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USMLE Step 1 HY
First Aid HY Labs/Findings
92
Medical
Graduate
05/14/2010

Additional Medical Flashcards

 


 

Cards

Term
Anticentromere antibodies
Definition
Scleroderma (CREST)
Term
Antidesmoglein (epithelial) antibodies
Definition
Pemphigus vulgaris (blistering)
Term
Anti-glomerular basement membrane antibodies
Definition
Goodpasture's Syndrome (glomerulonephritis and lung hemorrhage)
Term
Anti-histone antibodies
Definition
Drug-Induced SLE ("SHIPP")
Term
Anti-IgG antibodies
Definition
Rheumatoid arthritis (systemic inflammation, joint pannus, boutonniere deformity)
Term
Antimitochondrial antibodies
Definition
Primary biliary cirrhosis (female, cholestasis, portal HTN)
Term
Anti-neutrophil cytoplasmic antibodies
Definition
Vasculitis (cANCA- Wegener's; pANCA- Churg-Strauss, microscopic polyangiitis)
Term
Anti-nuclear antibodies (ANA's, anti-Sm, Anti-dsDNA)
Definition
SLE (type III hypersensitivity)
Term
Antiplatelet antibodies
Definition
Idiopathic thrombocytopenia purpura (ITP- bleeding diasthesis)
Term
Anti-topoisomerase antibodies
Definition
Diffuse systemic scleroderma (not CREST)
Term
Anti-transglutaminase/antigliadin antibodies
Definition
Celiac disease (diarrhea, distension, weight loss)
Term
Azurophilic granular needles in leukemic blasts
Definition
Auer rods (acute myelogenous leukemia: esp the promyelocytic type)
Term
"Bamboo spine" on x-ray, sacroiliitis
Definition
Ankylosing spondylitis (HLA B27)
Term
Basophilic nuclear remnants in RBC's
Definition
Howell-Jolly bodies (due to splenectomy or non-functional spleen)
Term
Basophilic stippling of RBC's
Definition
Lead poisoning or sideroblastic anemia
Term
Bloody tap on LP
Definition
subarachnoid hemorrhage
Term
"boot-shaped" heart on xray
Definition
Tetralogy of Fallot, Rt Venticular Hypertrophy
Term
Branching gram-positive rods with sulfur granules
Definition
Actinomyces israeli
Term
Bronchogenic apical lung tumor
Definition
Pancoast tumor (can compress sympathetic ganglion and cause Horner's syndrome)
Term
"Brown" tumor of bone
Definition
Hemorrhage (hemosiderin) causes brown color of osteolytic cysts. Due to:
1. Hyperparathyroidism
2. Osteitis fibrosis cystica (von Recklinghausen's dz of bone)
Term
Cardiomegaly w/ apical atrophy
Definition
Chagas' Dz (Trypanosoma cruzi)...Mega colon, Mega heart, Mega esophagus)
Term
Cellular crescents in Bowman's capsule
Definition
Rapidly progressive crescentic glomerulonephritis
Term
"Chocolate cyst" of ovary
Definition
Endometriosis (frequently involves both ovaries)...Gunpowder stain in peritoneum
Term
Circular grouping of dark tumor cells surrounding pale neurofibrils
Definition
Homer-Wright rosettes (circle if tumor cells surrounding neurofilaments)...neuroblastoma (adrenal), medulloblastoma, and Ewing's sarcoma
Term
Colonies of mucoid Pseudomonas in lungs
Definition
Cystic fibrosis (CFTR mutation on Caucasians resulting in fat soluble vitamin deficiency and mucous plugs)
Term
Degeneration of dorsal column nerves...
Definition
Tabes Dorsalis (Tertiary syphilis)...loss of proprioception, (+)rhomberg
Term
Depigmentation of neurons in substantia nigra...
Definition
Parkinson's Dz (decr dopamine means decreased DOPA which means decr melanin)
Term
Desquamated epithelial casts in sputum...
Definition
Curschmann's spirals (bronchial asthma; can result in whorled mucus plugs)
Term
Disarrayed granulosa cells in eosinophilic fluid...
Definition
Call-Exner bodies (granulosa-theca cell tumor of the ovary)
Term
Dysplastic squamous cervical cells w/ nuclear enlargement and hyperchromasia...
Definition
koilocytes (HPV: predisposes to cervical cancer)...perinuclear cytoplasmic clearing
Term
Enlarged cells w/ intranuclear inclusion bodies...
Definition
"owl's eye" appearance of CMV (aka. "Cowdry Type A" bodies)
Term
Enlarged thyroid cells w/ ground glass nuclei (empty nuclei)...
Definition
"Orphan Annie" eye nuclei (PAPILLARY carcinoma of the thyroid)
Term
Eosinophilic cytoplasmic inclusions in the liver...
Definition
Mallory bodies (alcoholic liver dz)
Term
Eosinophilic cytoplasmic inclusion in nerve cell...
Definition
Lewy bodies (Parkinson's dz)
Term
Eosinophilic globule in liver...
Definition
Councilman body (toxic or viral hepatitis, often Yellow Fever)
Term
Eosinophilic inclusion bodies in cytoplasm of hippocampal nerve cells...
Definition
Rabies virus (lyssavirus)
Term
Extracellular amyloid deposition in gray matter of brain...
Definition
senile plaques (Alzheimer's dz)
Term
Giant B cells w/ bilobed nuclei w/ prominent inclusions ("owl's eye")...
Definition
Reed-Sternberg cells (Hodgkin's lymphoma)
Term
Glomerulus-like structure surrounding vessels in germ cells...
Definition
Schiller-Duval bodies (yolk sac tumor)
Term
"Hair on end" (crew-cut) appearance on X-ray...
Definition
Beta-thalassemia, sickle cell anemia (extramedullary hematopoiesis...marrow expansion of the skull)
Term
Elevated hCG
Definition
Choriocarcinoma, hydatidiform mole
Term
Heart nodules (inflammatory)
Definition
Aschoff bodies (rheumatic fever)
Term
Heterophile antibodies
Definition
EBV (infectious mono)
Term
Hexagonal, double-pointed, needle-like crystals in bronchial secretions...
Definition
bronchial asthma (Charcot-Leyden crystals: eosinophilic granules)
Term
High level of D-dimers
Definition
Clotting:: DVT, PE, DIC, Bud-Chiari
Term
"Honeycomb lung" on X-ray
Definition
intertitial fibrosis
Term
Hypersegmented neutrophils
Definition
Megaloblastic anemia (B12, folate deficiency)
Term
Hypochromic, microcytic anemia
Definition
Iron deficiency anemia, lead poisoning, thalassemias (HbF sometimes present), Anemia of chronic dz
Term
Increased AFP in amniotic fluid/maternal serum
Definition
Anencephaly, spina bifida (neural tube defects), abdominal wall defects
Term
Increased uric acid levels (4)
Definition
Gout, Lesch-Nyhan, myeloproliferative d/o's, loop and thiazide diuretics
Term
Intranuclear eosinophilic droplet-like bodies
Definition
Cowdy Type A bodies (HSV, CMV, Yellow fever)
Term
Iron-containing nodules in alveolar septum
Definition
ferruginous bodies (asbestosis; increased risk for mesothelioma and bronchogenic carcinoma)
Term
Large lysosomal vesicles in phagocytes, immunocompromised
Definition
Chediak-Higashi dz (failure of phagolysosome formation)
Term
Low serum ceruloplasmin
Definition
Wilson's Dz (hepatolenticular degeneration)
Term
"Lumpy bumpy" appearance of glomeruli on immunofluorescence
Definition
Post-streptococcal glomerulonephritis
Term
Lytic "hole punched" lesions on Xray
Definition
Multiple Myeloma
Term
Mammary gland ("blue-domed") cysts
Definition
fibrocystic change of the breast
Term
Monoclonal antibody spike (3)
Definition
1. Multiple Myeloma (called the M protein, usu. IgG or IgA)
2. Monoclonal gammopathy of undetermined significance (MGUS)
3. Walderstrom's (M protein=IgM) macroglobulinemia
Term
Monoclonal globulin protein in blood/urine
Definition
Bence Jones proteins (MM [kappa or lambda light chains in urine]), Waldenstroms macroglobulinemia (IgM)
Term
Mucin-filled w/ peripheral nucleus
Definition
Signet ring (gastric carcinoma or lobular carcinoma of the breast)
Term
Narrowing of bowel lumen on barium radiograph
Definition
"String sign"- Crohn's Dz ...transmural inflammation, multiple skip lesions
Term
Needle shaped, negatively birefringent crystals
Definition
gout (hyperuricemia)
Term
Nodular hyaline deposits in glomeruli
Definition
Kimmelstiel-Wilson nodules (diabetic nephropathy)
Term
"Nutmeg" appearance of liver
Definition
Chronic passive congestion of liver due to RHF or due to Bud-Chiari
Term
"Onion-skin" periosteal reaction
Definition
Ewing's sarcoma (malignant round-cell tumor)
Term
Periosteum raised from bone, creating triangular area
Definition
Codman's Triangle on Xray (osteosarcoma, pyogenic osteomyelitis)
Term
Podocyte fusion on EM
Definition
Minimal change dz (child w/ nephrotic syndrome)
Term
Polished "ivory-like" appearance of bone at carilage erosion
Definition
Eburnation (osteoarthritis resulting in bony sclerosis)
Term
Protein aggregates in neurons f/ hyperphosphorylation of protein Tau
Definition
Neurofibrillary tangles (Alzheimer's dz and CJD)
Term
Pseudopalisade tumor cell arrangement
Definition
Glioblastoma multiforme (most common adult primary brain tumor, VERY deadly)
Term
RBC casts in urine
Definition
acute glomerulonephritis
Term
Rectangular, crystal-like inclusions in Leydig cells
Definition
Reinke crystals (Leydig cell tumor)
Term
Renal epithelial casts in urine
Definition
Acute toxic/viral nephrosis
Term
Rhomboid crystals, positively birefringent
Definition
pseudogout (calcium pyrophosphate dihydrate)
Term
Rib notching
Definition
Coarctation of the aorta (bc of collateral circulation)
Term
sheets of medium-sized lymphoid cells ("starry sky" appearance on histology)
Definition
Burkitt's Lymphoma (t[8:14] c-myc activation, associated w/ EBV)
Term
Silver-staining spherical aggregation of Tau proteins in neurons
Definition
Pick bodies (Pick's Dz; progessive to dementia, similar to Alzheimer's)
Term
Small granulomatous lesion in lung (can calcify)
Definition
Ghon focus (primary TB: mycobacterium bacilli)
Term
Small, round RBC inclusions
Definition
Heinz bodies (G6PD deficiency, alpha-thalassemia, chronic liver dz)...denatured hemoblobin
Term
"soap bubble" on xray
Definition
Giant cell tumor of bone (generally benign)
Term
"spikes" on basement membrane, "dome-like" endothelial deposits
Definition
membranous glomerulonephritis (may progress to nephrotic syndrome).."MGN studio dome"
Term
Stacks of red blood cells
Definition
Rouleaux formation (high ESR, Multiple Myeloma)
Term
Stippled vaginal epithelial cells
Definition
"clue cells" (gardnerella vaginalis)
Term
"Tennis racket"-shaped cytoplasmic organelles (EM) on Langerhans cells
Definition
Birbeck granules (Histiocytosis X: eosinophilic granuloma)
Term
Thrombi made of white/red layers
Definition
Lines of Zahn (arterial thrombus, layers of platelets/RBCs)
Term
"Thumb sign" on lateral xray
Definition
Epiglottitis (H. influenza type B)
Term
Thyroid-like appearance of kidney
Definition
Chronic bacterial pyelonephritis (dilated tubules filled w/ colloid)
Term
"Tram track" appearance on LM
Definition
Membranoproliferative glomerulonephritis
Term
Triglyceride accumulation in liver cell vacuoles
Definition
Fatty liver dz/ hepatic steatosis (alcoholic or metabolic syndrome)
Term
WBC's that look smudged
Definition
CLL ("smudge cells" almost always B cell, affects the elderly)
Term
"Wire loop" glomerular appearance on LM
Definition
Lupus nephropathy
Term
Yellow CSF
Definition
Xanthochromia (old subarachnoid hemorrhage: blood in CSF has broken down into bilirubin)
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