Term
Muscular rigidity, increased O2 consumption, increased CO2 production, tachycardia, fever
Definition
malignant hyperthermia (succinylcholine)
Term
treatment for malignant hyperthermia
Definition
dantrolene
Term
High animal fat diet associated with increased risk for
Definition
colon cancer
Term
Complications of Paget Bone Disease
Definition
Osteosarcoma
pathological fractures
headaches
cranial nerve palsies
hearing loss
high output cardiac failure
Term
Mosaic patterns of bony spicules
Definition
Paget Disease
Term
First rise in serum estrogen in monthly cycle due to
Definition
granulosa cells of the ovarian follicle during follicular phase
Term
Second rise in serum estrogen in monthly cycle due to
Definition
corps luteum
Term
Aneurysm of aortic root assoc with
Definition
Syphilis
Term
Berry aneurysms assoc with
Definition
Autosomal Dominant Polycystic Kidney Disease
Term
55 y.o. pt presents with progressive renal failure, heamturia, HTN, renal stones, cysts in kidneys and liver
Definition
Autosomal Dominant Polycystic Kidney Disease
Term
Breast feeding mother presents with erythematous breast with purulent nipple discharge
Definition
Acute Mastitis (Staph. aureus)
Term
treatment for acute mastitis
Definition
1) continued drainage
2) dicloxacillin
Term
Female smoker presents with subareolar mass with nipple retraction
Definition
Periductal Mastitis
Term
Pathophysiology of periductal mastitis
Definition
Smoking causes relative Vit A deficiency results in metaplasia of alctiferous ducts leading to blockage and inflammation
Term
Green-brown nipple discharge
Definition
Mammary duct ectasia
Term
Abnormal calcification on mamography; biopsy shows necrosis with calcification and giant cells
Definition
Fat Necrosis
Term
Bloody nipple discharge in premenopausal woman
Definition
Intraductal papilloma

DDx:
Papillary carcinoma
Term
Histological difference between Intraductal Papilloma & Papillary carcinoma
Definition
Intraductal Papilloma: fibrovascular projections lined by epithelial (luminal) cells AND myopethithelial cells

Papillary carcinoma: fibrovascular projections lined by epithelial (luminal) cells WITHOUT underlying myopethithelial cells
Term
Premenopausal woman presents with well-circumscribed, mobile, marble like mass in her breast
Definition
Fibroadenoma
Term
Breast biopsy shows a 'leaf-like' projection overgrowth of fibrous tissue with glands
Definition
Pyllodes tumor
Term
Patient presents with nipple ulceration and erythema; not currently breast feeding
Definition
Paget's Disease
Term
BRCA1 asscoaited breast cancer
Definition
Medullary Carcinoma (Subtype of Invasive ductal carcinoma)
Term
Women presents with inflammed, swollen breast. No response to antibiotic treatment
Definition
Inflammatory carcinoma (biopsy to confirm carcinoma in dermal lymphatics)
Term
Treatment for Lobular Carcinoma In Situ
Definition
Tamoxifen
Term
Dyscohesive cells lacking E-cadherin
Definition
Lobular Carcinoma In Situ (LCIS)
Term
Biopsy characteristic of Invasive Lobular Carcinoma
Definition
Growth in a single-file pattern (lack of E-cadherin) signet ring morphology
Term
Most important predicitive factors in breast cancer
Definition
1) ER
2) PR
3) HER2/neu gene amplification
Term
Most important predicitive factors in breast cancer
Definition
1) ER
2) PR
3) HER2/neu gene amplification
Term
Risk factors for male breast cancer
Definition
BRCA2
Klinefelter syndrome
Term
Features suggestive of hereditary breast cancer
Definition
1) multiple first-degree relatives
2) tumor at an early age
3) multiple tumors in a single patient
Term
Subtypes of Invasive Ductal Carcinoma
Definition
1) Tubular Carcinoma
2) Mucinous carcinoma
3) Medullary carcinoma
4) Inflammatory Carcinoma
Term
Histological characteristics of Invasive Ductal Carcinoma
Definition
duct-like structures in a desmoplastic stroma
Term
Gram-negative bacillus requiring factors X and V
Definition
Haemophilus
Term
Gram-negative oxidase negative, non-lastoce fermenting bacillus
Definition
Enterobacteriaceae (Shigella, Yersinia, Proteus, and Salmonella)
Term
gram-positive, catalase negative, alpha-hemolytic coccus
Definition
Strep. pneumonia
Term
gram-positive, catalase negative, beta-hemolytic
Definition
Strep. pyogenes and Strep. agalactiae
Term
gram-negative, oxidase positive bacillus that produces blue-green pigments
Definition
Pseudomonas aeruginosa
Term
Painful superficial oral ulceration with grayish base surrounded by eryhtema
Definition
Aphthous ulcer
Term
Reccurent aphthous ulcers, genital ulcers, and uveitis
Definition
Bechet Syndrome
Term
White plaque in mouth that can not be scraped away
Definition
Leukoplakia
Term
White plaque on lateral sides on tongue in pt with HIV
Definition
Hairy leukoplakia (EBV -induced)
Term
Leukoplakia and erythroplakia are at risk for
Definition
squamous cell dysplasia
Term
Person present seiyh mobile, painless mass in at the angle of the jaw
Definition
Pleomorphic adenoma (benign tumor composed of stromal and epithelial tissue)
Term
Benign cystic tumor with abundant lymphocytes and germinal centers in parotid gland
Definition
Warthin tumor
Term
Malignant tumor of mucinous and squamous cells in the parotid gland which can lead to facial nerve palsy
Definition
Mucoepidermoid carcinoma
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