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USMLE STEP 1 and USMLE STEP 2

Highly tested topics


The Complete Gold Collection

Page 1

USMLE E-BOOK

This is

GOLD collection of highly tested USMLE Step 1 and

USMLE Step 2 topics listed in tables for easy review. These PEARLS will appear on your boards exams!

Diseases
Addisons Disease
Addisonian Anemia
Albrights Syndrome
Alports Syndrome
Alzheimers
Argyll-Robertson Pupil

Arnold-Chiari Malformation
Barretts
Bartters Syndrome
Beckers Muscular Dystrophy
Bells Palsy
Bergers Disease
Bernard-Soulier Disease
Berry Aneurysm
Bowens Disease
Brill-Zinsser Disease
Briquets Syndrome
Brocas Aphasia
Brown-Sequard
Brutons Disease
Budd-Chiari
Buergers Disease
Burkitts Lymphoma

Caisson Disease
Chagas Disease
Chediak-Higashi Disease
Conns Syndrome
Coris Disease
Creutzfeldt-Jakob
Crigler-Najjar Syndrome
Crohns

1.

Primary adrenocortical deficiency

2.

Pernicious anemia

3.

Polyostotic fibrous dysplasia, precocious puberty, caf au lait spots, short stature, young girls

4.

Hereditary nephritis with nerve deafness

5.

Progressive dementia

6.
7.
8.
9.
10.

Loss of light reflex constriction (contralateral or bilateral)


Prostitutes Eye accommodates but does not react
Pathognomonic for 3pSyphilis
Lesion pretectal region of superior colliculus
Cerebellar tonsil herniation through foramen magnum = see thoracolumbar meningomyelocele

11.

Columnar metaplasia of lower esophagus (

(antibodies to intrinsic factor or parietal cells

IF

risk of adenocarcinoma)-

Vit B12

megaloblastic anemia)

constant gastroesophageal reflux

12. Hyperreninemia
13. Similar to Duchenne, but less severe
14. CNVII palsy

(mutation, not a deficiency, in dystrophin protein)

(entire face; recall that UMN lesion only affects lower face)

15. IgA nephropathy causing hematuria in kids, usually following infection


16. Defect in platelet

(abnormally large platelets & lack of platelet-surface glycoprotein)

17. Circle of Willis (subarachnoid bleed) Anterior Communicating artery


18. Often associated with ADPKD
19. Carcinoma in situ on shaft of penis ( risk of visceral ca) [compare w/ Queyrat]
20. Recurrences of rickettsia prowazaki up to 50 yrs later
21. Somatization disorder
22. Psychological: multiple physical complaints without physical pathology
23. Motor Aphasia (area 44 & 45) intact comprehension
24. Hemisection of cord

(contralateral loss of pain & temp / ipsilateral loss of fine touch, UMN / ipsi loss of consc. Proprio)

25. X-linked agammaglobinemia ( B cells)


26. Post-hepatic venous thrombosis = ab pain; hepatomegaly; ascites; portal HTN; liver failure
27.
28.
29.
30.
31.
32.
33.

Acute inflammation of medium and small arteries of extremities


Seen almost exclusively in young and middle-aged men who smoke.
Small noncleaved cell lymphoma EBV
8:14 translocation
Seen commonly in jaws, abdomen, retroperitoneal soft tissues
Starry sky appearance
Nitric gas emboli

painful ischemia

34. Trypansoma infection - cardiomegaly with apical atrophy, achlasia


35. (AR) Phagocyte Deficiency = defect in microtubule polymerization
36. Neutropenia, albinism, cranial & peripheral neuropathy & repeated infections w/ strep & staph
37. Primary Aldosteronism: HTN; retain Na+ & H2O; hypokalemia (causing alkalosis); renin
38. Type III Glycogenosis Glycogen storage disease
39. Prion infection

(debranching enz: amylo 1,6 glucosidase def.

Glycogen)

cerebellar & cerebral degeneration

40.
41.
42.
43.

Congenital hyperbilirubinemia (unconjugated)


Glucuronyl transferase deficiency. Can progress to Kernicterus
Less severe form will respond to Phenobarbital therapy
IBD; ileocecum, transmural, skip lesions, cobblestones, lymphocytic infiltrate, granulomas

44.

(contrast to UC: limited to colon, mucosa & submucosa, crypt abscesses, pseudopolyps,

colon cancer risk)

Clinically: ab pain & diarrhea; fever; malabsorption; fistulae b/t intestinal loops & abd structures
46. Acute gastric ulcer associated with severe burns
45.

Curlings Ulcer
Cushings

gangrene

47. Disease: Hypercorticism 2p to ACTH from pituitary (basophilic adenoma)


48. Syndrome: hypercorticism of all other causes (1p adrenal or ectopic)
49.
- moon face; buffalo hump; purple striae; hirsutism; HTN; hyperglycemia
Page 2

Cushings Ulcer
de Quervains Thyroiditis
DiGeorges Syndrome
Downs Syndrome
Dresslers Syndrome
Dubin-Johnson Syndrome
Duchenne Muscular Dystrophy
Edwards Syndrome
Ehlers-Danlos
Eisenmengers Complex
Erb-Duchenne Palsy
Ewing Sarcoma
Eyrthroplasia of Queyrat
Fanconis Syndrome
Feltys Syndrome
Gardners Syndrome
Gauchers Disease
Gilberts Syndrome
Glanzmanns Thrombasthenia
Goodpastures
Graves Disease
Guillain-Barre
Hamman-Rich Syndrome
Hand-Schuller-Christian
Hashimotos Thyroiditis
Hashitoxicosis
Henoch-Schonlein purpura
Hirschprungs Disease
Horners Syndrome
Huntingtons (Chromosome 4)
Jacksonian Seizures
Jobs Syndrome

Kaposi Sarcoma
Kartageners Syndrome
Kawasaki Disease
Klinefelters Syndrome
Kluver-Bucy
Krukenberg Tumor
Laennecs Cirrhosis
Lesch-Nyhan
Letterer-Siwe
Libman-Sacks

50. Acute gastric ulcer associated with CNS trauma


51. Self-limiting focal destruction (subacute thyroiditis)
52.
53.
54.
55.

Failure of 3rd & 4th pharyngeal pouches formation: Thymus & Parathyroid
Thymic hypoplasia
T-cell deficiency
Hypoparathyroidism ! Tetany
Trisomy 21 or translocation Simian Crease

56. Post-MI Fibrinous Pericarditis

autoimmune

57. Congenital hyperbilirubinemia (


) = bilirubin transposrt is defective not conjugation
58. Striking brown-to-black discoloration of the liver
59. Deficiency of dystrophin protein
MD X-linked recessive
60. Trisomy 18
61. Rocker-bottom feet, low ears, small lower jaw, heart disease
62. Defective collagen
63. Late cyanotic shunt (R

L) pulmonary HTN & RVH 2p to long-standing VSD, ASD, or PDA

64. Trauma to superior trunk of brachial plexus

Waiters Tip

65. Malignant undifferentiated round cell tumor of bone in boys <15yoa - t11;22
66. Carcinoma in situ on glans penis
67. Impaired proximal tubular reabsorption 2p to lead poisoning or Tetracycline

(glycosuria,

hyperphosphaturia, aminoaciduria, systemic acidosis)

68. Rheumatoid arthritis, neutropenia, splenomegaly


69. AD = adenomatous polyps of colon, osteomas & soft tissue tumors
70. Lysosomal Storage Disease glucocerebrosidase deficiency glucocerebroside accumulation
71. Hepatosplenomegaly, femoral head & long bone erosion, anemia
72. Benign congenital hyperbilirubinemia (unconjugated) = d glucuronyl transferase activity
73. Defective glycoproteins on platelets = deficient platelet
74. Autoimmune: abs to glomerular & alveolar basement membranes. Seen in men in their 20s
75. Autoimmune hyperthyroidism (TSI): IgG Ab reactive w/ TSH receptors. Low TSH & TRH High T3 / T4
76. Polyneuritis following viral infection/ autoimmune

(ascending muscle weakness & paralysis; usually self-limiting)

77. Idiopathic pulmonary fibrosis. Can see honey comb lung.


78. Chronic progressive histiocytosis
79. Autoimmune hypothyroidism. May have transient hyperthyroidism.

Low T3 /T4 & High TSH

80. Initial hyperthyroidism in Hashimotos Thyroiditis that precedes hypothyroidism


81.
82.
83.
84.

Hypersensivity vasculitis = allergic purpura. Lesions have the same age.


Hemmorhagic urticaria (with fever, arthralgias, GI & renal involvement)
Associated with upper respiratory infections
Aganglionic megacolon

85. Ptosis, miosis, anhidrosis (lesion of cervical sympathetic nerves often 2p to a Pancoast tumor)
86. AD: Progressive degeneration of caudate nucleus, putamen (striatum) & frontal cortex

GABA

87. Epileptic events originating in the primary motor cortex (area 4)


1.
2.
3.
88.
89.

Immune deficiency: neutrophils fail to respond to chemotactic stimuli


Defective neutrophilic chemotactic response = repeated infections
Commonly seen in light-skinned, red-haired girls
d IgE levels
Malignant vascular tumor (HHV8 in homosexual men)

90. Immotile cilia 2p to defective dynein arms

infection, situs inversus, sterility

91. Mucocutaneous lymph node syndrome in kids

(acute necrotizing vasculitis of lips, oral mucosa)

92. 47, XXY: Long arms, Sterile, Hypogonadism


93. Bilateral lesions of amygdala

(hypersexuality; oral behavior)

94. Adenocarcinoma with signet-ring cells (typically originating from the stomach) metastases to
95. the ovaries
96. Alcoholic cirrhosis
97. HGPRT deficiency
98. Gout, retardation, self-mutilation
99. Acute disseminated Langerhans cell histiocytosis
100. Endocarditis with small vegetations on valve leaflets
101. Associated with SLE
Page 3

Lou Gehrigs
Mallory-Weis Syndrome
Marfans
McArdles Disease
Meckels Diverticulum
Meigs Syndrome
Menetriers Disease
Monckebergs Arteriosclerosis
Munchausen Syndrome
Nelsons Syndrome
Niemann-Pick
Osler-Weber-Rendu Syndrome
Pagets Disease
Pancoast Tumor
Parkinsons
Peutz-Jeghers Syndrome (AD)
Peyronies Disease
Picks Disease 2 Different
Diseases Plummers Syndrome
Plummer-Vinson
Pompes Disease
Potts Disease
Potters Complex
Raynauds
Reiters Syndrome
Reyes Syndrome
Riedels Thyroiditis
Rotor Syndrome
Sezary Syndrome
Shavers Disease
Sheehans Syndrome
Shy-Drager
Simmonds Disease
Sipples Syndrome
Sjogrens Syndrome
Spitz Nevus
Stein-Leventhal
Stevens-Johnson Syndrome
Stills Disease
Takayasus arteritis
Tay-Sachs (AR)
Tetralogy of Fallot
Tourettes Syndrome
Turcots Syndrome
Turners Syndrome

102. Amyotrophic Lateral Sclerosis

degeneration of upper & lower motor neurons

103. Bleeding from esophagogastric lacerations 2p to wretching (alcoholics)


104. Connective tissue defect: defective Fibrillin gene

Dissecting aortic aneurysm, subluxation of lenses

105. Type V Glycogenosis - Glycogen storage disease (muscle phosphorylase deficiency =

Glycogen)

106. Rule of 2s: 2 inches long, 2 feet from the ileocecum, in 2% of the population
107. Embryonic duct origin; may have ectopic tissue: gastric/pancreatic remnant of vitteline duct/yolk stalk
108. Triad: ovarian fibroma, ascites, hydrothorax associated w/ fibroma of ovaries
109. Giant hypertrophic gastritis (enlarged rugae; plasma protein loss)
110. Calcification of the media (usually radial & ulnar aa.)
111. Factitious disorder

(consciously creates symptoms, but doesnt know why)

112. 1p Adrenal Cushings


surgical removal of adrenals
loss of negative feedback to pituitary
Pituitary Adenoma
113. Lysosomal Storage Disease (sphingomyelinase deficiency sphingomyelin accumulation)
114. Foamy histiocytes
115. Hereditary Hemorrhagic Telangiectasia. Seen in the Mormons of Utah.
116. Abnormal bone architecture

(thickened, numerous fractures

117. Bronchogenic tumor with superior sulcus involvement

pain)

Horners Syndrome

118. Dopamine depletion in nigrostriatal tracts


119. Melanin pigmentation of lips, mouth, hand, genitalia + hamartomatous polyps of small intestine
120. Subcutaneous fibrosis of dorsum of penis
121.
122.
123.
124.

1. Progressive dementia similar to Alzheimers


1. Constrictive pericarditis sequel to mediastinal tuberculosis
Calcium-frosting, unyielding layer heart chambers may be unable to dilate to receive blood during diastole
Hyperthyroidism, nodular goiter, absence of eye signs (Plummers = Graves - eye signs)

125. Esophageal webs & iron-deficiency anemia, spoon-shaped nails,


126. Type II Glycogenosis Glycogen storage disease

SCCA of esophagus

cardiomegaly (

1,4 Glucosidase deficiency:

Glycogen)

127. Tuberculous osteomyelitis of the vertebrae


128. Renal agenesis

oligohydramnios

hypoplastic lungs, defects in extremities

129. Disease: recurrent vasospasm in extremities = seen in young, healthy women


130. Phenomenon: 2p to underlying disease (SLE or scleroderma)
131. Urethritis, conjunctivitis, arthritis non-infectious (but often follows infections), HLA-B27, polyarticular
132. Microvesicular fatty liver change & encephalopathy
133. 2p to aspirin ingestion in children following viral illness, especially VZV
134. Idiopathic fibrous replacement of thyroid
135. Congenital hyperbilirubinemia (
)
136. Similar to Dubin-Johnson, but no discoloration of the liver
137. Leukemic form of cutaneous T-cell lymphoma (mycosis fungoides)
138. Aluminum inhalation

lung fibrosis

139. Postpartum pituitary necrosis = hemorrhage & shock usually occurred during delivery
140. Parkinsonism with autonomic dysfunction & orthostatic hypotension
141. Pituitary cachexia can occur from either pituitary tumors or Sheehans
142. MEN type IIa = pheochromocytoma, thyroid medullary CA, hyperparathyroidism
143. Triad: dry eyes, dry mouth, arthritis

risk of B-cell lymphoma

144. Juvenile melanoma (always benign)


145. Polycystic ovary: see amenorrhea; infertility; obesity; hirsutism =
146. Erythema multiforme, fever, malaise, mucosal ulceration

LH secretion

(often 2p to infection = mycoplasma or sulfa drugs)

147. Juvenile rheumatoid arthritis (absence of rheumatoid factor)


148.
149.
150.
151.

Aortic arch syndrome


Loss of carotid, radial or ulnar pulses = pulseless disease. Night sweats.
Common in young Asian females
Gangliosidosis (hexosaminidase A deficiency
GM2 ganglioside) Cherry Red Spots of the Macula

152. 1.VSD, 2.overriding aorta, 3.pulmonary artery stenosis, 4.right ventricular hypertrophy
153. Involuntary actions, both motor and vocal

Txt w/ Pimozide

154. Colon adenomatous polyps plus CNS tumors


155. 45, XO = most common cause of Primary Amenorrhea. No Barr body on buccal smear.
Page 4

Vincents Infection
Von Gierkes Disease
Von Hippel-Lindau
Von Recklinghausens
Von Recklinghausens Disease of Bone

Von Willebrands Disease (AD)


Waldenstroms macroglobinemia
Wallenbergs Syndrome
Waterhouse-Friderichsen
Webers Syndrome
Wegeners Granulomatosis
Weils Disease
Wermers Syndrome
Wernickes Aphasia
Wernicke-Korsakoff Syndrome
Whipples Disease
Wilsons Disease
Wiskott-Aldrich Syndrome
Wolff-Chaikoff Effect
Zenkers Diverticulum
Zollinger-Ellison
Rogers Disease
Barlows Syndrome
Bracht-Wachter Lesions
Lutembachers Syndrome
Schmidts Syndrome

156. Trench mouth acute necrotizing ulcerative gingivitis due to Fusobacterium


157. Type I Glycogenosis Glycogen storage disease (G6Ptase deficiency) Glycogen accumulaiton
158.
159.
160.
161.

Hemangioma (or hemangioblastoma) = cerebellum, brain stem, & retina


Adenomas of the viscera, especially Renal Cell Carcinoma
Chromosome 3p
Neurofibromatosis & caf au lait spots & Lisch nodules (Chromosome 17)

162. Osteitis fibrosa cystica (brown tumor) 2p to hyperparathyroidism = osteoclastic resorption w/


163. fibrous replacement
164. Defect in platelet adhesion 2p to deficiency in vWF. aPPT, Bleed time
165. Proliferation of IgM-producing lymphoid cells in men 50-70 yoa; PAS(+) Dutcher bodies
166.
167.
168.
169.
170.
171.
172.

Posterior Inferior Cerebellar Artery (PICA) thrombosis Medullary Syndrome


Ipsilateral: ataxia, facial pain & temp; Contralateral: body pain & temp
Adrenal insufficiency 2p to DIC
DIC 2p to meningiococcemia
Paramedian Infarct of Midbrain
Ipsilateral: mydriasis; Contralateral: UMN paralysis (lower face & body)
Necrotizing granulomatous vasculitis of paranasal sinuses, lungs, kidneys, etc.

173. Icteric Leptospirosis non-icteric prgresses to renal failure & myocarditis


174. Dark field microscopy for dx
175. MEN type I = thyroid, parathyroid, adrenal cortex, pancreatic islets, pituitary
176. Sensory Aphasia

impaired comprehension

177. Thiamine deficiency in alcoholics; bilateral mamillary bodies (mediodorsal nucleua)

(confusion, ataxia,

ophthalmoplegia)

178. Malabsorption syndrome (with bacteria-laden macrophages) & polyarthritis


179.
180.
181.
182.
183.
184.

Hepatolenticular degeneration (copper accumulation [Txt w/ Penicillamine ] & decrease in ceruloplasmin)


Mallory Bodies in the Liver & also w/ alcoholic hepatitis & Hyaline change
Chromosome 13
Immunodeficiency: combined B- &T-cell deficiency (thrombocytopenia & eczema)
IgM w/ IgA
High iodine level ()s thyroid hormone synthesis

185. Esophageal; cricopharyngeal muscles above UES


186. Gastrin-secreting tumor of pancreas

(or intestine)

acid

recurrent ulcers

187. Interventricular septal defect


188. Floppy vale syndrome women b/t 20-40 yoa
189. Minute abscesses found in subacute bacterial endocarditis
190. Combination of septum secundum atrial septal defect w/ mitral stenosis
191. Autoimmnue thyroid Disease (Hashimotos ) & insulin-dependent diabetes

Hallmark Findings
Albumino-Cytologic Dissociation
Antiplatelet Antibodies
Arachnodactyly
Aschoff Bodies
Auer Rods
Autosplenectomy

Babinski
Basophilic Stippling of RBCs
Bence Jones Protein
Birbeck Granules
Blue Bloater

192. Guillain-Barre

(markedly increased protein in CSF with only modest increase in cell count)

193. Idiopathic thrombocytopenic purpura


194. Marfans
195. Rheumatic fever
196. Acute promyelocytic leukemia (AML type M3)
197. Sickle cell anemia: switch a glu ! val in chain
198. Low O2 sickling
199. Aplastic crisis w/ B19 (Parvovirus ssDNA) infection
200. Salmonella osteomyelitis
201. Vaso-occlusive painful crisises
202. Hydroxyurea as Txt ( HbF) & Bone marrow transplant
203. UMN lesion
204. Lead poisoning
205. Multiple myeloma free light chains (either kappa or lambda)
206. Waldenstroms macroglobinemia
207. Histiocytosis X (eosinophilic granuloma)
208. Chronic Bronchitis (at least 3 months for at least 2 years of ecessive mucus secretion & chronic
recurrent productive cough)
Page 5

Boot-Shaped Heart
Bouchards Nodes
Boutonnieres Deformity
Brown Tumor
Brushfield Spots
Call-Exner Bodies
Cardiomegaly with Apical Atrophy
Chancre
Chancroid
Charcot Triad
Charcot-Leyden Crystals
Cheyne-Stokes Breathing
Chocolate Cysts
Chvosteks Sign
Clue Cells
Codmans Triangle
Cold Agglutinins
Condyloma Lata
Cotton Wool Spots
Councilman Bodies
Crescents In Bowmans Capsule
Currant-Jelly Sputum
Curschmanns Spirals

209. Tetralogy of Fallot


210. Osteoarthritis (Proximal IP joint of the fingers)
211. Rheumatoid arthritis flex proximal & extend distal IP joints
212. Hyperparathyroidism
213. Downs
214. Granulosa cell tumor: associated w/ endometrial hyperplasia & carcinoma
215. Granuloma-Theca cell tumor
216. Chagas Disease
217. 1p Syphilis
218.
219. Multiple sclerosis = nystagmus, intention tremor, scanning speech
220. Bronchial asthma
221. Cerebral lesion
222. Endometriosis
223. Hypocalcemia

facial spasm in tetany

224. Gardnerella vaginitis


225. Osteosarcoma
226.
227. Infectious mononucleosis
228. 2p Syphilis
229. New coffee flavor at Bagel & Bagel
230. HTN
231. Aka, cytoid bodies seen w/ SLE (yellowish cotton wool fundal lesions)
232. Dying hepatocytes HepB
233. Rapidly progressive (crescentic glomerulonephritis)
235. Bronchial asthma

Depigmentation Of Substantia Nigra

236. Parkinsons

Donovan Bodies
Eburnation
Ectopia Lentis
Erythema Chronicum Migrans
Fatty Liver
Ferruginous Bodies
Ghon Focus / Complex
Glitter Cells
Gowers Maneuver
Heberdens Nodes
Heinz Bodies
Heterophil Antibodies
Hirano Bodies
Hypersegmented PMNs
Hypochromic Microcytic RBCs
Jarisch-Herxheimer Reaction
Joint Mice
Kaussmaul Breathing
Keratin Pearls
Keyser-Fleischer Ring
Kimmelstiel-Wilson Nodules
Koilocytes
Koplik Spots
Lewy Bodies
Lines of Zahn
Lisch Nodules

237. Granuloma inguinale (STD)


238. Osteoarthritis (polished, ivory-like appearance of bone)
239. Marfans
240. Lyme Disease
241. Alcoholism
242. Asbestosis - & Iron laden
243. Tuberculosis (1p & 2p, respectively)
244. Acute Pyelonephritis
245. Duchennes MD

use of arms to stand

246. Osteoarthritis (Distal IP joint of the fingers)


247. G6PDH Deficiency
248. Infectious mononucleosis

(EBV)

249. Alzheimers
250. Megaloblastic anemia
251. Iron-deficiency anemia or
Syphilis

Thalassemia

over-aggressive treatment of an asymptomatic pt. that causes symptoms 2p to rapid lysis

253. Osteoarthritis

(fractured osteophytes)

254. Acidosis / Diabetic Ketoacidosis


255. Squamous Cell CA of skin Actinic Keratosis is a precursor
256. Wilsons
257. Diabetic nephropathy: Nodular Glomerulosclerosis nodules of mesangial matrix
258. HPV 6 & 11 (condyloma acuminatum - benign) and HPV 16 & 18 (malignant association)
259. Measles
260. Parkinsons

(eosinophilic inclusions in damaged substantia nigra cells)

261. Arterial thrombus


262. Neurofibromatosis (von Recklinhausens disease) = pigmented iris hamartomas
Page 6

Lumpy-Bumpy IF Glomeruli
Mallory Bodies
McBurneys Sign
Michealis-Gutmann Bodies
Monoclonal Antibody Spike
Myxedema
Negri Bodies
Neuritic Plaques
Neurofibrillary Tangles
Non-pitting Edema
Notching of Ribs
Nutmeg Liver
Owls Eye Cells
Painless Jaundice
Pannus
Pautriers Microabscesses
Philadelphia Chromosome
Pick Bodies
2 types of COPD
Podagra
Port-Wine Stain
Posterior Anterior Drawer Sign
Psammoma Bodies

Pseudohypertrophy
Punched-Out Bone Lesions
Rash on Palms & Soles
Red Morning Urine
Reed-Sternberg Cells
Reid Index Increased
Reinke Crystals
Rouleaux Formation
S3 Heart Sound
S4 Heart Sound
Schwartzman Reaction
Smith Antigen

Soap Bubble on X-Ray


Spike & Dome Glomeruli
String Sign on X-ray
Target Cells

263. Poststreptococcal glomerulonephritis prototype of nephritic syndrome


264. Alcoholic hepatitis
265. Appendicitis (McBurneys Point is 2/3 of the way from the umbilicus to anterior superior iliac spine)
266. Malakoplakia

lesion on bladder due to macros & calcospherites (M-G Bodies): usually due to E. Coli

267. Multiple myeloma


268. MGUS
269. Hypothyroidism

this is called the M protein (usually IgG or IgA)

270. Rabies
271. Alzheimers
272. Alzheimers
273. Myxedema
274. Anthrax Toxin
275. Coarctation of Aorta
276. CHF = causing congested liver
277. CMV
278. Reed Sternburg Cells (Hodkins Lymphoma)
279. Aschoff cells seen w/ Rheumatic Fever
280. Pancreatic CA (head)
281. Rheumatoid arthritis, also see morning stiffnes that

w/ joint use, HLA-DR4

282. Mycosis fungoides (cutaneous T-cell lymphoma), Sezary


283. CML
284. Picks Disease
285. Pink Puffer Type A: Emphysema
286. Blue Bloater Type B: Bronchitis
287. Emphysema
Centroacinar smoking
288. Gout (MP joint of hallux)

Panacinar -

1-antitrypsin

deficiency

289. Hemangioma
290. Tearing of the ACL
291. Papillary adenocarcinoma of the thyroid
292. Serous papillary cystadenocarcinoma of the ovary
293. Meningioma
294. Mesothelioma
295. Seen w/ Duchenne muscular dystrophy @ the claf muscles, due to

fat

296. Multiple myeloma


297. 2p Syphilis
298. RMSF
299. Coxsackie virus infection: Hand-Foot-Mouth Disease
300. Paroxysmal nocturnal hemoglobinuria. You would use Hams test to confirm.
301. Hodgkins Disease
302. Chronic bronchitis = d ratio of bronchial gland to bronchial wall thickness
303. Leydig cell tumor
304. Multiple myeloma

RBCs stacked as poker chips

305. L R Shunt (VSD, PDA, ASD)


306. Mitral Regurg
307. LV Failure
308. Pulmonary Stenosis
309. Pulmonary HTN
impressive rash with bugs

311.
312.
313.
314.
315.

SLE (also anti-dsDNA)


Malar Rash, Wire loop kidney lesions, Joint pain, False (+) syphilis test (VDRL)
90% 14-45 yo females
also seen w/ use of INH; Procainamide; Hydralazine = SLE-like syndrome
Giant cell tumor of bone

316. Membranous glomerulonephritis = Nephrotic syndrome


317. Spike = basement membrane material & Dome = immune complex deposits (IgG orC3)
318. Crohns bowel wall thickening
319. Thalassemia

in

Thalassemia w/ no

Page 7

gene: Hydrops Fetalis & Intrauterine death associations = HbBarts

Tendinous Xanthomas
Thyroidization of Kidney
Tophi
Tram-Track Glomeruli
Trousseaus Sign

320. Familial Hypercholesterolemia

Virchows Node
Warthin-Finkeldey Giant Cells
WBC Casts
Whipples Triad
Wire Loop Glomeruli
AFP in amniotic fluid or mothers
serum
Uric Acid

327. Supraclavicular node enlargement by metastatic carcinoma of the stomach

FEV1/FVC
Ground Glass on chest x-ray
(Hyaline)

Honey Combing of the lung


Crescents
Linear Ig Deposits
45 Degree Branch Points
PAS(+) Dutcher Bodies
Ground Glass in Abdomen(Hyaline)
Signet Ring Cells
Ground Glass Appearance (Hyaline)
Congo Red
Meningiomas & Progesterone
Tuberous Sclerosis Triad
Cowdry A Inclusions
Devics Syndrome
c-erb B2
Foster-Kennedy Syndrome
Hoffmans Sign
Red Nucleus Destruction
Ventral Spinocerebellar tr.
Dorsal Spinocerebellar tr.
Cuneocerebellar tr.
Dorsal Column
Lateral Spinothalamic tr.
Ventral Spinothalamic tr.
SVA
GSE
SSA
GVA
GVE

321. Chronic pyelonephritis


322. Gout
323. Membranoproliferative GN: Nephritic syndrome

basement membrane is duplicated into 2 layers

324. Visceral ca, classically pancreatic (migratory thrombophlebitis)


325. Hypocalcemia (carpal spasm)

328. Measles
329. Pyelonephritis
330. CNS disfunction Hypoglycemic episodes glu injection reverses CNS Sympts
331. Lupus nephropathy, type IV (diffuse proliferative form)
332. Spina Bifida
333. Anencephaly
334. Gout
335. Lesch Nyhan
336. Myeloproliferative Disorders
337. Diuretics (Loop & Thiazides)
338. COPD
339. Due to Pneumocystis carinii
340. Seen w/ Atelectasia
341. Seen w/ Asbestosis (a restrictive lung disease)
342. Goodpastures syndrome (pneumonia w/ hemoptysis & rapidly progressive glomerulonephritis)
343. Goodpastures syndrome
344. Aspergillosis
345. Waldenstroms Macroglobulinemia = IgM = Hyperviscosity
346. Seen in the hepatocytes of healthy carriers of HBsAg in liver biopsies
347. Cells that replace the ovaries, due to Krukenbergs tumor that has metastasized from the
stomach
348. Seen w/ Progressive Multifocal Leukoencephalopathy oligodendrocytes
349. Nuclei seen in Papillary CA of the thyroid (malignant)
350. Shows amyloid deposition in plaques & vascular walls
351. Some meningiomas have Progesterone receptors = rapid growth in pregnancy can occur
352. Seizures; Mental retardation; Leukoderma (congenital facial white spots or macules):
angiofibromas
353. Seen w/ Herpes Simplex Encephalitis in oligodendroglia, (Type B in infection with poliovirus)
354. Neuromyelitis Optica
355. A variant of multiple sclerosis: rapid demyelination of the optic nerve & spinal cord w/ paraplegia
356. Breast Cancer association
357. A tumor causing blindness & loss of smell w/ papilloedema
358. Flicking of the middle fingers nail
359. Intention tremors of the arm
360. Unconscious proprioception of lower extremities
361. Unconscious prorpioception & fine motor movements
362. Unconscious proprioception & fine motor movements of upper extremities
363. Conscious proprioception of the body
364. Pain & Temperature sensation
365. Light touch perception
366. Taste & Smell
367. Muscles of the eye & of the tongue
368. Vision; Hearing; Equilibrium
369. Sensation of tongue; soft palate. Carotid Body & Sinus innervation
370. Edinger Westphal = parasympathetic eye innervation
371. Gland innervation = secretions
Page 8

GSA
SVE
LMN Lesion
Sensory Pathway Lesion
Both UMN & LMN Lesion
Both Sensory & Motor Lesion
Suprachiasmatic Nucleus
Ventromedial Nucleus
Lateral Nucleus
Arcuate Nucleus
Mamillary Body
Acanthocytes

372. Viscera
373. Pain & temperature of face
374. Sensation of external ear
375. Innervation of muscles of masticaiton, facial expressions, larynx & pharynx
376. Werndig Hoffman (progressive infantile muscular atrophy)
377. Poliomyelitis
378. Subacute Combined Degeneration = Friedrichs Ataxia = B12 deficiency
379. Tabes Dorsalis (Neurosyphilis)
380. ALS = Lou Gherigs Disease
381. Brown Sequard
382. Anterior Spinal artery Occlusion
383. Controls circadian rhythm
384. Satiety center. Savage behavior & obesity when lesioned
385. Induces eating. Starvation when lesioned
386. Releases PIF (dopa-ergic neurons)
387. Can have hemorrhages as seen in Wernickes Encephalopathy
388. RBSc w/ spiny projections. Seen in Abetalipoproteinemia.

Most Common
1o Tumor arising from bone in
adults
Adrenal Medullary Tumor
Adults
Adrenal Medullary Tumor
Children
Agent of severe viral
encephalitis
Aggressive lung tumor
Associated with gallstones
Bacterial Meningitis adults
Bacterial Meningitis elderly
Bacterial Meningitis
newborns
Bacterial Meningitis
toddlers
Benign epithelial tumor of
oral mucosa
Benign fallopian tube tumor
Benign ovarian tumor
Benign tumor of soft tissue
Benign tumor of the breast
<25yoa
Benign tumor of the liver
Benign tumor of the vulva
Benign uterine tumor
Bone Tumors
Brain Tumor Child
Brain Tumor Adult
Breast Carcinoma
Breast Mass
Bug in Acute Endocarditis
Bug in debilitated,
hospitalized pneumonia pt

389. Osteosarcoma
390. Pheochromocytoma: 5 Ps:

Pressure; Pain (Headache); Perspiration; Palpitations; Pallor/Diaphoresis

391. Neuroblastoma
392. Herpes simplex
393. Small cell or oat cell
394. Adenocarinoma
& in young adults =
/ Group BStrep.
398. Hib
399. Papilloma
400. Adenomatoid
401. Mature(Native) Teratoma = benign dermatoid
402. Lipoma
403. Fibroadenoma
404. Hemangioma
405. Hidroadenoma
406. Leiomyoma: estrogen sinsitive: changes size during pregnancy & menopause
407. Metasteses from Breast & Prostate
408. Medulloblastoma (cerebellum)
409. Astrocytoma (including Glioblastoma Multiforme) then: mets, meningioma, Schwannoma
410. Invasive Duct Carcinoma
411. Fibrocystic Change: premenopausic women (Carcinoma is the most common in post-menopausal women)

Page 9

Bug in Epiglottitis
Bug in GI Tract
Bug in IV drug user
bacteremia / pneumonia
Bug in PID
Bug in Subacute Endocarditis
CA of urinary collecting
system
Cardiac 1ry Tumor Adults
Cardiac 1ry Tumor Child
Cardiac Tumor Adults
Cardiomyopathy
Cause of 2ry HTN
Cause of Addisons
Cause of breast lumps
Cause of chronic
endometriosis
Cause of Congenital Adrenal
Hyperplasia
Cause of Cushings
Cause of Death in Alzheimer
pts
Cause of Death in Diabetics
Cause of Death in premature
Cause of Death in SLE pts.
Cause of Dementia
Cause of Dementia (2nd most
common)
Cause of Dwarfism
Cause of Food poisoning
Cause of Hematosalpynga
Cause of Hypoparathyroidism
Cause of Hypothyroidism
Cause of Kidney infections
Cause of Liver disease in US
Cause of Malignancy in
children
Cause of Mental retardation
Cause of Mental retardation
(2nd most common)
Cause of NaCl loss and
Hypotension
Cause of PID
Cause of Portal cirrhosis
Cause of Preventable
Blindness
Cause of Pulmonary HTN
Cause of Secondary
Hypertension
Cause of SIADH
Cause of UT Obstruction in
men

414. Hib
415. Bacteroides (2nd E. coli)

417. N. Gonnorrhoeae
419. Transitional cell CA (assoc. w/ benzidine; naphthylamine; analine dyes; long term txt w/
cyclophosphamide)
420. Myxoma: Ball Valve
421. Rhabdomyoma associated w/ Tuberous sclerosis
422. Metasteses
423. Dilated (Congestive) Cardiomyopathy: Alcohol, BeriBeri, Cocaine use, Coxsackie B, Doxorubicin
424. Systolic Dysfunction
425. Renal Disease
426. Autoimmune (2nd infection)
427. CA of the breast
428. TB
429. 21-Hydroxylase Deficiency: NaCl lost & Hypotension (then, 11- NaCl retention & HTN)
430. Exogenous Steroid Therapy (then, 1ry ACTH, Adrenal Adenoma, Ectopic ACTH)
431. Pneumonia
432. MI
433. NRDS = hyaline membrane disease
434. Lupus Nephropathy Type IV (Diffuse Proliferative) = Renal Disease
435. Alzheimers
436. Multi-Infarct Dementia
437. Achondroplasia
439. Ectopic pregnancy
440. Throidectomy
441. Corrective surgery I31 treatment
442. E. coli
443. Alcohol consumption
444. Acute leukemia
445. Downs
446. Fragile X
447. 21 hydroxylase deficiency
448. N. ghonorrhea
449. Alcohol
450. Chlamydia (serotypes A,B,Ba,C)
451. COPD
452. Renal disease
453. Small Cell Carcinoma of the Lung
454. BPHyperplasia

Page 10

Cause Pernicious Anemia


Chromosomal Disorder
Common Tumor of the
Appendix
Congenital Cardiac Anomaly
Congenital Early Cyanosis
Coronary Artery Thrombosis
Demyelinating Disease
Dental Tumor
Dietary Deficiency
Disease of the Breast
Disseminated Opportunistic
Infection in AIDS
Esophageal Cancer
Fallopian Tube Malignancy
Fatal Genetic Defect in
Caucasians
Female Tumor
Form of Amyloidosis
Form of Tularemia
Germ Cell Tumor of Testes
Gynecological Malignancy
Gynecological Finding
Heart Murmur
Heart Valve in Bacterial
Endocarditis
Heart Valve in Bacterial
Endocarditis in IV drug users
Heart Valve involved in
Rheumatic Fever
Hereditary Bleeding Disorder
Hormone secreted in
Pituitary Adenoma
Inherited disease of the
Kidney
Intracranial tumor in adults
Islet Tumor
Liver 1ry Tumor
Liver Disease
Location of Adenocarcinoma
of the Pancreas
Location of Adult Brain
Tumors
Location of Childhood Brain
Tumors
Lung Tumor, malignant or
benign
Lung Tumor, primary or
secondary
Lysosomal Storage Disease
Malignancy in Women
Malignancy of the Larynx

455. Chronic atrophic gastritis = no production of intrinsic factor


456. Downs
457. Carcinoid tumor: flushing; diarrhea; bronchospasm; RHeart valvular lesions
458. Txt: Methysergide (5HT antagonist)
459. VSD (membranous > muscular)
460. Tetralogy of Fallot =right to left shunt
461. LAD artery: MI
462. Multiple Sclerosis: (Charcot Triad = nystagmus, intention tremor, scanning speech)
463. Periventricular plaques w/ Oligodenrocytes
464. IgG in CSF, Optic Neuritis, MLF Syndorme = Internuclear Ophthalmoplegia, bladder incontinence
465. Odontoma
466. Iron
467. Fibrocystic disease
468. CMV (

is most common overall)

469. SCCA
470. AdenoCA
471. Cystic Fibrosis (chromosome 7q)
472. Leimyoma
473. Immunologic (Bence Jones protein in multiple myeloma is also called the Amyloid Light Chain)
474. Ulceroglandular
475. Seminoma (analogous to dysgerminoma of ovaries)
476. Endometrial Carcinoma
477. Endometrial CA
478. Mitral Valve Prolapse
479. Mitral
480. Tricuspid
481. Mitral then Aortic
482. Von Willebrands Disease
483. Prolactin
484. Adult polycystic kidney disease: associated w/ polycystic liver, Berry aneurysms, Mitral prolapse
485. APD1 chromosome 16
486. Glioblastoma mulitforme
487. Insulinoma =

cell tumor

488. Hepatoma
489. Alcoholic Liver Disease
490. Head (99%)
491. Above Tentorium
492. Below Tentorium
493. Malignant
494. Secondary
495. Gauchers
496. Lung (2nd breast)
497. Glottic CA (squamous cell)
Page 11

Malignancy of the Small


Intestine
Malignancy Vulva
Malignant Eye Tumor in Kids
Malignant Tumor of the Liver
Motor Neuron Disease
Muscular Dystrophy
Nasal Tumor
Neoplasm Child
Neoplasm Child (2nd most
common)
Neoplasm of the West
Neoplastic Polyp
Nephrotic Syndrome in
Adults
Nephrotic Syndrome in
Children
Non Hodgkins Lymphoma
Number of Deaths per year in
Women
Skin tumor
Opportunistic infection in
AIDS
Ovarian Malignancy
Ovarian Tumor
Pancreatic Tumor
Patient with ALL / CLL / AML
/ CML
Patient with Goodpastures
Patient with Reiters
Pituitary Tumor
Place for Primary Squamous
Cell CA of esophagus
Place for Peptic Ulcer
Disease
Primary Benign Salivary
Tumor
Primary Hyperparathyroidism
Primary Malignancy of Bone
Primary Malignancy of Small
Intestine
Pt. with Hodgkins
Pt. with Minimal Change
Disease
Renal Malignancy
Renal Malignancy of Early
Childhood
Salivary Tumor
Secondary
Hyperparathyroidism
Sexually Transmitted
Disease
Site of Diverticula

498. Adenocarcinoma
499. Squamous cell CA
500. Retinoblastoma
501. Hepatocellular CA
502. ALS
503. Duchennes: Dystrophin deletion. Presents <5yoa weakness at pelvic girdles w/ upward progression
504. Squamous cell CA
505. Leukemia
506. Medulloblastoma of brain (cerebellum)
507. Adeno CA of the rectum and/or colon
508. Tubular adenoma
509. Membranous Glomerulonephritis
510. Minimal Change (Lipoid Nephrosis) Disease (responds well to steroid txt)
511. Follicular small clear cell
512. Lung CA
513. Basal cell CA
514. PCP
515. Serous Cystadenocarcinoma
516. Hamartoma
517. Adeno (usually in the head)
518. ALL Child / CLL Adult over 60 / AML - Adult over 60 / CML Adult 35-50
519. Young male
520. Male
521. Prolactinoma (2nd Somatotropic Acidophilic Adenoma)
522. Mid 1/3
523. Lesser curvuture in antrum associated w/ blood group O
524. Pleomorphic Adenoma (Mixed) 90% localized to the parotid
525. Adenomas (followed by: hyperplasia, then carcinoma)
526. Osteosarcoma
527. Lymphoma
528. Young Male (except Nodular Sclerosis type Female)
529. Young Child
530. Renal cell CA
531. Wilms tumor (neohroblastoma) chromosome 11p
532. Pleomorphic adenoma
533. Hypocalcemia of Chronic Renal Failure
534. Chlamydia (sero types D-K)
535. Sigmoid Colon
Page 12

Site of Embolic Occlusion


Site of Metastasis
Site of Metastasis (2nd
most common)
Sites of Atherosclerosis
Skin CA of Fair Skinned
People
Skin Cancer
Small Intestine Congenital
Anomaly
Stomach Cancer
Testicular Tumor
Thyroid Anomaly
Thyroid CA
Tracheoesophageal Fistula
Tumor in men <20
Tumor of Infancy
Tumor of the Stomach >50
years of age
Type of Hodgkins
Type of Non-Hodgkins
Type of Portal Cirrhosis
Type of Soft Tissue Tumor
of Childhood
Vasculitis (of medium & small
arteries)
Viral Encephalitis
Worm Infection in US
Worst Prognosis in Thyroid
Cas
Cause of Lobar Pneumonia
Cause of Death b/t 24-44 yoa
Cause of Pneumonia in Cystic
Fibrosis
Cause of Osteomyelitis in IV
Drug Users
Cause of Infection in Burn
Pts
Mental Problem in Males
Intelligence Test

Paraphilia
Metabolite seen w/
Pheochromocytoma
Severe Shigella
Bug in Otitis Media &
Sinusitis in Kids
Cause of a Solitary Brain
Abscess
Cause of Bacterial Diarrhea
in U.S.
Shigella Type

536. Middle cerebral aa: contralateral paralysis; aphasias; motor & sensory loss
537. Regional Lymph Nodes
538. Liver
539. Abdominal aorta > coronary > popliteal > carotid
540. Malignant melanoma
541. Basal Cell Carcinoma
542. Meckels diverticulum
543. Adeno associated w/ blood group A
544. Seminoma = malignant painless testes growth
545. Thryoglossal duct cyst
546. Papillary CA
547. Lower esophagus joins trachea / upper esophagus blind pouch polyhydramnios association
548. Germ cell tumor
549. Benign vascular tumor = port wine stain = Hemangioma
550. CA of stomach (adeno CA)
551. Mixed Cellularity (versus: lymphocytic predominance, lymphocytic depletion, nodular sclerosis)
552. Follicular, small cleaved
553. Micronodular
554. Rhabdomyosarcoma
555. Temporal Arteritis (branch of Carotid Artery)
556. HSV
557. Pinworm (2nd Ascaris)
558. Follicular CA
559. Strep. Pneumoniae
560. AIDS
561. Pseudomonas
562. Pseudomonas
563. Pseudomonas
564. Specific phobia
565. Stanford Binet (ages 6 & under)
566. WIPSI (ages 4-6)
567. WISK-R (for ages 6-17)
568. WAIS-R (for > 17 yoa)
569. Pedophilia
570. VMA: vanillylmandelic acid (NE metabolite)
571. Dysenteriae
572. Strep. Pneumoniae
573. A. Israelli
574. Campylobacter jejuni
575. S. Sonnei
Page 13

Cause of Non-Ghonococcal
Urethritis
Pneumonia
Urethritis
Cause of Glomerulonephritis
Cause of Viral Pneumonia

Complication of COPD
Cause of Death w/ SLE
Atrial Septal Defect
Warm Antibody

576. Chlamydia trichomonas


577. Strep. Pneumoniae
578. N. ghonorrhea
579. IgA Nephropathy = Bergers Disease
580. RSV infants
581. Parainfluenza kids
582. Influenza virus adults
583. Adeno virus military recruits
584. Pulmonary infections
585. Renal failure
586. Ostium Secundum Type
587. Most common form of immune hemolytic anemia
588. IgG auto antibodies to RBC
589. See spherocytosis; (+) Coombs test; complication to CLL
590. IgA Deficiency

Immunodeficiency
Congenital GIT Anomaly
Cause of Congenital
Malformation

591. Meckels Diverticulum: persistence of vitelline duct/yolk sac stalk


592. Fetal Alcohol Syndrome

Pharmacology
Autonomic Nervous System
Epinephrine
Norepinephrine
GABA
Muscarinic-r
Bethanechol
Pilocarpine
Isoflurophate
Pralidoxime
Neostigmine
Myasthenia Gravis
Tubocurium
Trimethaphan
Pancurium
Succinylcholine
1 & Eye
M-r & Eye
Sympathetic
Parasym.
M3-r & Eye
M2-r & Heart
M3-r & Lung
M3-r & GI
Tacrine
Atropine
Glycoperrolate
Pirenzepine

1.
2.

1, 2, 1, 2
1, 2, 1 (no 2 activity)

3.

Causes an inhibitory cell hyperpolarization

4.
5.
6.

Uses DAG & IP3 as 2nd messengers


Parasympathetic control
Cholinergic. GI & Bladder motility. Txt atonic bladder post-op

7.
8.
9.

Cholinergic. Pupillary constriciton= miosis. Ciliary constriction= accomodation.


Txt acute glaucoma
Organophosphate. Irreversible acetylcholinesterase (-)r

10. 2PAM. Reverses organophosphate binding to acetylcholinesterase


11. Reversible acetylcholinesterase (-)r
12. Txt Myasthenia Gravis
13. Anitbodies to Ach-r. g muscular weakness due to Achs weak postsynaptic effect @ NMJ. Inactivates-r
14. Nondepol. Competitive cholinergic N-r (-)r.
15. Prevents Ach binding but does not activate NMJ
16.
Histamine release= BP & bronchospasm
17. Nonselectively binds N-r of the PS- and SNS
18. More potent than tubocurium w/o histamine release
19. Depol. Non competitive (-)r of muscle aciton
20. Opens Na Ch.= fasciculations. Closes Na Ch.= paralysis. Continuous infusion.
21. Mydriasis due to norepinephrine. Prazosin (-).
22. Miosis due to Ach. Atropine (-).
23. Post ganglionic symapthetic fibers releases norepinephrine
24. Post ganglionic parasympathetic fibers release Ach
25. Contracts sphincter = miosis. Contracts ciliary = accomodation.
26. Negative chronotropy: HR = vagal arrest
27. Negative inotropy: contractility
28. Bronchospasm secretions
29.

motility (cramps & diarrhea). Involuntary defecation

30. Acetylcholine esterase (-)r. Txt Alzheimers


31. DOC w/ vagal arrest
32. M-r(-). Antispasmodic. Txt peptic ulcers.
33. M-r(-). Antispasmodic. Txt peptic ulcers.
Page 14

34. Most potent competitive non-depol NMJ (-)r. No cardiovascular side effects. No Histamine release.

Doxacurium
bungarotoxin
bungarotoxin
1 & Eye
1 & Arterioles
1 & Venules
1 & Sex Function
Diastolic
Diastolic
1 & Heart

35. Prevent the releasal of Ach from vesicles @ the pre synaptic nerve ending
36. Irreversible N-r (-)r =

action potentials

37. Contracts radial muscle = mydriasis (pupil dilation)


38. Constiction: TPR =
39. Constriction:

Diastolic pressure =

Venous return =

Afterload

Preload

40. Ejaculation

Phenylephrine
2(+) Asma Drugs
Ritodrine/Turbutaline
Phentolamine
Terazosin
Yohimbine
Cardioselective NMJ
Ecothiophate
Pyridostigmine

41.

1 = TPR

42.

2; Direct acting vasodilators; (+)Cholinergics

43. (+)chronotropism = HR.


44. (+)inotropism = contractility; SV; CO; O2 consumption.
45.
conduction velocity
46. 1 (+) Nasal decongestant.
47. Metaproterenol; Albuterol; Terbutaline; Ritodrine; Salmeterol
48. Relaxes myometrium used in pre-mature labor pains
49. Epi reversal. Blocks , vasodilation occurs. Pt goes from HyperTN to HypoTN.
50. Txt pheochromocytoma = BP
51. Txt BPH
52.

sympathetic outflow = 2 (-). Txt impotence.

53. Pancuronium = HR due to atropine-like anti muscarinic vagolytic effect & Gallamine (-)r
54. Irreversible cholinesterase (-)r.
55. Cholinomimetic that s M & N-r effects. (-) acetylcholinesterase & plasma cholinesterase
56. DOC for the oral Txt of MG

Cardiology
Digoxin
Diltiazem
Quinidine
Verapamil
Propranolol
Diazoxide
Niroprusside
Reserpine
Dobutamine
Dopamine
Esmolol
Captopril
Digoxin
Dig. Toxicity
Quinidine
Lidocaine
Flecanide
Amiodarone
NE
Ach
Atenolol
Bretylium
Nimodipine
Atropine
Nitrates
Propranolol
Verapamil
Aspirin

1.
2.

AV nodal conduction/ inh. Na/K/Atpase = inc. Ca conc. in heart cells = inc. contraction force
Txt black men. Txt AV nodal re entrance

3.

AV nodal conduction. Cinchonism. Anticholinergic= aggravate MG. Hypotension=

4.

AV nodal conduction.

BP. Negative inotrope= no CHF use

AV nodal conduction.

BP. Negative inotrope(=

5.
6.

block

block) Aggravates Asthma and Diabetes Melitus via 2 block.

Balanced vasodilator.

7.

Balanced vasodilator. Unloads heart. s cyanide= pre-txt w/ thiosulfate. Txt Acute HTNv Crisis

8.

Txt severe & resistant HTN. Depletes CA. See stuffy nose. No to pts w/ peptic ulcers.

9.

At high doses 2(+) offsets 1 = 1

CO w/o systemic vascular resistance

10. At low doses Txt Shock= dilates renal and mesenteric aa= maintain urine output
11.

Short acting (-)

12. Balanced vasodilator. Txt Outpt. CHF see dry cough(bradykinin induced)
13. Txt CHF & Atrial Flutter - inotropic -

K+ levels= dig. Toxicity

14. Fatal ventricular arrhythmias w/ sever AV block


15. ClassIa anti arrhythmic. Moderate Na Ch. Block
16. ClassIb anit arrhythmic. Normalizes conduction. Txt initial MI= control arrhythmias
17. ClassIc anti arrhythmic. Marked conduction slowing
18. Long t1/2= need potent doses to obtain desired level for action. See blue skin, ocular deposits, Pulmonary Fibrosis.
19.

AV nodal conduction via 1. Metoprolol(-) 1

20.

AV nodal conduction via M receptor. Atorpine(-) M-r

21. Controls catecholamine induced arrhythmias


22. Txt Malignant Ventricular Arrhythmias but causes passing catecholamine release that can aggravate arrhythmias
briefly
23. Txt Acute subarachnoid hemorrhage by preventing post hemorrhagic vasospasm
24.

excess vagal tone as seen in Sinus Bradycardia

25.

preload= venous pooling.

MVO2= reflex tachy.

26. Blocks reflex tachy but causes excess brady=


27.

O2 supply via

ventr work= dec O2 demand

diastole time=

EDV

in vasospasm Txt Prinzmetals variant angina

28. Prevents arterial platelet adhesion (not DVThrombi). Inactivates COX=


vasoconstictor
Page 15

platelet production of TxA2, a potent

Warfarin
Heparin
TPA
Streptokinase
Urokinase
Colestipol
Lovastatin
Losartan
Diazoxide
Clonidine
Methyldopa
Phenytoin
Procainamide
Indopamide
Thiazides
(-)
ACEIs
Epinephrine
Norepi.
Methyldopa
Quinidine pre-txt
ClassII
Gray man
Beperidil
ACEIs
Adenosine
Enoxaparin
Isoproterenol
Variant angina
Contraindicated in
CHF

29. (-)Vit. K dependent gamma carboxylation of clotting factors= anticoagulation state


30. Dependent on Antithrombin III activation
31. Binds to fibrin clots & activates plasminogen on the spot. Short t1/2, given IV.
32. Does not discriminate b/t fibrin-based clots= bleeding & stroke complications arise
33. From bacteria= allergies arise. Can see excess bleeding in post-op pts.
34. Human source.

plasmin. Can see excess bleeding in post-op pts.

35. Bile acid sequestrants. Interrupt bile acid reabsorption=


36. HMGCoA reductase(-)=
37.

Aldosterone.

LDL uptake. Cholestyramine same MOA.

LDL-r synthesis. Pravastatin/ Mevastatin same MOA.

Renin 2-3xs

38. Txt insulinomas. Not balanced vasodilator= onlt dilates arterial smooth muscle
39. Central 2(+).

TPR via

symapthetic effect

40. Central 2(+). (++) Coombs= Hemolytic anemia


41. ClassIb. Reverses mild AV block due to digitoxin toxicity
42. ClassIa. SLE like syndrome.
43. Only Thiazide that will have no effect on cholesterol levels
44. Older black men w/ HTN due to

Renin.

45. Young white men w/o asthma (cause bronchospasm)


46. (-) change AI ! AII. (-) Bradykinin inactivation. Captopril/ Enalapril
47. Cause renal failure = use w/ caution in the elderly
48.
contraction rate & force via 1.
49.
systolic but diastolic BP.
50.
peripheral resistance via 2 vasodilaiton
51.
heart rate and systolic and diastolic BP
52.
peripheral blood vessel resistance
53. DOC for pregnancy induced HTN
54. Atrial arrhythmia pretxt w/ a drug that will
55.

ventricular response: Dig.; (-); Ca Ch.(-)

(-) risk fo reinfarction & sudden death following MI

56. Amiodarone: ClassIII antiarrhythmia


57. Ca Ch(-). Limited clinical use due to Torsades de Pointes
58.
59.
60.
61.
62.

Vasodilate renal efferents > than afferent arterioles: GFR & Filtration pressure
Diabetic renal failure progression
Its receptor is blocked by Methylxanthines (ie Theophyline)
Favored for the Txt of Reentrant Supra Ventricular Tachycardia
Low molecular weight heparin = Oral anticoagulant

63.

HR & MAP

64. Use Ca Ch. (-)r ie Nifedipine


65.

(-)r = you dont want to

the hearts pumping strength

CNS
TOM

Butyrophenone
Atypical D4
Flumazenil
Methylphenidate
Phenytoin
Thiopental
Carbamazepine
Atypical D4-r
Pimozide
Risperidone
Thioridazine
Haloperidol

1.
2.
3.
4.
5.

Short acting BDZs:


Triazolam
Onazelam
Midazolam
Haloperidol & Droperidol

6.

Clozapine Thioridazine Olanzepine Risperidone = Do not cause EPS

7.

BDZ antidote for OD

8.

Txt attention deficit disorder

9.

Causes aplastic anemia/ gingival hyperplasia/ cleft lip & palate

10. Short acting Barb


11.

DOC trigeminal neuralgia. Txt lennox gestaut seizures in kids

12. Thioridazine; Olamzapine; Clozapine


13. Txt Tourettes
14. Good for negative symptoms
15. Most anti cholinergic neuroleptic
16. Neuroleptic malignant hyperthermia due to chronic D2 block. give Dantrolene and Bromocriptine
Page 16

Imirpamine
Clomirpramine
Trazadone
Bupropion
SSRIs
Fluoxetine
Phenelzine
Lithium

Alprazolam
Propranolol
-r
k-r
Morphine & O2
Morphine
Morphine OD
Meperidine
Hydromorphone
Tramadol
Naloxone
Pentazocine
Butorphenol
Nalbuphene
GABA
Fast Na Ch.
Methoxyflurane
Enflurane
Isoflurane
Halothane
Nitric Oxide
Thiopental
Kentamine
Droperidol
Fentanyl
Midazolam
Primidone
C & A delta Fibers
Esters
Amides
Amphetamine
Bromocriptine
Benztropine
Amantidine
Diphenhydramine
Pergolide
Ethosuximide
Tranylcypromine
SSRI & MAOI
Labor opioids

17. Enurisis
18. Txt OCD See aggressive behavior w/ use
19. Priapism
20. Helps to quit smoking
21. Primarily used for OCD
22. Good for negative symptoms
23. Irreversible MAOI
24.
25.
26.
27.
28.

Txt manic phase of Bipolar Disorder


Causes goiter by (-) conversion of T4 to T3
Nephrogenic diabetes insipidus
Low salt diet will lead to Li toxicity
DOC stage fright

29. Social phobia


30. Spinal analgesia. Euphoria. ++euphoria. ++sedation. Constipation.
31. Supraspinal analgesia. Dysphoria. +respiratory depression. +sedation.
32. Admin. is contraindicated to pts on morphine sedation=
33.

CO2 sensitivity and O2 admin. can stop breathing.

ICP = do not give to pt. with head trauma

34. 1.pinpoint pupils 2. d respiraiton 3.coma


35. Anesthetic used during labor
36. k(+) used in renal failure
37. Ambulatory txt for mod. to severe pain
38. Txt opioid OD. Reverses respiratory depression
39. Part (+) & part k(-)
40. Part (+) & part k(-)
41. Part (+) & part k(-)
42.

seizure focus= Barbs & BDZs

43.

electrical activity spread = Phenytoin & Carbamazepine

44. Can be nephrotoxic. Needs low MAC for anesthetic induction.


45. Can cause tonic/clonic muscle spasms
46. Can cause bronchospasm
47. Can cause ventricular extrasystoles & Malignant hyperthermia & Hepatitis
48. No effect on HR. Needs high MAC for anesthetic induction.
49. Short acting Barb.
50. Dissociative anesthetic
51.
52.
53.
54.
55.

Can be used in combo w/ Fentanyl for neuroleptoanalgesic effect


Neuroleptic tranquilizer. Has mild alpha block
Can be used on combo w/ Droperidol for neuroleptoanalgesic effect
Used transdermally for chronic pain
Pre anesthetic. Induces amnesia

56. Biotransformed to Phenobarb.


57. First fibers to be blocked w/ anesthesia
58.
59.
60.
61.
62.

Procaine, Tetracaine, Benzocaine


Broken down and make PABA (allergen)
Lidocaine, Mepivaciane, Bupivaciane, Etidocaine= i before caine always an amide
Metabolized in the liver
DA reuptake (-)r. MAOI. Parkinsons txt

63. D2(+). Used w/ L-Dopa for on-off phenomenon of Parkinsons


64. Ant M w/ some DA reuptake (-). Parkinsons txt
65.

DA reuptake. Can cause livido reticularis= skin mottling.

66. Txt early Parkinsons stages


67. > Effective & longer acting than Bromocriptine
68. DOC for Absence seizures
69. MAOI = antidepressant
70. Fatal combo, especially seen with the use of Paroxetine or Fluoxetine (SSRIs) and Tranylcypromine (MAOI)
71. Meperidine & Nalbuphine
Page 17

Desipramine causes

72. Sudden cardaic death in children

Anti-Infective
4.
5.
6.

Malaria profylaxis
Used for extraerythrocytic forms Plasmodium vivax or P. ovale
Quinolone derivative

Hepatic coma DOC

7.
8.
9.
10.
11.
12.
13.
14.

Clavulanic acid

15.

Piperacillin

16.
17.
18.

PABA structural analogs


Inhibit Folic acid synthesis
Should not be used in anuric pt due to production of (-) Nitrogen balance & d BUN levels.
Doxycycline is the exception
3rd generation cephalosporin
DOC for bacterial meningitis in kids (ie HiB)
One dose txt of gonorrhea
Neomycin (aminoglycoside) it supresses the normal flora = g NH4 production = g free
nitrogen levels in the bloodstream.
Irreversible (-)r of lactamases, but ot of transpeptidase = use w/ a lactamase sensitive
penicillin
Txt Pseudomonas aeruginosa & Klebsiella
Broad spectrum antibiotic
Txt Mycobacterium tuberculosis

19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.

Most commonly used drug for TB.


Usually combined w/ Rifampin and/or Ethambutol
Pre Txt w/ Pyridoxine (Vit B6) can prevent peripheral neuritis
Txt of Hookworm disease
Depolarizing NMJ (-)r
A = Aminoglycosides
T = Tetracyclines
C = Chloramphenicol
E = Erythromycin (macrolide)
L = Clindamycin
L = Lincomycin
Txt intraabdominal infections (ie w/ Bacteroides fragilis)
Traditional txt has been Clindamycin & Gentamycin
Broad spectrum antibiotic
Bone marrow depression (common) Aplastic anemia (rare)
Gray baby syndrome (chloramphenicol cannot be conjugated)
DOC Typhoid Fever (symptomatic Salmonella infection)
DOC HiB meningitis in kids especially resistant strain to ampicillin
Txt trypanosomiasis

38.
39.
40.
41.
42.

Txt Leishmaniasis & Amebiasis


Good for anaerobic bacteria = Bacteroides fragilis
DOC Trichomoniasis
DOC Giardia lamblia
TMP-SMX & Pentamidine

43.
44.
45.
46.

Txt of Brucellosis & Cholera


Txt Rocky Mountain Spotted Fever
Txt spirochete infections = Lyme disease (Borrelia burgdorferi)
(-) dihydrofolate reductase activity

Primaquine
Ciporfloxacin
Sulfonamides
Tertacyclines, anuria & the exception
Ceftriazone

Streptomycin (aminoglycoside)
Isoniazid
Pyrantel Pamoate
Buy AT 30, CELL at 50

Cefoxitin
Chloramphenicol

Nifurtimox
Metronidazole

Txt P. carinii
Tetracycline
TMP-SMX
Benzathine Penicillin G
Praziquantel
Melarsoprol
Stibogluconate
Fluconazole
Amphotericin B
Ketoconazole MOA
Griseofulvin MOA
Mefloquine
Chloroquine

47. Long duration of action = given once every 3-4 weeks for Txt of Syphilis
48. Txt Schistosomiasis (trematode [fluke] infections)
49. Txt Trypanosomiasis that has neurological symptoms
50. Txt Leishmaniasis
51. Txt fungal encephalitis
52. Polyene antifingal
53. (-) fungal ergosterol synthesis = disrupts membrane
54. Accumulates in keratinized layers of the skin = used in dermatomycoses infections
55. Anti malarial
56. Txt Chloroquine resistant strains = P. falciparum
57. Txt for Malaria when inside RBC
Page 18

58. DOC Chagas disease due to Trypanosoma cruzi

Nifurtimox
Erythromycin
Nystatin
Acyclovir

59. Used in pts allergic to penicillins


60. Topical txt of superficial mycotic infections = Candidiasis
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.

Imipenem
Cefoperazone side effects
Vancomycin
Meropenem
Nafcillin
Peripheral neuropathy

Guanine analog
Txt Herpes infections
Used w/ Cilastatin
Can cause seizures
Bleeding due to vit K level alterations
Contraindicated in pts w/ bleeding disorders
Used for MRSS (methicillin resistant Staph. Aureus)
Red neck: due to histamine release causes facial flushing
used w/ Cilastatin
Does not cause seizures (cf w/ Imipenem)
Only penicillin that does not need dose adjustment in renal impairment

72. Seen w/ use of:


73. Metronidazole Isoniazid Vincristine ddI AZT Allopurinol
74. Kernicterus can occur

Sulfonamides & newborns


O.N.E. for gonorrhea

75.
76.
77.
78.
79.

Ribavirin

Fluoroquinolones used in a one dose deal for gonorrhea:


O = Ofloxacin
N = Norfloxacin
E = Enoxacin
Txt RSV (Respiratory Syncytial Virus)

Anti-Neoplastics
Cyclosporine
Cyclophosphamide
Cisplatins toxicities
Methotrexate
Leucovorin Rescue
Bleomycin toxicities
Azathiorine
MOPP

Tamoxifen
Flutamide
Megestrol
Fluoxymesterone
Methotrexate
Brain tumor Txt
Streptozocin
Cytarabine (AraC)
Dactinomycin
Etoposide
Paclitaxel

80.
81.
82.
83.
84.

Protects against rejections from organ transplants


Does not induce bone marrow depression
Alkylating agent of both purine & pyrimidine bases of DNA
Txt CLL
Nephro- & Ototoxicity

85. Antimetabolite of folic acid: (-)dihydrofolate reductase


86. Can block/reduce Methotrexate =

folic acid via a reduced folate

87. Pneumonitis & pulmonary fibrosis


88.
89.
90.
91.
92.
93.
94.
95.
96.
97.
98.
99.
100.
101.
102.
103.
104.
105.
106.
107.
108.
109.
110.
111.
112.
113.

Used in organ transplantation = kidney allografts


Allopurinol can its activity by (-) its biotransformation to xanthine oxidase
Chemotherapy used in the txt of Hodgkins disease
M = Mechlorethamine nitrogen mustard
O = Oncovin (Vincristine) prevents microtubule assembly
P = Procarbazine
P = Prednisone glucocorticoid, inducing apoptosis
(-) estrogen receptor
Txt of breast tumors, can see associated endometrial CA
Antiandrogenic
Used w/ Leuprolide (LH-RH analog)
Txt prostatic CA
(-) progesterone receptor
Txt endometrial CA
Androgenic steroid
Txt mammary CA in postmenopausal women
Folic acid analog that (-) tetrahydrofolate synthesis by (-) dihydrofolate reductase
Txt of ALL
Txt of Psoriasis
Lomustine
Carmustine Causes pulmonary fibrosis
Attaches to cells
Txt of pancreatic insulinomas
Pyrimidine analog
DOC for AML
Used for Wilms tumor & rhabdomyosarcoma

114. Used for oat cell CA


115. Used for ovarian CA
Page 19

Amifostine

116. Can

nephrotoxicity due to chronic use of Cisplatin

Pathology
Mobitz I
Mobitz II
P wave
a wave
T wave
Wavy fibers
Janeways lesions
Oslers nodes
Thiamine defcy
Fibrinous Pericarditis
Serous Pericarditis
Friction Rub
Hemorrhagic Pericarditis
Restrictive Cardiomyopathy
PMLs infectious agent
Edema

Adult Polycystic Kidney


Disease
Malignant HTN & Kidneys
Nephritic signs
Nephrotic signs
Podocyte Effacement seen
w/
ASO seen in
Crescentic GN
Hereditary Nephritis
Membranoproliferative GN
TypeI Membrano
Proliferative GN deposits
TypeII Membrano
Proliferative GN deposits
Focal segmental
glomerulosclerosis deposits
Cold agglutinins
Scrofula
Aspirin-Asthma Triad
Ferruginous bodies
Pancoasts tumor causes

117. Usually due to inferior MI. Rarely goes into 3rd degree block.
118. Txt w/ Atropine or Isoproterenol.
119. BBB association. Often goes to 3rd degree AV block. Usually due to anterior MI.
120. Atrial depol.
121. LA contraction
122. Vetricular repol.
123. Eosinophilic bands of necrotic myocytes. Early sign of MI.
124.
125.
126.
127.
128.
129.
130.
131.

Acute bacterial endocarditis.


Nontender, erythematous lesions of palms & soles.
Subacute bacterial endocarditis.
Tender lesions of fingers & toes.
Wet Beri Beri heart. Dilated (congested) cardiomyopathy due to chronic alcohol consumption
Dyr Beri Beri = peripheral neuropathy
Wernicke-Korsakoff = ataxia; confusion; confabulation; memory loss
Associated w/ MI: Dresslers

132. Associated w/ nonbacterial; viral (Coxsackie) infection; immunologic reaction.


133. Pericarditis association
134. Associated w/ TB or neoplasm
135.
136.
137.
138.

Aka infiltrative cardiomyopathy that stiffens the heart


Due to amyloidosis in the elderly
Due to , also see schaumann & asteroid bodies in young (<25 yoa).
JC Virus (Papovavirus = dsDNA, naked icosahedral capsid)

139.
140.
141.
142.
143.
144.

Pc (more seeps out)


c (less reabsorbed)
permeability
Block lymphatic drainage
Commonly see liver cysts & Berry aneurysms along w/ kidney cysts. Hematuria & HTN also present.
3 cysts in ea. Kidney w/ + family history confirms diagnosis

145. Petehial hemorrhages are seen on kidney surfaces = Flea-Bitten surface = young black men
146. Hematuria; RBC casts; HTN
147. Proteinuria; Hypoalbuminemia; Edema
148. Minimal Change (Lipoid nephrosis) disease
149.
150.
151.
152.
153.
154.
155.
156.
157.

Acute post-streptococcal GN (due to HGASrtep)


Anti streptolysin O
Rapidly progressive GN nephritic syndrome
Associated w/ multi system disease or post-strep/post infectious glomerular nephritis
Alports syndrome. X linked
Renal disease w/ deafness & ocualr abnormalities
Can be secondary to complement deficiency; chronic infections; CLL
See tram tracking
C3 & IgG deposits

158. Only C3 deposits


159. Aka Dense deposit disease
160. IgM & C3 deposits
161. Seen in atypical pneumonia
162. It is IgM Ab with specificity for I Ag on adult RBCs
163. TB in the lymph nodes
164. Nasal polyps Rhinitis bronchoconstriction
165. Hemosiderin (pigment w/ Fe3-) covered macrophages that have been pahgocytised
166. Ulnar nerve pain & Horners syndrome
Page 20

Fatty degeneration
Cloudy swelling
Hydropic degeneration
Liquefaction necrosis
Coagulation necrosis
Caseation necrosis
Fibrinoid necrosis
Fat necrosis
Hemoptysis
Pulmonary embolism
Phlebothrombosis
Saddle embolus
Paradoxical embolism
Tuberculoid granuloma
Cellulitis
PSA
5-HT
Feto Protein
CEA
Chromosome 13
Chromosome 11p
Vinyl Chloride
Agent Orange
Parasites & CA
Ochronosis

Lead poisoning

Heroin OD, clinically


Fetal alcohol syndrome
Atypical mycobacterium
Cold abscesses
Actinomyces isrealli
Congenital Syphilis
Warthin-Finkeledy cells

167.
168.
169.
170.
171.
172.
173.
174.
175.
176.
177.
178.
179.
180.
181.
182.
183.
184.
185.

Made up primarily of triglycerides


Most commonly due to alcoholism which commonly leads to hepatic cirrhosis
Associated w/ CCl4Failure of cellular Na pump
Seen in Fatty degeneration of the liver and in Hydropic (Vacuolar) degeneration of the liver
Severe form of cloudy swelling
Seen with hypokalemia induced by vomitting/diarrhea
Rapid enzymatic break down of lipids
Seen commonly in Brain & Spinal cord (CNS) injuries
Seen in suppurative infections = pus formation
Result of sudden ischemia
Seen in organs w/ end arteries limited collateral circulation) = heart, lung, kidney, spleen
Combination of both coagulation & liquefaction necrosis
Seen w/ M. tuberculosis & Histoplasma capsulatum infection
Seen in the walls of small arteries
Associated w/ malignant hypertension, polyarteritis nodosa, immune mediated vasculitis
Result of lipase actions liberated from pancreatic enzymes
Seen w/ Acute pancreatitis = saponification results
Blood in sputum

186. Most commonly thrombus from lower extremity vein


187.
188.
189.
190.
191.
192.
193.
194.
195.

From a vein of lower extremities, of a pregnant uterus, in Congestive heart failure, bed ridden pt,
As a complicaiton in a pt w/ Pancreatic CA due to d blood coagulability
Embolus lodged in bifurcation of pulmonary trunks
RV strain = RV & RA dilate = Acute cor Pulmonale
Right to Left shunt allows a venous embolism to enter arterial circulation
Patent ovale foramen or Atrial septal defect
Collection of macrophages w/o caseation
Seen w/ Sarcoidosis (non-caseating); Syphilis; Brucellosis and Leprotic infections
Spreading infection due to streptococcus

196. Prostate Specific Antigen = elevated in prostatic CA


197. In cases of metastatic carcinoid, txt w/ Methysergide (5HT antagonist)
198. Hepatocarcinoma
199. Neural tube defects
200. Carcinoembryonic Antigen = elevated in Colon CA
201. Retinoblastoma
202. Wilms tumor of the kidney
203. Associated w/ Angiosarcoma of the liver
204. Contains dioxin
205. Implicated as a cause of Hodgkin;s disease, non-Hodgkins lymphoma & soft tissue sarcomas
206. Schistosoma haematobium = Urinary bladder CA
207. S. mansoni = Colon CA
208. Aspergillus flavus = potent hepatocarcinogen
209. Alkaptonuria
210. Error in tyrosine metabolism due to Homogentisic acid (oxidizes tyrosine)
211. Involving intervertebral disks = Ankylosing Spondilitis = Poker spine
212. See dark urine; dark coloration of sclera, tendons, cartilage
213. Acid fast inclusion bodies
214. urinary coproprophyrin
215. Anemia: microcytic/ hypochromic
216. Stippling of the basophils
217. Gingival line & lead line in bones: x-ray
218. Mental retardation
219. Massive pulmonary edema w/ frothy fluid from the nostrils
220. Small head, small eyes, funnel chest, ASD, mental deficiency, and hirsutism
221. M. kanasasii & M. avium intracellulare
222. Liquefied TB lesions similar to pyogenic abscesses but lacking acute inflammation
223. Farmers infection
224. Lumpy jaw (from chewing grain) & PID (IUD), but most common is due to saprophyticus
225. Saddle nose, Saber shin, Hutchinsons teeth, nerve deafness, interstitial keratitis
226. Reticuloendothelial giant cells on tonsils, lymph nodes, spleen
Page 21

Diphyllobothrium latum
Subacute Bacterial
Endocarditis
Acute Bacterial Endocarditis
Mitral Insufficiency
Left Anterior Descending
branch
Left Circumflex branch
Dissecting Aneurysm

Cor Pulmonale
Acute Cor Pulmonale
Bronchopneumonia
Lobar pneumonia

Bronchiectasis
Cold Agglutinins
Panlobular Emphysema
Bulla
Farmers Lung
Bagassosis
Silo-Fillers Lung
G6PDH Deficiency
HbF
Multiple Myeloma
Hodgkins Disease
Polyarteritis Nodosa
Sprue
Regional Enteritis
Whipples Disease
Kulchitsky cells
Ulcerative Colitis

Vaginal Adenosis
Scirrhous Carcinoma
Hofbauer Cells

227. Seen with Rubeola (measles) due to paramyxovirus


228. Tapeworm infection causing megaloblastic anemia by consuming large amount of vit B12 in the host
229.

Hemolytic Streptococci (S. viridans) = usually in pt w/ pre-existing heart problem

230. Staph aureus, Hemolytic Streptococci, E. coli


231. Common among drug addicts & diabetics
232. Ruptured papillary muscle
233. Branch of the Left Coronary artery
234. Highest frequency of thrombotic occlusion
235. MI = anterior wall of the LV, especially in apical part of interventricular septum
236. Branch of the Left Coronary artery
237. Occlusion = MI of posterior/lateral wall of the LV
238. False aneurysm: it is splitting of the media of the aorta
239. Usually accompanied w/ long history of severe hypertension, also seen w/ familial hyperlipidemia,
atherosclerotic disease, Marfans Collagen disease
240. Zones of medial necrosis +/- slitlike cysts = Medial Cystic Necrosis of Erdheim
241. Right ventricular strain, associated w/ right ventricular hypertrophy
242. Sudden right ventricular strain due to a massive pulmonary embolism
243. Lobular (rather than lobar)
244. Due to Staph aureus; Pseudomonas aeruginosa; Klebsiella; E. coli
245. Abscess formation is common
246. Due to Strep. Pneumoniae infection (5% due to Klebsiella)
247. Red Hepatization: days 1-3 of the pneumonia
248. Gray Hepatization: days 3-8 of untreated pneumonia
249. Complicaitons: pleural effusion; atelectasia; fibrinous pleuritis; empyema; fibrinous pericarditis; otitis
media
250. Permanent dilatation of the bronchi predisposed by chronic sinusitis and post nasal drip
251. Supparation associated
252. Lower lobe > than upper lobe involvement
253. Found w/ Mycoplasma pneumoniae
254. 1 antitrypsin deficiency, causing elastase

compliance in the lung

255. Associated w/ Emphysema = Bleb = outpouching - If it ruptures causes Pneumothorax


256. Due to Micropolyspora faeni (thermophilic actinomycetes)
257. Due to M. vulgaris (actinomycetes)
258. Inhalation of sugar cane dust
259. Due to Nitrogen dioxide from nitrates in corn
260. Sex-linked chronic hemolytic anemia w/o challenge or after eating fava beans
261. Heinz Bodies appear in RBCs
262. Sickle Cell Anemia
263. Lytic lesions of flat bones (salt & pepper lesions) = vertebrae, ribs, skull; Hypercalcemia; Bence-Jones
protein casts
264. Malignant neoplasm of the lymph nodes causing pruritis; fever = looks like an acute infection
265. Reed Sternberg cells
266. Immune complex disease of Ag-Ab complexes on blood vessel wall
267. Half of the immune complexes have Hepatitis B Ag
268. Can see fever; abd.pain; wt; HTN; muscle aches
269. Celiac disease due to a gluten-induced enteropathy = small intestine villi are blunted
270. High titers of anti-gliadin Abs & IgA levels
271. Crohns Disease
272. Association w/ Arthritis; Uveitis; Erythema Nodosum
273. Intestinal Lipodystrophy = malabsorption syndrome
274. Neural cest cells from which carcinoids arise = of the Bronchi; GIT; Pancreas
275. Inflammatory disease of the colon w/ colon CA incidence
276. Crypt abscess in the crypts of Lieberkuhn
277. Pseudopolyps when ulcers are deep
278. Not transmural involvement
279. Women exposed to DES (Diethylstilbesterol) in utero before the 18th week of pregnancy
280. Some develop clear cell adenocarcinoma of the vagina & cervix
281. Infiltrating Duct Carcinoma w/ fibrosis most common type of breast carcinoma
282. Lipid laden macrophages seen in villi of Erythroblastosis Fetalis
Page 22

Retinopathy of Prematurity
IgA deficiency
Priamry Sjorgens
Secondary Sjorgens
LDH1 & LDH2
LDH3
LDH4 & LDH5
Keratomalacia
Metabisfite Test
Microangiopathic Hemolytic
Anemia
Wrights stain
Mononucleosis
T(8;14)
T(9;22)
Langerhan Cell Histiocytosis
Myeloid Metaplasia
Multiple Myeloma

T(14;18)
Focal Segmental GN exs
Nephrotic Syndrome exs
Schistosoma Haematobium
Penicillin Resistant PID
Duret Hemorrhages
Hypertensive Hemorrhage
Cerebral Embolism from
Neurosyphilis
5pTrisomy 13
Acute Cold Agglutinaiton
Chronic Cold Agglutinaiton
RBC Osmotic Fragility
Non-Hodgkins Lymphomas

Singers Nodules
Paraseptal emphysema

283. Retrolental Fibroplasia = cause of bindness in premies due to high O2 concentrations


284. Pt has recurrent infections & diarrhea w/ respiratory tract allergy & autoimmune diseases
285. If given blood w/ IgA = develop severe, fatal anaphylaxis reaction
286. Dry eyes & dry mouth, arthritis. risk for B cell lymphoma. HLA-DR3 frequent. Autoimmune disease.
287. Rheumatoid arthritis, SLE, or systemic sclerosis association
288. RA association shows HLA-DR4
289. Myocardium. LDH1 higher than LDH2 = Myocardial Infarction
290. Lung tissue
291. Liver cells
292. Severe Vit A deficiency. See Bitots spots in the eyes = gray plaques = thickened, keratinized ET
293. Suspending RBCs in a low O2 content solution
294. Can detect Hemoglobin S, which sickles in low O2
295. Can be due to Hemolyitc Uremic Syndrome & Thrombotic Thrombocytopenic Purpura (TTP)
296. See Helmet cells
297. Stain for Burkitts lymphoma
298. Due to EBV infeciton
299. If Mono is treated w/ Ampicillin, thinking that it is a strep pharyngitis, a rash will occur.
300. Burkitts lymphoma = c-myc oncogene overexpression
301. CML = c-abl/bcr gene formation = Philadelphia translocation
302. Letter Siwe syndrome; Hand Schuller Christian Disease; Eosinophilic Granuloma
303. Birbeck granules are present = tennis racket shape
304. Alkaline phosphatase /normal compare to CML = low to absent
305. Anemia; splenomegaly; platelets > 1 million = extensive extra-medullary hematopoiesis
306. Weakness; wt. loss; recurrent infection; proteinuria; anemia; proliferation of plasma cells in BM =
plasma cell dx
307. Serum M protein spike most often of IgG or IgA
308. Hypercalcemia ( bone destruction)
309. NH Lymphoma = bcl2 proto-oncogene overexpression seen w/
310. IgA Focal GN = Bergers disease; SLE; PAN; Schonlein-Henoch purpura (anaphylactoid purpura)
311. Focal (Segmental) GN; Membranous GN; Lipoid (Minimal Change) GN; Membranoproliferative GN; Hep B;
Syphilis; Penicillamine
312. Infection is assocaited w/ Squamous cell CA of the Bladder (most common Bladder CA is transitional
cell type)
313. Associated w/ portal HTN due to intrahepatic obstruction
314. PID is usually due to N. Gonorrhoeae, but if unresponsive to penicillin think of Bacteroides species
315. Severe in ICP w/ downward diplacement of cerebellar tonsils into Foramen Magnum causing a
compression on the brainstem w/ hemorrhaging into the pons & midbrain
316. Nearly always associated w/ death due to damage to the vital centers in these areas
317. Predilection for lenticulostriate arteries = putamen & internal capsule hemorrhages
318. MI w/ Mural Thrombi; Atrial Fib Thrombi = Marantic thrombi; L-sided Bacterial Endocarditis;
Paradoxical Embolism of septal defect
319. Tabes Dorsalis = joint position sensation, pain sensation, ataxia, Argyl Robertson pupils
320. Syphilitic meningitis
321. Paretic neurosyphilis
322. Cri di Chat: mental retardation; small head; wide set eyes; low set ears; cat-like cry
323. Pataus: small head & eyes; cleft lip & palate; many fingers
324. Abs to I blood group Ag. Mediated by IgM Abs
325. Complication of EBV or Mycoplasma pneumoniae infections
326. Associated w/lymphoid neoplasms. See agglutination & hemolysis in tissue exposed to cold. IgM Abs
327. Hereditary Spherocytosis
328. Small Lymphocytic: low grade B cell lymphoma of the elderly. Related to CLL.
329. Small Cleaved cell (Follicualr): low grade B cell lymphoma of the elderly. T(14;18) bcl-2 oncogene
330. Large Cell
331. Lymphoblastic: high grade T cell lymphoma of kids progressing to T-ALL
332. Small Non Cleaved = Burkitts: high grade B cell lymphoma. EBV infection.
histo appearance.
T(8;14) c-myc proto-oncogene. Related to B-ALL
333. Benign laryngeal polyps associated w/ smoking & overuse of the voice
334. Associated w/ blebs (large subpleural bullae) that can rupture and cause pneumothorax
Page 23

Superior Vena Cava Syndrome


Betel nuts
Fundal (Type A) Gastritis
Antral (Type B) Gastritis
Primary Biliary Cirrhosis
Acute Pancreatitis
Radiating Back Pain
Complete Hydatidiform Mole
Partial Hydatidiform Mole
Cold Nodules
Acidophils
Basophils
Lacunar Strokes
CSF of Bacterial Meningitis
CSF of Viral Meningitis
Marble Bone Disease
C5a
C3b
Anaphylotoxins
Vasoactive Mediators
Platelet Aggregation
Platelet Antagonist
Intrinsic Pathway
Extrinsic Pathway
Lines of Zahn
Currant Jelly appearance
Emigration: Chemotaxis

Transudate
Exudate
Hurlers
Galactosemia
Phenylketonuria
Autosomal Dominant Diseases

Autosomal Recessive
Diseases

335. Obstructed due to bronchogenic carcinoma. Causing swollen face & cyanosis.
336. Associated to oral cancer.
337. Antibodies to parietal cells; pernicious anemia; autoimmune diseases
338. Associated w/ Helicobacter (Campylobacter) pylori infection. 90% of duodenal ulcer
339. Autoimmune origin; middle aged women; anti-mitochondrial Abs
340. Jaundice; itching; hypercholesterolemia (can see cutaneous xanthomas)
341. pancreatic enzymes = fat necrosis; sapponification = hypocalcemia; serum amylase
342. Severe epigastric ab pain; prostration; radiation to the back
343. Chronic pancreatitis
344. No embryo. Paternal derivation only. 46XX
345. Embryo. 2 or more sprems fertilized 1 ovum: triploidy/tetraploidy occurs
346. Hypoplastic Goiter nodules that do not take up radio active iodine. [Opposite: hot & do take up iodine]
347. Mammotrophs = Prolactin
348. Somatotrophs = GH
349. Thyrotrophs = TSH
350. Gonadotrophs = LH
351. Corticotrophs = ACTH & FSH
352. Small/focal aa occlusions. Purely motor or sensory.
353. Sensory: lesion of thalamus
354. Motor: lesion of internal capsule
355. Glucose; Protein; Neutrophils; Pressure
356. Normal Glucose; +/- Protein;

Lymphocytes

357. Osteoporosis: Albers-Schonberd Disease = inspite of d bone density, many fractures =

osteoclasts

358. Involved in Chemotaxis (for Neutrophils)


359. Involved in Opsonization (& IgG)
360. C3a & C5a (mediate Histamine release from Basophils & Mast cells)
361. Vasoconstriction: TxA2; LTC4; LTD4; LTE4; PAF
362. Vasodilation: PGI2; PGD2; PGE2; PGF2 ; Bradykinin; PAF
363. d Vascular Permeability: Hist.; 5HT; PGD2; PGE2; PGF2 ; LTC4; LTD4; LTE4; Bradykinin; PAF
364. ADP; Thrombin; TxA2; collagen; Epinephrine; PAF
365. Prostacyclin (PGI2)
366. F XII (Hagman): APTT
367. F VII: PT
368. Aterial thrombi = pale red colored (dark red is venous thrombi)
369. Post mortem clots
370. Margination
371. Pavementing
372. Adhesion
373. Chemotaxis
374. Phagocytosis
375. Intracellular microbial killing
376. Specific gravity < 1.012 low protein
377. Specific gravity > 1.020 high protein
378. Lysosomal storage disease

L Iduronidase Heparan/Dermatan Sulfate accumulation

379. Deficiency of Galactose 1 Phosphate Uridyl Transferase.

Galactose 1 Phosphate

380. Deficiency: Phenylalanine Hydroxylase.


Phenyalanine & degradation products
381. Mousy body odor
382. Adult Poly Cystic Kidney Disease
383. Familial Hypercholestrolemia Disease
384. Hereditary Hemorrhagic Telengectasia (Osler-Weber-Rendu)
385. Hereditary Spherocytosis
386. Huntingtons Disease (chromosome 4p)
387. Marfans Syndrome
388. Neurofibromatosis (von Recklinghausens)
389. Tuberous Sclerosis
390. Von Hippel Lindau Disease
391. Tay-Sachs
392. Gauchers
Page 24

X Linked Recessive Diseases

Hypersensitivity Reactions
ACID

Transplant Rejections

Blood Metastasis
Lymph Metastasis
Aflatoxin
Cleft Lip
Cleft Palate
Craniopharyngioma
Lateral Geniculate Nucleus
Medial Geniculate Body
Lung Development

Hearts 1st Beat


Foregut
Midgut
Hindgut
Hypnagogic Hallucinaitons
Type I Error
Subdural Hematoma
Epidural Hematoma
Type II Error
Power
Sensitivity
Specificity
Positive Predictive Value
Negative Predictive Value
Odds Ratio
d-Dimers
Delusion
Loose Association
5 Stages of Death

393. Niemann-Pick
394. Hurlers
395. Von Gierkes
396. Pompes
397. Coris
398. McArdles
399. Galactosemia
400. PKU
401. Alcaptonuria
402. Hunters Syndrome (L-Iduronosulfate Sulfatase deficincy, Heparan/Dermatan Sulfate)
403. Fabrys Disease ( Galactosidase A deficiency, Ceremide Trihexoside)
404. Classic Hemophilia A (Factor VIII deficiency, F8 Gene on X chromosome is bad, Ceremide Trihexoside)
405. Lisch-Nyhan Syndrome (HGPRT deficiency, Uric acid)
406. G6Phosphatase deficiency (G6PDH deficiency, Ceremide trihexoside)
407. Duchennes Muscular Dystrophy (Dystrophin deficinecy, Ceremide Trihexoside)
408. Type I (Anaphylactic): IgE mediated. Exs: Hay Fever; Allergic asthma; Hives
409. Type II (Cytotoxic): Warm Ab autoimmune hemolytic anemia; hemolytic transfusion reactions;
Erythroblastosis Fetalis; Graves Disease; Goodpastures
410. Type III (Immune Complex): Insoluble complement bound aggregates of Ag-Ab complexes. Exs: Serum
sickness; Arthus Reaction; Polyarteritis Nodosa; SLE; Immune Complex Mediated Glomerular Disease
411. Type IV (Delayed = Cell mediated immunity): Delayed hypersensitivity. Involves memory cells. Exs:
Tuberculin reaction; Contact dermatitis; Tumor cell killing; Virally infected cell killing
412. Hyperacute Rejection = occurs w/in minutes of transplant. Ab mediated.
413. Acute Rejection = occurs w/in days to months of transplant. Lymphocytes & macrophages. Only
rejection type that can be treated w/ therapy.
414. Chronic Rejection = occurs months to years of transplant. Ab mediates vascular damage.
415. Sarcoma, exception renal cell CA: early venous invasion
416. Carcinoma, exception renal cell CA: early venous invasion
417. Seen w/ Aspergillus.

risk for Hepatocellular CA

418. Incomplete fusion of maxillary prominence w/ median nasal prominence


419. Incomplete fusion of lateral palatine process w/ each other & median nasal prominence & medial
palatine prominence
416. Pituitary tumor - usually calcified
Inolved in Vision relay
Involved in Hearing relay
Glandular: 5-17 fetal weeks
Canalicular 13-25 fetal weeks
Terminal Sac 24 weeks to birth
Alveolar period birth-8yoa
21-22 days
Mouth ! Common Bile Duct - supplied by Celiac Artery
Duodenum, just below Common Bile Duct ! Splenic flexure of the Colon supplied by Superior Mesenteric
artery
Splenic Flexure ! Butt crack ! supplied by Inferior Mesenteric Artery
Narcolepsy
: Convicting the innocent accepting experimental hypothesis/rejecting null hypothesis
Ruptured cerebral bridging veins
Ruptured middle meningeal artery intervals of lucidness, 2ry to Temporal bone fracture
: Setting the guilty free fail to reject the null hypotesis when it was false
1TP/TP + FN
TN/TN + FP
TP/TP + FP
TN/TN + FN
ad/bc
DIC
Disorder of thought content
Skip from topic to topic
Denial Anger Bargaining Depression Acceptance
Page 25

1st Branchial Arch


2nd Branchial Arch
Median nerve lesion
Radial nerve lesion
Common peroneal lesion
Diract inguinal hernia
Indirect inguinal hernia
@ Diaphragm T8, T10, T12
Hemiballism
O Linked Oligosaccharide
N Linked Oligosaccharide
MLF Syndrome
ADA Deficiency
Raphe Nucleus
waves
Irreversible Glycolysis
Enzymes
Irreversible Gluconeogenesis
Enzymes

Pellagra

TLCFN
LCAT or PCAT
HMGCoA Reductase
Ketogenic amino acids
Glucogenic amino acids
Keto & Gluco amino acids
Carnitine Shuttle
Cori Cycle
(-) Na+ Pump (ATPase)
TCA Cycle Products
Cones
Rods
Gastrula
Epiblast
Sydenhams Chorea
(+) Frei Test

Meckels cartillage gives rise to incus/malleus bones of ear


Reicherts cartillage gives rise to stapes bone of ear
No pronation
Wrist drop seen w/ humerus fracture
Foot drop. No dorsiflexion or eversion of the foot
Goes through superficial inguinal ring.
Medial to inferior epigastric artery
Seen in older men
Goes through deep & superficial inguinal ring
Lateral to inferior epigastric artery
Seen in young boys processus vaginalis did not close
T8 = Inferior vena cava
T10 = Esophagus/ Vagus
T12 = Aorta/ Thoracic duct/ Azygous vein
Wild flailing of 1 arm. Lesion of the sub thalamic nucleus
In the Golgi
In the RER
Internuclear Ophthalmoplegia: medial rectus palsy on lateral gaze; Nystagmus on abducting eye.
Seen w/ MS
SCID
Initiation of sleep via 5HT predominance
Alert; Awake; Active mind also seen in REM, therefore we say paradoxical sleep
Hexokinase
PhosphoFructo Kinase = Rate Limiting Step
Pyruvate Kinase
Pyruvate Dehydrogenase
PyruvateCarboxy Kinase
PEPCarboxyKinase
Fructose 1,6 BiPhosphatase
Glucose 6 Phosphatase
**muscle dose not take part in Gluconeogenesis, only takes place in the liver, kidney & GI epithelium
Diarrhea, Dermatitis, Dementia
Niacin Deficiency (Vit B3 deficiency)
Hartnups Disease
Malignant Carcinoid Syndrome
INH use
Needed as co-factor for Pyruvate DH complex & Ketoglutarate DH complex
Esterification of cholesterol: lecithin cholesterol acetyltransferase
Lecithin = Phosphatidylcholine, therefore phosphotidylcholine acetyltransferase
Rate limiting step in cholesterol synthesis
Changes HMGCoA ! Mevalonate
(-) by Lovastatin
Leucine & Lysine
Methionine, Threonine, Valine, Arginine, Histadine
Phenylalanine, Trytophan, Isoleucine
Feeds FA into the mitochondria for their consumption
Keeps muscles working anaerobically.
Transfers lactate to the liver to make glucose which is sent back into the muscles for energy use
Ouabain [(-) K+ pump]
Vanadate [(-) phosphorylation]
Digoxin [ heart contractility]
Citric Acid Is Krebs Starting Substrate For Mitochondrial Oxidation
Citrate ! Aconitate ! Isocitrate ! Ketoglutarate ! Succinyl ! Succinate ! Fumarate ! Malate !OAA
Color vision. Contain Iodopsin = Red-Blue-Green specific pigment. For acuity.
Contain Rhodopsin pigment. High sensitivity. Concentrated in the fovea. Night vision.
Seen @ 3rd week: Ecto, Meso & Endo
@ 2nd week: forms the primitive streak, from which Meso & Endo come from. Directly gives rise to Ecto.
Post streptococcal infection. Necrotizing arteritis of the caudate, putamen, thalamus
Chlamydia trachomatis types L1, L2, L3 = Lymphogranuloma venereum
Page 26

Sabourauds Agar
FMR1 Gene Defect
Barr Body
Aortic Insufficiency Signs
Scleroderma :CREST
Cretinism
Hemochromatosis Triad

Culture for all Fungi ieCulture Cryptococcus neofromans which is found in pigeon droppings
Fragile X Syndrome: macro-orchidism; long face; large jaw; large everted ears; autism, mental retardation
Present in Kleinfelters: Male: XXY
Not present in Turners: Female: XO
Traube Sign = Pistol shot sound over the femoral vessels
Corrigan pulse = water hammer pulse over coratid artery = aortic regurgitation
Calcinosis; Raynauds; Esophageal; Sclerodactyl; Telangiectasis
Sporadic: bad T4 phosphorylation or developmental failure of thyroid formation
Endemic: no Iodine in diet: protruding belly & belly button
Micronodular pigment cirrhosis; Bronze Diabetes; Skin pigmentation = due to Fe3+ deposition

Highly Tested Drug Side Effects


420.

Clozapine, Chloramphenical

421.
422.
423.
424.

Chloramphenicol
NSAIDs
Benzene
Tricyclics

425.
426.
427.

Doxorubicin
Daunorubicin
Fluoroquinolones (Ciprofloxacin & Norfloxacin)

428.

Quinidine

429.

ACE Inhibitors

430.

Lithium (Txt w/ Amiloride)

431.
432.
433.

Metronidazole
Sulfonylureas (1st generation)
Antipsychotics (Thioridazine, Haloperidol, Chlorpromazine)

434.

Tetracycline

435.
436.
437.
438.

Valproic Acid
Halothane
Acetaminophen
Phenytoin

439.

Chloramphenicol

440.
441.
442.
443.
444.
445.
446.
447.
448.
449.

Cimetidine
Azoles
Spironolactone
Digitalis
Sulfonamides
Isoniazid
Aspirin
Ibuprofen
Primaquine
Isoniazid

Monday Disease

450.
451.
452.
453.
454.
455.
456.
457.
458.
459.
460.
461.
462.
463.

Niacin
Tamoxifen
Ca++ Channel Blockers
Barbiturates Phenobarbital
Phenytoin
Carbamazepine
Rifampin
Cimetidine
Ketoconazole
Methicillin
NSAIDs (except Aspirin)
Furosemide
Sulfonamides
Nitroglycerin Industrial exposure

Orange Body Fluids

464.

Agranulocytosis
Aplastic Anemia
Atropine-like Side Effects
Cardiotoxicity
Cartilage Damage in Children
Cinchonism
Cough
Nephrogenic Diabetes Insipidus
Disulfiram-like Effect
Extrapyramidal Side Effects
Fanconis Syndrome
Fatal Hepatotoxicity (necrosis)
Gingival Hyperplasia
Gray Baby Syndrome
Gynecomastia

Hemolytic Anemia in G6PD-deficiency

Hepatitis
Hot Flashes, Flushing
Induce CP450

Inhibit CP450
Interstitial Nephritis

ach, dizziness upon re-exposure

Rifampin
Page 27

tolerance during week

loss of tolerance during weekend

headache, -

Osteoporosis
Positive Coombs Test
Pulmonary Fibrosis
Red Man Syndrome
Severe HTN with Tyramine
SLE-like Syndrome
Tardive Dyskinesia
Tinnitus

465.
466.
467.

Heparin
Corticosteroids
Methyldopa

468.
469.
470.

Bleomycin
Amiodarone
Vancomycin

471.

MAOIs

472.
473.
474.
475.
476.
477.
478.

Procainamide
Hydralazine
INH
Antipsychotics (Thioridazine, Haloperidol, Chlorpromazine) Clozapine: only antipsychotic to not
give you tardive dyskinesia
Aspirin
Quinidine

Microbiology
Lactose formers

Non lactose formers

May lack color

cAMP

Have Capsules [ie are Quellung Reaction (+)]

Dimorphic Fungi

Have

Prophage

Spore Forming Bacteria


IgA Proteases
Widal Test

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.

CEEK
Citrobacter
Enterobacter
E.Coli (K1 capsule most important)
Klebsiella
SHYPS
Motile:
Shigella
make H2S
Yersinia enterolytica (AKA Pestis)
Proteus
Non Motile: noH2S
Salmonella
These rascals may microscopically lack color:
Treponema
Ricksetta
Mycobacterium
Mycoplasma
Legionella
Chlamydia
CAPE
Cholera
Anthracis (Poly D glutamate capsule)
Pertusis (via Gi)
E.coli (LT enterotoxin)
Some killers have pretty nice capsules
Strep. Pneumoniae
Klebsiella
HiB
Pseudamona Aeroginosa
Neisseria meningitis
Cryptococcus neoformans (only encapsulated fungal pathogen)
Can Also Have Both Shapes
Cocciodes
Aspergillus
Histolpasma
Blastomyces
Sprothrix schenkii
OBED
O = Salmonella
B = Botulinum
E = Erythrogenic strep
D = Diptheria
Bacilus & Clostridium (have calcium di-picolinate)

42. Neisseria, Haemophilus, S. pneumoniae


43. Salmonella (Salmonella begins in the ileocecal region) agglutination indicates Abs to O, H, Vi Salmunella Ags
Page 28

Waysons Stain
Pneumonic Plaque Transmission
Splenectomy
Invasins
Fusiform
S. viridans
Obligate Aerobes
Obligate Anaerobes
Staph aureus
Spirochetes
Non Motile Gram (+) Rods
Acid Fast Organisms
Pigment Producing Bacteria

Bacterial Morphology

Inclusion Bodies

Schistosoma Japonicum Monsoni


Schistosoma Haematolium
Non Human Schistosom
Clonorchichis
Fasciola Hepatica
Fasciola Biski
Paragonimus Westermani
Oxidase (+)
Micro Aerophilic
Urease (+)

Coagulase (+)
Obligate Intracellular Bacteria
Protozoa
Obligate Non Intracellular Parasites
Haemophilus Factors
All cocci are
Eaton Fried Eggs
Mycoplasma

Sabrands
Malassazia furfur

44. Yersinia
45. Person to person cf w/ Bubonic plaque that was via infected flea
46. Predisposes to septicemia
47. Yersinia pseudotuberculosis
48. Vincents trench mouth
49. Dextran mediated adherence
50. Pseudomonas & Mycobacterium
51. Clostridium, Actinomyces, Bacteroides
52. A Protein, Catalase +/ Coagulase +
53. Treponema, Borrelia, Leptospira
54. Corenybacterium D & Nocardia
55. Mycobacterium; Cryptosporidium; Nocardia (partially); Legionella micdadei; Isospora
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.

Serratia red (can cause pseudohemoptysis)


Pseudomonas A piocyanin blue/green
Staph Aureus yellow Protein A
Mycobacteria photo/scoto chromogenic caritinoid yellow/orange
Corneybacterium D black/gray pseudomembrane plaque in throat
Bacteroides (Porphyromonas) melaninogenicus black (heme)
E. coli irredescent green sheen
Pneumococci lancet shaped diplococci
Neisseria kidney bean shaped diplococci
Camphylobacter gulls wings/comas
Vibrio Cholera coma shaped
Corneybacterium D club shaped (nonmotile, G+Rod)
Yersinia safety pin seen in Waysons stain
Rabies Negri bodies intracytoplasmic
Pox virus Guarnieri intracytoplasmic & acidophilic
CMV Owls eyes intracytoplasmic & intranuclear
HSV Cowdry bodies intranuclear
Intestinal contact w/ bad water

74. Vesicular contact w/ bad water


75. Swimmers itch contact w/ bad water
76. Chinese liver fluke eating raw fish. Txt: Praziquantel
77. Sheep eating raw fish. Txt: Praziquantel
78. Giant intestinal flukes eating raw fish. Txt: Praziquantel
79. Lung fluke eating raw fish. Txt: Praziquantel
80. Neiserria and most Gram (-)s
81. Camphylobacter & Helicobacter
82.
83.
84.
85.
86.
87.

All Proteus can cause Staghorn/Struvite calculi (NH4- Mg2- stones): alkaline urine
Ureaplasma
Campylobacter pylori (Helicobacter)
Cryptococcus
Nocardia
Staph A & Yersenia pestis

88. Chlamydia Pistacci (Chlamydia do not make own ATP); Mycobacterium Leprae; all Rickettsia
except Roachalimea (make suficient ATP to survive)
89. Plasmodium; Toxoplasma ghondi; Babesin; Leishmania; Trypanosoma Cruzi
90. Treponema palidum & Pneumocystis Carinii (cannot be cultured on inert media but
can be found extra cellularly in the body)
91. X = Protoporphyrin & V = NAD
92. Gram (+) except for Neisseria & Moraxella
93. Mycoplasma pneumoniae has fried egg colonies on Eaton agar (needs cholesterol)
94.
95.
96.
97.
98.

No cell wall. Membrane has cholesterol. Smallest living bacteria.


P1 protein inhs ciliary action
Fried egg colonies
Atypical pneumonia young adults
Fungal media

99. Spaghetti & meat ball


Page 29

Measles 3Cs
Non Motile Bacilli & Clostridium
Bloody diarrhea agents
YW-135CA
Indian Ink
Naegleria causes
Need Cysyeine for growth

Endotoxins, G(+) or G(-)


Ecthyma Gangrenosum, seen w/
Endospores G(+)
Multi Brain Abscess
Single Brain Abscess
risk for Strep pneum Infection
Hemolysis/Optochin Sensitive
Hemolysis/Optochin Resistant
Staph. Saprophyticus
Staph. Epidermidis
Hemolysis/Bacitracin Sensitive
Hemolysis/Bacitracin Resistant
EFII Ribosylation
Bacillus Anthracis: 3 toxins
(work via adenylate cyclase)

Woolsorters Disease
Grows in Rice
Clostridium Perfringens
Clostridium Difficile
Spastic Paralysis toxin
Clostridium Botulinum
Infant Botulinum
Thayer Martin Agar
DOC for N. gonorrhoeae
K1 E. Coli Capsular Ag
The As of Klebsiella
Rice H2O Diarrhea
Raw seafood intoxicaiton
Helicobacter Txt
risk of P. aeroginosa infection
Contact lens infection
Cat Bites
Undulant Fever
Bordet Gengou Agar
Lowenstein-Jensen medium
Cat Scratch Disease

100. Cough Coryza Conjunctivitis. Can also have photophobia


101. May lead to subacute Sclerosing Panencephalitis
102. B. Anthracis & C. Perfringens
103. EIEC EHEC Shigella - Yersenia enterocolitica Entaemeba histolytica
Salmonella Campylobacter jejuni
104. N. meningitidis vaccine capsualr polysaccharide strains
105. Cryptococcus neoformans
106. Colonization in the nasal passages after swimming
107.
108.
109.
110.
111.
112.

Ella likes cysteine:


Francisella
Brucella
Legionella
Pasturella
Gram (-): N. meningitidis

113. Pseudomonas aeroginosa. Target shaped skin lesions w/ a black center and red ring
surrounding the lesion
114. Gram (+): Bacillus & Clostridium made up of dipicolinate & Keratin
115. Nocardia
116. Actinomyces israelli
117. Asplenic; Sickle cell anemia; immunocompromising illness
118. Strep. Pneumoniae
119. Strep. Viridans (Subacute Endocarditis)
120. Novobiocin Resistant (UTIs)
121. Novobiocin sensitive (Endocarditis in IVDUs)
122. Strep. Pyogenes (pharyngitis; Scarlet fever; cellulitis; impetigo; Rheumatic fever))
123. Hyaluronic capsule; non-motile; M proteins; Endotoxin A
124. Strep. Agalactiae (Diabetes predisposes to infection)
125. Diphtheria toxin & Pseudomonas exotoxon A
126.
127.
128.
129.

Protective Antigen (PA)


Lethal Factor = toxic to macrophages
Edema Factor = cAMP
Bacillus anthracis. DOC: Penicillin

130. Bacillus Cereus


131.
132.
133.
134.
135.
136.

Double Zone Hemolysis (test)


Lecithinase: toxin = lyses RBCs
80% of gas gangrene (myonecrosis) cases
2 Toxins: Enterotoxin (Exotoxin A) & Cytotoxin (Exotoxin B)
Pseudomembranous colitis (can be precipitated by clindamycin/ampicillin)
Clostridium Tetani toxin

137. Bad canned foods have neurotoxin = flaccid paralysis (block Ach release)
138. Floppy Baby Syndrome. Pre formed toxin in honey
139. Neisseria ID
140. Ceftriazone
141. Related w/ neonateal meningitis
142.
143.
144.
145.

Alcoholics
Aspiration pneumonia
Abscesses in the lungs
Vibrio Cholera: metabolic acidosis

146. Vibrio parahemolyticus


147. Bismuth salts; Metronidazole; Tetracycline (or amoxicillin)
148. Burn patients & Cystic fibrosis
149. Pseudomonas aeroginosa
150. Pasteurella multocida
151. Brucella
152. Bordetella pertusis ID
153. M. tuberculosis ID
154. Bartonella henselae. Leion can resemble Kaposis sarcoma.
Page 30

Pink Eye
True Hemaphrodite
Pseudo Hemaphrodite
Male Pseudo Hemaphrodite
HLA Genes Location
Parvovirus B19
Interferon MOA
Acute Hemorrhagic Conjunctivitis
Parainfluenza Causes
Swimming Pool Conjunctivitis
RSV
Removed tonsils, find what virus
Bone Fever
HbsAg
HbeAg
Anti-Hbc
Filamentous Bacteria
Listeria contaminates
Shiga like Toxin
Necrotizing Fasciitis
Relapsing Fever
Lofflers Medium
Chlamydiae Developmental Cycle

Trench Fever
Spotted Fever Members
Thrush Txt
Rose Bush Thorns
Contact lens solution infection
Filiariasis Causant
Freshwater lake infection
Reduviid bug bite
Schistosoma Haematobium causes
Schistosoma Mansoni causes
Snail, intermediate host of
Ixodes scapularis transmits
Nantucket Protozoa
Infection by Reduviid Bug
Infection by TseTse Fly
Infection by Sandfly
Infection by Ixodes Tick
Infection by Anopheles Mosquito
Trophozoites w/ Face-Like Appearance
Nonseptate Hyphae
Histoplasmosis Geography
Coocidioidomycosis Geography
Blastomycosis Geography

155. Toxoplasmosis
156. Adenovirus (type 8)
157. Testes & Ovaries are present
158. External genitalia does not coincide w/ gonads
159. Testicular Feminization
160. 6p
161. Fifth Disease: Erythema Infectiosum (ssDNA). Linked w/ sicle cell anemia
162. Inhibits viral replication (translation or transcription)
163. Seen w/ infections from Enterovirus & Coxsackie A
164. Croup (Laryngotracheobronchitis)
165. Adenovirus (types 3 & 4)
166. Bronchiolitis in infants
167. In 80%, Adenovirus. In the immunosuppressed, activation can occur
168. Dengue: Group B Togavirus, from the Arbovirus, transmitted by mosquitos
169.
170.
171.
172.
173.
174.
175.

Appears in blood soon after infection, before onset of acute illness


Disappears w/in 4-6 months after the start of clinical illness
Appears early acute phase, indicates higher risk of transmitting the disease
Disappears before HbsAg is gone
Present in beginning of clinical illness
Seen in the window phase
Actinomycetes = Nocardia; Actinomyces; Streptomyces

176. Milk, cheese, vegetables (coleslaw) in recent infections


177. E. Coli 0157/H7: Hemorrhagic colitis & Hemorrhagic uremic syndrome
178. Group A Streptococci
179. Borrelia recurrentis
180. Corneybacterium diphtheriae
181. Elementary Body: infeccious particle that Enters the cell
182. Reticulate Body: made from elementary body. Replicates, differentiates and releases
elementary bodies to infect other cells
183. W/ infection you will see Glycogen containing inclusions
184. Cell wall lacks muramic acid
185. Rochalimaea quintana
186. Rickettssia rickettsii (RMSF) & R. akari (rickettsial pox) in the U.S.
187. R. sibirica (tick typhus in China) & R. australis (typhus in Australia)
188. Nystatin txts candidiasis of the mouth
189. Have Sporothrix schenckii
190. Acanthamoeba
191. Wucheria bancrofti (infection aka elephantitis & wucheriasis
192. Causes amebic meningoencephalitis due to Naegleria fowleri
193. Transmits Trypanoma cruzi (Chagas disease): Romanas Sign
194. Bladder calcificaiton & cancer
195. Presinusoidal HTN, splenomagaly, esophageal varices
196. Schistosomiasis
197. Babesia (clinically rembles malaria) & Borelia burgdorferi
198. Babesia microt
199. Trypansoma cruzi: Chagas Disease
200. Trypansoma brucei gambiense & rhodiense: African Sleeping Sickness
201. Leishmaniasis: Mucocutaneous Diseases by L. braziliensis & Visceral Disease by L. donovani &
Dermal Leishman by L. tropica, mexicana, peruviana

202. Babesia microti: Babesiosis & Borrelia burgdorferi: Lyme Disease


203. Malaria
204. Giardia lamblia
205. Zygomycosis: Rhizopus & Mucor. Only mycosis w/o septate. Infect Ketoacidotic Diabetics.
206. Ohio, Mississippi, Misouri River valleys
207. Southwestern deserts, California
208. States east of Mississippi River
Page 31

Paracoccidioidomycosis Geography
Roseola Infection, aka
Herpangina
Orthomyxovirus

Paramyxovirus

Togavirus

Flaviviris
Bunyavirus
IgA Protease Activity

Diphtheria: ABCDEFG

Only ssDNA
Only dsRNA
Naked RNA
2 circular DNAs
BK
Hepadna, Retrovirus?
Picornovirus: PERCH
Hemorrhagic Fevers
Segmented viruses
Eclipse Phase
Latent Phase
Naked Capsid Virus
Enveloped Virus
Interferon
AIDS structural prots
AIDS regulatory prots
AIDS gp41 env prot
AIDS gp120 env prot
AIDS p17 gag prot
AIDS p24 gag prot
AIDS p7p9 gag prot
DNA Viruses

209. Latin America


210. Exanthema Subitum: Sixth Disease (Human Herpes Virus-6 dsDNA, enveloped)
211. Hand-Foot-and-Mouth Disease: Coxsackie A (Picornavirus +ssRNA)
212. ssRNA, enveloped virus.
213. Spike Glycoproteins (peplomeres): HA = Hemagluttinin & NA = Neuraminidase. These
peplomeres are what give the virus antigenis variation
214. Influenza A & B
215. RNA, enveloped. Most common cause of respiratory infections in kids
216. Mumps
217. Croup(Parainfluenza virus)
218. Rubeola(Measles virus)
219. RSV
220. +ssRNA, enveloped
221. 3 Day Measles: German Measles: Rubella/ Rubivirus
222. Encephalitis viruses: Alphaviruses: Eastern (more severe) and Western Equine
Encephalitis
223. Dengue Fever icterus & hemorrhage w/ blac vomit
224. Yellow fever
225. St. Louis Encephalitis no hepatitis or hemorrhage
226. ssRNA, enveloped
227. California Encephalitis severe bifrontal headaches
228. Hantavirus hemorrhagic fever w/ acute resp. distress syndrome
229. H. Influenzae (needs factors V & X for growth)
230. Strep. Pneumoniae
231. N. meningitidis
232. N. gonnorhoae
233. W/ this activity these bugs are able to colonize the oral mucosa.
234. Adenopathy
235. Prophage encodes the exotoxin
236. Corneybacteria is Club shaped
237. Diphtheria
238. Elongation Factor II
239. Granules (metachromatic)
240. Parvovirus: Part of a virus
241. Reovirus, RepeatOvirus
242. Naked for CPR: Calcivirus; Picornovirus; Reovirus
243. Papovavirus & Hepadnavirus
244. Papovavirus. Seen in kidney transplant patients (causes renal disease)
245. No, but has reverse transcriptase
246. Poiliovirus; Echo; Rhino; Coxsackie; Hep A
221. Filovirus & Bunyavirus (Hantavirus)
All are RNA: Orthomyxo; Arena; Bunya; Reo
No internal virus. 1 total virus per cell
No external virus. Extracellular virus found
Nucleocapsid. DNA or RNA + Structural proteins
Membrane. Nucleocapsid + Glycoprotein
Non virus specific. Works by RNA endonuclease = digests viral DNA + inh viral prot synth
Gag, pol, env
Tat, rev, nef
Transmembrane
Surface
Matrix
Capsid
Nucleocapsid
E

Brick. Rep
In Cyto
AH H PPP --- ico Rep in Nuc
Page 32

A = Adeno
H = Herpes
H= Hepadna
P = Pox
P = Parvo

SS

P = Papova

Circ
E

(+) RNA Viruses

C = Calici
P = Picorno
R = Reo
F = Flavi
T = Toga
C = Corona

C P R F T C ------ ico (+) Linear.


No segment. Rep in Cyto
Helical
R-Tase &
Rep in Nuc
8

(-) RNA Viruses

F O R P A B ---- (-) E Helical


Linear. Non seg.

F = Filo
O = Orthomyxo
R = Rhabdo
P = Paramyxo
A = Arena
B = Bunya

Bullet
Anti sense

Hepatitis Window Period


Hepatitis

A
Picorna

Downey Type II cells


Infection by Aedes Mosquito
Hot T-Bone stEAk: ILs

ILs Secreted by CD4s


ILs Secreted by Macrophages
C5a
C5 Convertase
Only Richettssia not Intracellular
Plasmodium Life Cycle

Acanthamoeba
Mucor, Rhizopus, Absidia
Cryptococcus Neoformans
Candida
Aspergillus Fumigatum
Cocciodes
Histoplasma Cap
Blastomycosis
Sporothrix Schenkii
PCP

After HbsAg disappears & Before HbsAb appears


B
Hepadna
EBV

C
Flavi

D
Delta

E
Calici

Yellow Fever: Flavivirus: Black vomit, jaundice, high fever


IL1 = Temp: HOT
IL2 = stimulate T cells
IL3 = stimulate Bone Marrow stem cells growth & differentiation (GM CSF)
IL4 = stimulate IgE (& IgG)
IL5 = stimulate IgA (& eosinophils)
IL2, IL4, IL5, IFN gamma
IL1 & TNF
Neutral chemotaxis.
When it is w/ C3a, participates in anaphylaxis
When both Alternative and Classic pathways come together
Alternative: C3b, Bb, C3b + C3a ! C5
Classic: 2b, 3b, C3a + C4b ! C5
Quintana
Sporozoites: from blood to liver
Primary tissue schizont
Trophozoites: in RBC
Erythrocytic schizont
Merozoite: ruptured RBC
Gametozyte
Zygote: inside the mosquito

Star shaped cysts


Nonseptate, filamentous, 90 degree branching, indian in, capsular halos
Monomorphic
Yeast normally, pseudo & true hyphae in tissue infections
45 degree branching point, asocd w/ cystic fibrosis & burns pt
Hyphae in wild. Artroconidia. Arthocondida & Hyphae. Sherules w/ endospores
Hyphae in wild. Microcondida w/ tuberculate macrocondida. Fac intracellular. In the tissue
its a yeast w/ a small neck.
Hyphae in wild
Hypahe in wild. Potas iodide in milk. Pneumonia in alcoholics.
Obligate parasite. Kills type I pneumo cells. Ground glass
Page 33

E. Coli; V. Cholera; Bordetella Pertussis

Gram (-) Bugs w/ Exotoxins


Dermatophytes

Trichophyton: SHN
Microsporium: SH
Epidermophyton: SN
Tinea tavus: permanent hair loss

E. Histolitica
Giardia
Cryptosporidium
Balantium C.
Trichomonas V.

Cysts
Cysts
Cysts
Cysts
Trophozoites

Trophozoites or cysts in stool


Trophozoites or cysts in stool
Acid fast oocysts
Trophozoites or cysts in stool
Motile trophozoites

Vivax

Benign 3 degrees

48h

Enlarged Host Cell

Ovale

Benign 3 degrees

48h

Oval/Jagged

Malariae

4 degrees of Malarial

72hrregular

Crescent

Falciparum

Malignant 3 degrees

Miscellaneous
1. Fastest growing tumor Burkitts
2. PEs are found in half of all autopsies
3. Courvoisiers Law: tumors that obstruct the common bile duct cause enlarged gallbladders, but obstructing
gallstones do not (too much scarring), so if you can palpate the gallbladder youe probably looking at cancer.
4. Only DNA virus to replicate in cytoplasm: Pox
5. Only RNA virus to replicate in nucleus: Influenza
6.
has the only protein capsule
7.
(Whooping Cough) elicits lymphocytosis rather than granulocytosis
8. Bronchioalveolar carcinomas grow without destroying the normal architecture of the lung
9.
often lacks a capsule and, when stained with GMS, looks just like
, except that
lacks the prominent nucleoli.
10. Weil Felix reaction: (+)R. rickettssi & (+)Proteus vulgaris & P. mirabilis
11. Treponema pallidum (Syphilis) tests: 1)VDRL 2)FTA-Abs: most widely used 3)TPI (immobilization test most
expensive but the Gold Standard)
Cytokine
IL 1
IL 2
IL 3
IL 4
IL 5
IL 6
IFN
IFN
IFN gamma
TNF
TNF

Source
12. Monocytes, macrophages
13. Macrophages, T & NK cells
14. T cells
15. T cells
16. T cells
17. T cells, monocytes
18. B cells, macrophages
19. Fibroblasts
20. T & NK cells
21. Macrophages, T & NK cells
22. T cells

Function
Stimulates T cell proliferation & IL2 produciton
Stim prolif of B, T & NK cell
GF of tissue mast cells & hematopoietic stem cells
growth of B & T cells/ HLA II Ags
Maturation of B ! plasma cell
Maturation of B & T cell/ (-) fibroblasts
Antiviral activity
Antiviral activity
Antiviral activity, (+) macrophages, HLA II Ags
T cell prolif, IL 2 prod, cytotoxicity
T cell prolif, IL 2 prod, cytotoxicity

Tumor Suppressor Genes


Genes
VHL
APC
WT-1

Chrom.
Associated Tumors
3p
Von Hippel Lindau, Renal Cell CA
5p
Familial adenomatous polyposis, Colon CA
11p
Wilms tumor
Page 34

Rb
BRCA-2
p53
NF-1
BRCA-1
DCC
DPC
NF-2

13q
13q
17p
17q
17q
18q
18q
22q

Retinoblastoma, Osteosarcoma
Breast CA
Most human Cas
Neurofibromatosis type 1
Breast CA, Ovarian CA
Colon & Stomach CA
Pancreatic CA
Neurofibromatosis type 2 = bilateral acoustic neuroma

Physiology Equations
Resistance in Series: Add all
Resistance in Parallel: Invert the answer
RENAL:
Filtration Fraction =

GFR
RPF

GFR: Glomerular Filtration Rate RPF: Renal Plasma Flow

Filtered Load = GFR x [Conc]

Clearance =

Excretion Rate = [Urine] x VelUrine

[Urine]xVel (Urine)
Excretion
or
[ Plasma]
[Plasma ]

Renal Blood Flow =

ERPF
1 Hct

Clearance of PAH = [ERPF]

Free Water Clearance = VelUrine -

ERPF: Eff renal plasma flow

Urine(osm) xVel (urine)


P(osm)

CARDIO:
CO = HR x SV

CO =

O 2(consumed )
PulmonaryA VO 2difference

MAP = Diastolic + 1/3 Pulse Pressure

CO =

MAP
TPR

Pulse Pressure = Systolic Diastolic

MAP = TPR x CO

F=

P1 P 2
R

LUNGS:
PAO2 = (760 47) FO2 -

PACO2
R

Where:
FO2 = [O2]

PACO2 = Alv. Press. Of CO2

R = Resp. Exchange Ratio

Page 35

CO 2 produced
O 2consumed

.8 or 1

Flow =

O 2consumed
AtoVO2difference

Velgas Diffusion =

Area
x Gas Diffusion Constant x Difference of Partial
Thickness

Press
VentTot = VentTidal x #of Respirations
Compliance =

Vol
Pr ess

P=

Tension
Radius

Resp Doubles: 150mmHg & 40mmHg

VentAlv = (VentTidal VentDead) x # of Respirations


1.0 =

Va/Q

New PCO2 = 20

Page 36

Diffusing Capacity =
New PO2 = 170

COuptake
PACO 2

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