QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Erythema Muliforme - ANSWER "target" archer's bull's eye lesion
Osler-Weber-Rendu Syndrome - ANSWER Port wine stain, mucus membranes with hemorrhage
Angiosarcoma (hemangiosarcoma) - ANSWER Liver cancer with malignant vascular tumer from exposure
to polyvinyl, arsenic and others
Kaposi Sarcoma - ANSWER AIDS, red-purple macules lower extremities
Pellagra - ANSWER B3 deficiency
Megloblastic Anemia - ANSWER B12 (Neurologic dysfunction)
Folic Acid (no neuro symptoms)
Vitamin A Deficiency - ANSWER Night blindness and squamous metaplasia
Berbiberi - ANSWER B1 deficiency
Dry: Peripheral Neuropathy
Wet: increased output, cardiac failure
Marasmus - ANSWER Deficient in all neutrients
Kwashiorkor - ANSWER Protein deficient
Right Coronary Artery - ANSWER Posterior RV free wall and septum
,Posterior LV
Left Circumflex (from left coronary: right dominant) - ANSWER LV lateral wall
Left Anterior Descending - ANSWER Apex
Anterior LV
Anterior 2/3 Ventricular septum
Arteriolosclerosis - ANSWER Hyaline thickening in vessels (kidneys, hypertension, diabetes)
Atherosclerosis - ANSWER Plaques (atheroma) in vessels
Arteriosclerosis - ANSWER rigidity, thickening of vessels
Monckeberg Arteriosclerosis - ANSWER Radial and ulnar arteries, calcific sclerosis of the media of
arteries (so blood flow is not obstructed)
Subacute Bacterial Endocarditis - ANSWER Streptococcus Viridans, mitral valve ( also include aortic valve)
IV Drug users= Strep viridans and triscupid valve
Large, soft, friable easily detached vegetations
Complications: ulceration of valves, perforation of cusps, rupture of chordae tendineae
Nonbacterial Endocarditis (Marantic endocarditis) - ANSWER Metastatic cancer, wasting conditions
Small, sterile fibrin deposits randomly arranged along the line of the valve leaflets
Peripheral emboliztion
Sterile emboli
Libman-Sacks Endocarditis - ANSWER Lupus
Small vegetations on either or both surfaces of valve leaflets
, Endocarditis Carcinoid Syndrome - ANSWER Right side cusps thickened endocardial plaques
Rubella (German Measles) - ANSWER Risk highest shortly before conception to 16th wk gestation
Right Sided Heart Failure - ANSWER Left sided heart failure
Pulmonary hypertension
Right valvular disease (tricuspid and pulmonary)
Left-sided lesions (mitral stenosis)
Congestive hepatosplenomegaly and renal hypoxia
Nutmeg Liver
Distention of neck veins
Left Sided Heart Failure - ANSWER Ischemic Heart Disease (MI)
Hypertension
Left valvular disease (aortic and mitral)
Myocardial diseases
Dyspnea and orthopnea
Pleural effusion with hydrothorax
Reduction in renal perfusion
Cerebral anoxia
Pulmonary edema
Subependymal Hemorrhage - ANSWER Lateral ventricles of brain, premature infants
Necrotizing Enterocolitis - ANSWER Severe and sudden onset of inflammation of small and large
intestines
Trisomy 13 - ANSWER Patau Syndrome