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Most Common... - USMLE Step 1 - First Aid

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Most Common...
(Answer)
Bacteremia/pneumonia (IVDA)   S. aureus  
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Bacteria associated with cancer   H. pylori  
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Bacteria found in GI tract   Bacteroides (2nd MC = E. coli)  
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Brain tumor (adults)   Mets > astrocytoma (including glioblastoma multiforme) > meningioma > schwannoma  
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Brain tumor (kids)   Medulloblastoma (cerebellum)  
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Brain tumor - supratentorial (kids)   Craniopharyngioma  
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Breast cancer   Infiltrating ductal carcinoma (in the U.S., 1 in 9 ♀will develop breast cancer)  
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Breast mass   Fibrocystic change (in postmenopausal ♀, carcinoma is the MC)  
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Breast tumor (benign)   Fibroadenoma  
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Bug in debilitated, hospitalized pneumonia pt   Klebsiella  
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Cardiac 1° tumor (adults)   Myxoma (4:1 left to right atrium; "ball and valve")  
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Cardiac 1° tumor (kids)   Rhabdomyoma  
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Cardiac tumor (adults)   Mets  
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Cardiomyopathy   Dilated cardiomyopathy  
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Chromosomal disorder   Down syndrome (associated with ALL, Alzheimer's, and endocardial cushion defects)  
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Chronic arrhythmia   Atrial fibrillation (associated with high risk of emboli)  
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Congenital cardiac anomaly   VSD  
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Constrictive pericarditis   Tuberculosis  
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Coronary a. involved in thrombosis   LAD > RCA > LCA  
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Cyanosis (early; less common)   Tetralogy of Fallot, transposition of great vessels, truncus arteriosus  
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Cyanosis (late; more common)   VSD, ASD, PDA (close with indomethacin; open with misoprostol)  
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Demyelinating disease   Multiple sclerosis  
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Dietary deficit   Iron  
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Epiglottitis   Haemophilus influenzae type B  
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Esophageal cancer   Squamous cell carcinoma  
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Gene involved in cancer   p53 tumor suppressor gene  
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Group affected by cystic fibrosis   Caucasians (fat-soluble vitamin deficiencies, mucous plugs/lung infections)  
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Gynecologic malignancy   Endometrial carcinoma  
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Heart murmur   Mitral valve prolapse  
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Heart valve in bacterial endocarditis   Mitral  
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Heart valve in bacterial endocarditis in IVDA   Tricuspid  
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Heart valve (rheumatic fever)   Mitral valve (2nd MC = aortic)  
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Helminth infections (U.S.)   Enterobius vermicularis (2nd MC = Ascaris lumbricoides)  
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Hereditary bleeding disorder   von Willebrand's  
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Kidney stones   Calcium = radiopaque (2nd MC = ammonium = radiopaque; formed by urease⊕ organisms such as Proteus vulgaris or Staphylococcus)  
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Liver disease   Alcoholic liver disease  
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Location of brain tumors (adults)   Supratentorial  
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Location of brain tumors (kids)   Infratentorial  
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Lysosomal storage disease   Gaucher's disease  
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Male cancer   Prostatic carcinoma  
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Malignancy associated with noninfectious fever   Hodgkin's disease  
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Malignant skin tumor   Basal cell carcinoma (rarely metastasizes)  
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Mets to bone   Breast, lung, thyroid, testes, prostate, kidney  
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Mets to brain   Lung, breast, skin (melanoma), kidney (renal cell carcinoma), GI  
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Mets to liver   Colon, gastric, pancreatic, breast, and lung carcinomas  
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Motor neuron disease   ALS  
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Neoplasm (kids)   ALL (2nd MC = cerebellar medulloblastoma)  
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Nephrotic syndrome   Membranous glomerulonephritis  
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Obstruction of ♂ urinary tract   BPH  
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Opportunistic infections in AIDS   Pneumocystis carinii pneumonia  
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Organ receiving mets   Adrenal glands (due to rich blood supply)  
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Organ sending mets   Lung > breast, stomach  
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Ovarian tumor (benign)   Serous cystadenoma  
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Ovarian tumor (malignant)   Serous cystadenocarcinoma  
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Pancreatic tumor   Adenocarcinoma (head of pancreas)  
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Pt with ALL/CLL/AML/CML   ALL—child, CLL&AML—adult>60, CML—adult 35-50  
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Pt with Hodgkin's   Young ♂ (except nodular sclerosis type - ♀)  
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Pt with minimal change disease   Young child  
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Pt with Reiter's   ♂  
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Pituitary tumor   Prolactinoma (2nd MC = somatotropic "acidophilic" adenoma)  
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Preventable cancer   Lung cancer  
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1° bone tumors (adults)   Multiple myeloma  
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1° hyperparathyroidism   Adenomas (2nd MC = hyperplasia; 3rd MC = carcinoma)  
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1° liver tumor   Hepatoma  
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Renal tumor   Renal cell carcinoma - associated with von Hippel-Lindau and acquired polycystic kidney disease; paraneoplastic syndromes (erythropoietin, renin, PTH, ACTH)  
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2° hyperparathyroidism   Hypocalcemia of chronic renal failure  
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STD   Chlamydia  
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Site of diverticula   Sigmoid colon  
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Site of metastasis   Regional lymph nodes  
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Site of metastasis (2nd MC)   Liver  
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Sites of atherosclerosis   Abdominal aorta > coronary a. > popliteal a. > carotid a.  
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Skin cancer   Basal cell carcinoma  
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Stomach cancer   Adenocarcinoma  
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Testicular tumor   Seminoma  
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Thyroid cancer   Papillary carcinoma  
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Tracheoesophageal fistula   Lower esophagus joins trachea/upper esophagus-blind pouch  
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Tumor in ♂   Prostate carcinoma  
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Tumor in ♀   Leiomyoma (estrogen dependent)  
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Tumor of infancy   Hemangioma  
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Tumor of adrenal medulla (adults)   Pheochromocytoma (benign)  
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Tumor of adrenal medulla (kids)   Neuroblastoma (malignant)  
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Type of Hodgkin's   Nodular sclerosis (vs. mixed cellularity, lymphocytic predominance, lymphocytic depletion)  
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Type of non-Hodgkin's   Follicular, small cleaved  
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Type of pituitary adenoma   Prolactinoma  
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Vasculitis   Temporal arteritis (risk of ipsilateral blindness due to thrombosis of opthalmic a.)  
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Viral encephalitis   HSV  
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Vitamin deficiency (U.S.)   Folic acid (pregnant ♀ are at high risk; body stores only 3- to 4-month supply)  
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