Create
Learn
Share

COMLEX 2015 bits and pieces

rename
ruhland1's version from 2015-06-23 17:00

Section 1

Question Answer
koliocyteHPV (dense nuclei, clear large cell) ~fried egg
brain tumor wiith dense pointed petals and light centerMedulloblastoma (HW R)
owl eyesCMV (ddx from reed sternberg hodgkin)
nests that resemble ovarian folliclecall exner bodies
call exner body tmxgranulosa theca cell tmx
honey comb lunginterstital fib
crew cut dxthallesemia
crew cut on xray showsextramedullary hematopoi (thallesemia)
charcot leyden arehexagonal needle crystals in lung
finding hexagonal needle crystals in lung meansasthma (charcot Leyden crystals)
cut in half golf ball appearanceschiller duval bodies
schiller duval found inyolk sac tumor
schiller duval appear shapecirlcle. Shell=nuclei dark, mantel=clear, core= central blood vessel. In yolf sack tumor.
rheumatic granuloma found inheart (rheum fever=strep Pyrogenes(bacitracin sensitive))
aschoff body isrheumatic fever granuloma in heart
collagen fiber and fibrinoid nec histo foraschoff bodies (RF in heart)
eos intracell inclusion in ballooned cellsCowdry A bodies
Cowdry bodies seenliver HSV
CHAIN histolarge lysomal vesicles
CHAIN moafailure of lysosome -> phagolysosome
Multiple Myel x raypunched out bone lz
breast fibrocystic biopsy showsmammary BLUE domed cyst
M spikeMM electrophoresis
Urine find in MMbence jones (light chain protein)
lumpy bumpyPSGN
liver with brown red dot macro pattenNutmeg liver
where is nutmeg liver seenRHF
starryskyburkitt
B urkitt translocationB=8 (8;14)
rectangular crystal in teste tmxreinke
reinke crystal inleydig tmx
silver sphereical taupick bodies (frontotemporal demential, frontal=personality change and broca, temporal= hallucination and wernicke
tennis racket EMicrobirbeck granules
where are birbeck granules seenlangherhan cell histiocytosis
langerhan + eos granulomahistiocytosis
stack RBCMM/high ESR (rouleaux)
denatured Hgb in rbc (via up oxidation)Heinz body
heinz body seen 2g6pd def, alpha thall
soap bubble xraygiant cell tmx (benign)
smudge cellCLL (B-cell= it...)
H Influ causes in kidsepiglotitis (drool, stridor, wheeze, dog sniff sign)
wire loopSLE nephropathy
kidney looks like thyroid (cells suroound pools of EOS) during?? chronic bact inf
actinic keratosis latesq cell cx
autosplen(fib/nec)SCA
beri beri defB1 thiamen
ovarian benignserous cystadenoma
memorize

Section 2

Question Answer
backpain, F, dn lb, night sweatPotts dz
potts dzvertrebral TB inf
blue line gingivalead
uveitis is insarcoid
atrophy calfMusc Dyst (duchenne=deleted, defective=becker)
syndenhamRheu F
parvo b19face to body rash "slapped cheek"
fifth dz akaerythema infectiosum (parvo b19= slapped cheek)
purple mouth nodules bugHHV-8 (AIDS gay)
HHV 8 presentKaposi Sarc (purple spot mouth and body)
dilated CMP inWet beri beri
edema and polyneuropathy in (B1 def)Wet beri beri
Ehler DanlosType 5 colla
cutaneous T-cell lymphomaSezary syndrome
B symptoms seen inlymphoma
F, night sweat, weight lossB-Symptoms of lymphoma
blue bloaterchronic bronchitis
chronic bronch pathoshyperplasia of muscus cells (hypox,polycyth,hypercapnia)
infant FTT, dn glc and H-megCoris dz
Coris dz(debranching enz def) hypoglc,FTT,H-meg
jaundice, RUQ pain, Facsending cholangitis
Charcots triad 2jaundince, ruq pain, F (seen in acsending cholangitis)
Borrelia dzLyme
male,kid, inf up, no mature B cellsBrutons
X-link agamnmaglobulinemiaBrutons (no mature B cells)
supernumerary/impacted teethGardner (FAP + osteoma)
down C5-C6 babyErb palsy (waiter tip)
Charcots triad 2nystyg, intention tremor, scanning speech (MS)
cutaneous T-cell lymphoma =mycosis fungoides (sezary synd)
inhibits HCVinterferon alpha
charcot 1 vs 21=asending cholangitis, 2=Multiple sclerosis
painful blue fingers,hemolytic anemia(AI)Cold agglutinin dz (IgM)
Cold Agglut dzAI hemolytic anemia (EBV, myco pneu)
palp red painful fingerosler
kid palp purpura, joint pain, abd painHSP
HSP has _____ vasculitisIgA
non palp red, painlessjaneway
memorize

Section 3

Question Answer
WermerMEN1
SippleMen2a
rag geneSCID
retMEN 2
dyp, hypervent, emphysemapink puffer
false positive syphillisanti-carido lipid in SLE(anti-phospholipis)
SLE anticoagulant=anti-phospholipid synd
ddx MG from LEedrophonium
hyper IgeJob Synd
recurrent cold, ezema, dn pmn chemotaxisJob Synd (hyper IgE)
retinal hemm + pall centerroth spots
where roth spot seenbact endocard
Addison look for on Px Exskin hyper (dn adrenal * up ACTH * up MSH precursor)
2dary syph lz on genitalscodylomata Lata
condylomata Latasmooth, flat, moist white lz on genitals
bouchard, heberdenosteoarthritis PIP=B, DIP=H
sippleMen2a
WermerMen1
HLAB-27 besides ankolysis spondyloreiters
2nd endotoxin exposure * up vasculitisSchwartzman reaction
G+ actinomycetteTroph Whippeii
GI M0 PAS positiveWhipple histo
polyarth + PAS inclusionWhipple unique non GI
TMP-SMXwhipple tx
memorize

Section 4

Question Answer
antidesmogleinpempigus vulgaris
anti hemidemBullous pemphigus (linear circular IgG)
anti IgGRheum Arth
Rheu Arth in foot Px Ex seenboutonniere deform
T III HSN in SLE viaANA, antismith, anti dsDNA
anti plateletIdiopathic thromocytopenic purpura
anti topisomSystemic Scler
APLM3 subtype
auer rod found inAML(APL)
bamboospinankylo spond
nuclear remnent RBChowell jolly (asplenia)
anerobe above diapClindamycin
anerobe below diapMetro
foamy cell + vascularityhemangioblastoma
Metro GET GAPGiardia,Entomoeba,Trich vagin, Anerobes(ABC below dia),Pylori
boot heartToF, RVH
pulmsten + VSD seen incauses of change heart in ToF
ostolytic hemosiderin cystbrown bone tmx
brown tumortumor seen in hyperPTH
Ostetitis fibrosis cysticabrown tmx (hemosiderin)
Cardio Meg and apical atrophyChagas (cruzi/nifurtimox)
memorize

Section 5

Question Answer
cholate cystedometriosis in ovary
HW rosseteMedulloblastoma
whorled mucus plugsbronchial asthma
curschmannspirals arewholred mucus plugs
eos globule in livercouncilman body
councilman boddytoxic/viral/Yellow F on liver
koliocyteHPV precx
granulosa cell in eos fluidCall-Exner
Call Exner ingranulosa theca tumor
eos inclusion hippocampusrabies
rabbies virus=Lyssa virus
schiller duvalyolksac
hair on endextramedu hemapoi in B-thal/SCA
aschoffbodiesheart nodule
seen in heart rheu Faschoff body
charcot leydenhexagonal,needle
bronchial asthma histocharchot leyden
lab Lesch Nyhanup uric acid
EOS dropletCowdry A
cowdry A inHSV/ yellow F
cowdry and councilmanboth in HSV yellow F
failure phagolysomsomal formCHAIN
dn cerruloplasminup Cu dep (wilson)
wilsonhepatolenticular degen
lump bumpyPSGN
memorize

Section 6

Question Answer
sting signC Dz
nodular hyalineKimmelstiel-wilson (DM)
RHF livernutmeg
ivoryeburnation in Osteoarth
eburnationbony scleorsis at catilage erosion
hyper po4 tauAlz DZ
neurofib tanglehyper po4 tau
rect crystal in testileydig tmx
t 814burkitt
burkitt genec-myc
burkittEBV causes increased risk of this
silver tauPick's dz
soap bubblegiant bone cell tmx
birbeck granualetennis racket
tennis racket in this dzLangherhan Histiocytosis
eosinophillic granuloma areBirbeck granules in Langherhan cells
thyroid app in kidneychronic bact inf of it
smudgeCLL
wire looplupus (what organ?)
CNS trauma ulcerCushing (location?)
dissecting aneurhtn
tertiary syph and heart assocASCENDING aortic aneur
IVDU bugS aure
menin non kidS. Pneu
menin kid (2-10)N.menin
menin neoGpB strep
memorize

Section 7

Question Answer
juvenile melanocytic nevusSpitz nevus (benign) is a melanoma
Gp1b deficiency moadefect platet adhesion
Bernard soulier def Gp1b
kid + infratentorioralMedulloblast
craniopharyngioomarathkepouch remnant
#1 brain tmx adultmetastasis
psuedopallisadingglio multiforme=astrocytoma
concentric whorlmeningioma
bil acousticschwanooma
breast benignfibroadenoma
MC breast cxinfiltrating ductal
debilatated + hospital pneumonklb
adult heart tmxmeta>primary myxoma
kid heartrhabdomyoma
up hydrocephArnold Chiari
pernicicous anemia + gastric carcinoma + AIatrophic gastritis
clear cell vaginaDES
developing constrictive pericidarditisTB
MI locationLAD>RCA.LCxA
LADv1-4
RCA2,aVf,3
LCxA1,aVl
cretinismiodine deficit
hypothyroismcretinism
early cyanToF
truncus arteriosusearly cyan
memorize

Section 8

Question Answer
death CMLblast crisi
ejection clickA/P sten
esph cx USAadeno
sq cell Esph cx worldwide
food poisons aure
betgerIgA nephro (cpl days after inf)
MC gyne cxendometrial cx
Mitral valvle endocard (2nd = A valve)R Fever
rupture bringingsubdural hema
talk and dieepidural hema
bleeding + heredVWD
PAIR +HLA B-27
Ppsoriasis B27
AAnklo spond B27
IIBD (UC) B 27
Rreiter B27
HLA DR3/4DM T1
RADR 3/4
tri regurgholosystolic
virchow triad causesup DVT
hyper coag, endothelial dmg, stasisVirchow triad
blood exchange infHep C
memorize

Section 9

Question Answer
ASD/VSD/PDA long term resultpulm htn/polycyth
VSD early / lateL->R / R->L
L->R to R->L late cyanotic shunt
late cyan shuntEisenmeinger (L->R to R->L results up pulmhtn/RVH)
basal cell cxrarely meta
HTT geneHuntington
CTGMyotonic dyst
Myotonic DystCHR 19 trinuc repeat
DMPK gene locationon CHR 19
DMPK causesmyotonic dyst
FMR1 gene assocCGG (on x-CHR)
CGG dzFragile X
GAAchr 9
fratxin generGAA (friedrich/gower sign)
myocarditisCOX b
leukemia kidALL
opening snapmitral sten
#1 organ to get metaAdrenal gland
#1 organ to send metalung
Osteomylitis bugS Aure
rubber boot punctureP Aeru Osteomylitis
Osteomylitis hip replaceS Epid
S EpidSubacute inf endocard
SCA OsteomylitisSalmon
Osteomylitis vertebralTB
TB vertbralpotts dz
Osteomylitis ivduPsue aeru
memorize

Section 10

Question Answer
ovary benignserous cystadenoma
ovary maligserous cystagenocarcinoma
acute pancETOH
gallstoneacute panc
chronic pancCFib (kid)
hodgkin nodular sclerfemale
hodgkin young male
PIDN. Gono (and monoartic arth)
adult bone tmxMM
copdup Pulm Htn
up EPO/reninparaneop
paraneopup PTH/ACTH
pulm cause RHF=cor pulmonale
CHFS3
S3rapid vent fill
s4aortic sten
restrictive CMPs4
CKD labhypocalemia (2ndary hyperparathyoidism)
memorize

Section 11

Question Answer
SIADHlung Small cx
sigmoid colondiverticula
t 14 18follicular lymphoma
follicular lymphoma gene defbcl-2 activation
t 8 14B urkitt
B urkitt gene defc-myc activation
thrombosis of opthal artery (blind)temporal arteritis
MC testi tmxsemnioma
estrogen dependentleiomyoma
infant tmxhemangioma
adult medulla tmxPheo (benign)
Neuroblastoma (malig)Kid adrenal medulla (malig)
non-hodgkin (B-cell lymphoma)diffuse large cell
major Hodkinnodular scler
lymphoctyic predominanceHodkin Nodular Scler
Hodgkin lymphocytic depletemixed cellularit
viral encephHSV
USA vit deffolic acid
hardy weinp^2 + 2pq +q^2 (q^2= prevalence of those w AutoRe expression, 2PR= AR carrier)
pKa co26.1
[Co2]=pCO2 x 0.03
CO=rate O2 used/ (O2artery-O2vein)
GFRcreatine
ECFinulin
RPFPAH (100% excreted) FF=1 for this molecule
plasma volradio albumin
memorize

Section 12