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1.

What is the treatment for Hairy


Leukoplakia?
Acyclovir
2. In a patient with tonsilar exudate
is is more commonly bacterial or
viral?
Viral 70%
Bacterial 30%
3. Lower lip malignancy =
Upper lip malignancy =
Lower lip =
squamous cell
carcinoma
Upper lip = basal
cell carcinoma
4. First location on body that shows
hyperpigmentation due to
Addison's?
Buccal mucosa
5. Diagnosis for lack of peristalsis in
upper 1/3 of esophagus?
Myesthenia Gravis
6. Why would the mother of a
newborn with TEF have an over
sized stomach?
Polyhydramnios
7. Patient presents with halatosis
and food coming out of their nose -
diagnosis?
Zenker's
diverticulum
8. Acquired achalaia and
Hirschprung in an adult - what is
the diagnosis?
Chagas disease
9. Most common cause of
hematochezia?
Diverticulosis
10. When would a patient present with
Haman's crunch?
Borhavve syndrome
11. Why are Upper GI bleeds black? Presence of Hematin
in stool
12. What is the most common cause of
malabsorption?
Celiac
13. HIV patient presents with Whipple
lie symptoms what is the
diagnosis?
Mycobacterium
Avium (MAI)
14. Mechanism of Invasive diarrhea? Bacteria invades the
enterocytes
15. Mechanism of secretory diarrhea? Bacteria toxin
increases cellular
cAMP or cGMP
16. Most common cause of osmotic
diarrhea?
Lactase deficiency
17. Volume of stool for Secretory
diarrhea
High
18. Volume of stool for osmotic
diarrhea
High
19. Volume of stool for invasive
diarrhea
Low
20. Is osmotic diarrhea cause a hyper,
iso, of hypotonic water loss?
Hypotonic
21. pH of stool in lactase deficiency Low
22. Substance you must give with water to
re-hydrate patient with secretory
diarrhea?
Glucose
23. Most common cause of invasive
diarrhea?
Campylobacter
24. Diagnosis if diarrhea is described as
"partially acid fast"
Cryptosporidium
25. Suspected C. Diff infection-how do
you confirm diagnosis?
Stool antigen
26. Imaging of small bowel obstruction
shows what?
Step ladder
appearance - air,
fluid, air, fluid
27. What is colicy pain a sign of? Obstruction
28. Describe colicky pain Pain with
completely pain
free intervals
29. What is obstipation? No stool, no gas
30. Most common cause of intestinal
obstruction?
Adhesion
31. Does the small bowel or large bowel
more commonly obstruct?
Small bowel
32. Difference between pain in small
bowel ischemia and colon ischemia?
Small bowel=
diffuse pain
Colon= Very
localized pain
33. Most common location of
angiodysplasia?
Cecum
34. Diverticulum and polyps look very
similar on gross exam, how can you
tell the difference?
Polyp - Into the
lumen of bowel
Diverticulum -
Out of the wall of
the bowel
35. Most common location of fistula
formation in diverticulosis?
Bladder
36. Only disease to produce right lower
quadrant colicky pain?
Crohn's
37. Histology from a colon polyp shows
strawberry on a stick appearance-
diagnosis?
Tubular
addenoma
38. How will the stool appear of someone
with a Villous adenoma?
Covered in
mucous
39. True or false- All carcinoid tumors
are malignant?
True
40. Colon cancer causing a iron
deficiency is on what side?
Right side
Goljan Audio
Study online at quizlet.com/_m82bs
41. Is AST or ALT a
specific liver enzyme?
ALT
42. Organelle that contains
GGT?
Smooth ER
43. In addition to AFP
what marker will be
elevated in
heptocellular
carcinoma?
Alpha-1 antitrypsin
44. Give in order from
most to least common
the types of Viral
hepatitis?
A,B,C,D,E
45. Is there nutmeg liver in
Portal hypertension
No
46. Is there nutmeg liver in
Budd-Chiari
Yes
47. Cell that stores Vitamin
A
Ito cells
48. Which cell starts lying
down fibrous tissue in
cirrhosis?
Ito cell
49. Will a patient with
primary biliary
cirrhosis present with
jaundice?
Not until very late in the disease
50. Two drugs that cause
benign intrahepatic
cholestsis?
Oral contraceptives and anabolic
steroids
51. In what age group are
iron supplements
contraindicated?
Elderly
52. Is free copper and total
copper increased or
decreased in Wilson's
Free copper= Increase
Total copper= Decrease
53. What is Dupatron's
contracture
Contracture of the fingers due to
fibrous tissue forming around the
tendons due to increased estrogen
in cirrhosis
54. Causal organism of
sporadic peritonitis in
a child?
Strep pneumo
55. Causal organism of
sporadic peritonitis in
adults?
E. Coli
56. First imaging study to
order in any pathology
of the pancreas?
CT
57. First imaging study to
order in gallbladder
pathology?
Ultrasound
58. Imaging shows C-sign on
barium study of the
abdomen- diagnosis?
Pancreatic carcinoma in the
head of the pancreas
59. True of false acute
pancreatitis stop peristalsis
in duodenum close to
pancreas?
True- this is localized ileus
60. Most common metabolic
bone disease in annorexia?
Osteoporosis
61. Acid/Base disturbance in a
bulemic?
Met. Alkalosis
62. Most common complication
of obesity?
Hypertension
63. Why does a child with
Kwashikor have red hair?
Copper deficiency
64. Excess Vit._____results in
cerebral edema and
hepatotoxicity?
Vit. A
65. Breast milk lacks what 2
vitamins?
D, K
66. What is the effect on p450 of
phenytoin, alcohol,
barbituates, and rifampin?
Induce p450
67. What is the effect on Vit. D
with increased p450
activity?
Vit. D deficiency
68. How does Vit. E help
prevent athrosclerosis?
neutralizes oxidized LDL
69. Hemolytic anemia and
neurological symptoms
what is the diagnosis?
Vit. E deficiency
70. What is the result in Vit. E
toxicity?
Bleeding due to lack of
factors II, VII, IX, X, C,S
71. How does Vit. E decrease
coagulation factors?
Decreases the synthesis of
coagulation factors, (does
not inhibit epoxide
reductase)
72. Most common cause of Vit.
K deficiency?
Antibiotics
73. How do you treat rat poison
overdose?
Vit. K injection (rat poison
is essentially Warfarin)
74. What type of collagen is
weak in Vit. C deficiency?
Type 1
75. What type of kidney stone
forms in Vit. C toxicity?
Uric acid stones
76. What vitamin must you
always give to patient in ER
before giving glucose?
B1
77. Co-factor for glutathione
reductase
B2
78. What is
function of
chromium?
Glucose tolerence factor, allows insulin to do
job
79. Chromium
deficiency?
Hyperglycemia and glucosuria refractory to
insulin ,Peripheral neuropathy
,Encephalopathy, Hyperlipidemia
80. Copper
deficiency?
Hypochromic, microcytic anemia
Neutropenia
Osteopenia
Depigmentation of skin & hair
Skeletal abnormalities
Neurologic abnormalities
81. Copper
excess?
Acute (rare): nausea, vomiting, diarrhea,
epigastric abdominal pain, coma, oliguria,
acute renal failure, hepatic necrosis, vascular
collapse, and death
Chronic: accumulates in liver (hepatic
necrosis & cirrhosis), kidneys (renal failure),
brain (neurologic disorders), & corneas
82. Fluoride
deficiency?
Contributes to dental caries
83. Fluoride
excess?
Acute, high dose (5-10 g)- death
Chronic (years of 20-80 mg/day) - mottling of
teeth, calcification of tendons & ligaments,
exostoses, & increased
84. Iodine
dificiency?
Newborns - spontaneous abortions,
stillbirths, congenital abnormalities,
hypothyroidism, dwarfism, deafness & severe
mental retardation (cretinism), increased
perinatal and infant mortality,
Adults - thyroid goiter & hypothyroidism,
impaired mentation
85. Iodine
excess?
Chronic ingestion of large quantities can lead
to hypothyroidism with goiter or
hyperthyroidism
86. Iron
deficiency?
Most common nutrient deficiency in U.S.
Microcytic, hypochromic anemia (causing
tachycardia, fatigue, pallor, and altered mental
and motor development)
Glossitis
Impaired temperature regulation in the cold
Decreased resistance to infection
87. Iron
excess?
Cirrhosis
Diabetes mellitus
Hyperpigmentation (gray tinge) of the skin
Other
Fatigue
Testicular atrophy & sterility
Arthropathy
Cardiac arrhythmias
Hypothyroidism
88. Manganese
deficiency?
dermatitis and hypocholesterolemia
89. Manganese
excess?
Neurotoxicity
90. Molybdenum
deficiency?
amino acid intolerance, irritability, visual field
defects, coma
91. Molybdenum
excess?
Excess of 10 to 15 g/day can cause gout-like
syndrome with elevated serum molybdenum,
uric acid, and xanthine oxidase
92. Selenium
deficiency?
muscular discomfort or weakness
Cardiomyopathy
93. Selenium
excess?
Garlic smell to breath (from production of
dimethylselenide in body and release from the
lungs)
Nausea and vomiting
Abdominal pain
Loss of hair & nails
Tenderness & loss of fingernails
Diarrhea
94. Zinc
deficiency?
Alopecia
Skin rash of face, groins, hands, & feet
Growth retardation
Delayed sexual development
Impaired wound healing & immune function
Diarrhea
Blunting of taste and smell
95. Zinc excess? Epigastric abdominal pain
Nausea & vomiting
Diarrhea
Chronic (>20 mg/day orally)
Decreased serum copper levels
(hypocupremia)
Microcytosis & neutropenia
Reduced HDL cholesterol
Impaired immune