COMSAE 107:- QUESTIONS AND ANSWERS (Graded A+)
DMARD drug for UC/Crohns/RA Correct Ans - sulfasalazine
Pulmonary effects of CF Correct Ans - chronic bronchitis and
bronchiectasis
Osteoporosis affects what parts of bone? Correct Ans - (spongy and )
trabecular bone mass loss
Imipramine Correct Ans - TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichlor effects- confusion in elderly; (acute glaucoma and orthostatic
hypotension- block alpha1)
viscerosomatic Correct Ans - visceral disease --> somatic finding
loratidine vs ranitidine Correct Ans - loratidine: 2nd gen H1 blocker,
doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside Correct Ans - entaemoba histolytica
which type of pneumothorax causes tracheal deviation to the contra side?
Correct Ans - tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of
numerous tortuous vessels Correct Ans - AVM arteriovenous
malformation
cavernous hemangioma Correct Ans - benign tumor of liver, A/W VHL
,Anti-HepB surface antibody is only present in what pop Correct Ans -
recovered or immunized
not in chronic or
proctalgia fugax Correct Ans - levator ani syndrome
fasciculus is UMN or LMN lesion? Correct Ans - LMN
ectopic gastric tissue Correct Ans - meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct
Antibodies in hashimotos attacks Correct Ans - thyroid peroxidase or
antithyroglobulin
Enlarged non tender thyroid
2 factors that influence starling curve Correct Ans - x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia Correct Ans - TCA, SNRIs anticonvulsants
what blocks NE reuptake? Correct Ans - TCA or SNRIs
possible complication of pagets bone disease Correct Ans -
osteocarcoma
what does Hct tell you? Correct Ans - ratio of volume of RBCs compared
to total blood volume
probenecid Correct Ans - inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID Correct Ans - ADA deficiency
,(adenosine deaminase required for degradation of adenosim and
deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
lithiums effects on urination Correct Ans - inhibits vasopression/ADH --
> increased urinary frequency
infertility drug that can result in multiple fetuses Correct Ans -
clomiphene (clones- multiple babies)
antagonist at estrogen R in hypothalamus (thus inhibits normal negative
feedback)
upregulates LH and FSH release from pituitary --> ovulation
used to treat PCOS but can cause ovarian enlargement, multiple fetuses
AFP levels in down syndrome Correct Ans - low
GI malformation A/W down syndrome Correct Ans - Hirschprungs-
congenital aganglionic megacolon
defective relaxation and peristalsis of rectum and distal sigmoid colon
failure to pass meconium, empty rectal vault, megacolon
myasthenia gravis associations Correct Ans - thymoma, thymic
hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders,
respiration
tx for tinea Correct Ans - azoles
beta blockers for asthma Correct Ans - none- even beta 1s can be
nonselective at higher doses
, what kind of teratogenic effects are seen w ACE/ARBs Correct Ans - fetal
renal agenesis
stones bones groans moans psych overtones Correct Ans - high Ca or
PTH
PTH is made by what cells? Correct Ans - chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption
where? Correct Ans - PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors?
Correct Ans - extensor- hamstrings
thoracic CS Correct Ans - E SaRa
most common cause of cellultis Correct Ans - staph aureus, strep
pyogenes
FPR- direct or indirect? active or passive? Correct Ans - indirect- place
them in position of diagnosis
passive
cant treat kid w tetracycline so what do you give? Correct Ans -
amoxicillin
which Heps are there currently vaccines for? Correct Ans - A and B (and
so by virtue, also D)
why does Hep D need Hep B? Correct Ans - Hep D utilizes the HBV
surface antigen as its envelope?
most common hepatitis A/W IVDA in the US Correct Ans - hep c
roseola Correct Ans - 4 day high fever
then rash on the trunk (spares face)
affects babies up to 2 years
DMARD drug for UC/Crohns/RA Correct Ans - sulfasalazine
Pulmonary effects of CF Correct Ans - chronic bronchitis and
bronchiectasis
Osteoporosis affects what parts of bone? Correct Ans - (spongy and )
trabecular bone mass loss
Imipramine Correct Ans - TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichlor effects- confusion in elderly; (acute glaucoma and orthostatic
hypotension- block alpha1)
viscerosomatic Correct Ans - visceral disease --> somatic finding
loratidine vs ranitidine Correct Ans - loratidine: 2nd gen H1 blocker,
doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside Correct Ans - entaemoba histolytica
which type of pneumothorax causes tracheal deviation to the contra side?
Correct Ans - tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of
numerous tortuous vessels Correct Ans - AVM arteriovenous
malformation
cavernous hemangioma Correct Ans - benign tumor of liver, A/W VHL
,Anti-HepB surface antibody is only present in what pop Correct Ans -
recovered or immunized
not in chronic or
proctalgia fugax Correct Ans - levator ani syndrome
fasciculus is UMN or LMN lesion? Correct Ans - LMN
ectopic gastric tissue Correct Ans - meckels diverticulum
can also have ectopic pancreatic tissue
remnant of vitelline duct
Antibodies in hashimotos attacks Correct Ans - thyroid peroxidase or
antithyroglobulin
Enlarged non tender thyroid
2 factors that influence starling curve Correct Ans - x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia Correct Ans - TCA, SNRIs anticonvulsants
what blocks NE reuptake? Correct Ans - TCA or SNRIs
possible complication of pagets bone disease Correct Ans -
osteocarcoma
what does Hct tell you? Correct Ans - ratio of volume of RBCs compared
to total blood volume
probenecid Correct Ans - inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID Correct Ans - ADA deficiency
,(adenosine deaminase required for degradation of adenosim and
deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus
lithiums effects on urination Correct Ans - inhibits vasopression/ADH --
> increased urinary frequency
infertility drug that can result in multiple fetuses Correct Ans -
clomiphene (clones- multiple babies)
antagonist at estrogen R in hypothalamus (thus inhibits normal negative
feedback)
upregulates LH and FSH release from pituitary --> ovulation
used to treat PCOS but can cause ovarian enlargement, multiple fetuses
AFP levels in down syndrome Correct Ans - low
GI malformation A/W down syndrome Correct Ans - Hirschprungs-
congenital aganglionic megacolon
defective relaxation and peristalsis of rectum and distal sigmoid colon
failure to pass meconium, empty rectal vault, megacolon
myasthenia gravis associations Correct Ans - thymoma, thymic
hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders,
respiration
tx for tinea Correct Ans - azoles
beta blockers for asthma Correct Ans - none- even beta 1s can be
nonselective at higher doses
, what kind of teratogenic effects are seen w ACE/ARBs Correct Ans - fetal
renal agenesis
stones bones groans moans psych overtones Correct Ans - high Ca or
PTH
PTH is made by what cells? Correct Ans - chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption
where? Correct Ans - PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors?
Correct Ans - extensor- hamstrings
thoracic CS Correct Ans - E SaRa
most common cause of cellultis Correct Ans - staph aureus, strep
pyogenes
FPR- direct or indirect? active or passive? Correct Ans - indirect- place
them in position of diagnosis
passive
cant treat kid w tetracycline so what do you give? Correct Ans -
amoxicillin
which Heps are there currently vaccines for? Correct Ans - A and B (and
so by virtue, also D)
why does Hep D need Hep B? Correct Ans - Hep D utilizes the HBV
surface antigen as its envelope?
most common hepatitis A/W IVDA in the US Correct Ans - hep c
roseola Correct Ans - 4 day high fever
then rash on the trunk (spares face)
affects babies up to 2 years
