Comsae 107 LATEST VERSION 100% CORRECT
DMARD drug for UC/Crohns/RA - (ANSWER)sulfasalazine
pulmonary effects of CF - (ANSWER)chronic bronchitis and bronchiectasis
osteoporosis affects what parts of bone? - (ANSWER)(spongy and ) trabecular bone mass loss
imipramine - (ANSWER)TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichlor effects- confusion in elderly; (acute glaucoma and orthostatic hypotension- block
alpha1)
viscerosomatic - (ANSWER)visceral disease --> somatic finding
loratidine vs ranitidine - (ANSWER)loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less
sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside - (ANSWER)entaemoba histolytica
which type of pneumothorax causes tracheal deviation to the contra side? - (ANSWER)tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous tortuous vessels
- (ANSWER)AVM arteriovenous malformation
cavernous hemangioma - (ANSWER)benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what pop - (ANSWER)recovered or immunized
not in chronic or
proctalgia fugax - (ANSWER)levator ani syndrome
fasciculus is UMN or LMN lesion? - (ANSWER)LMN
ectopic gastric tissue - (ANSWER)meckels diverticulum
Page | 1
,can also have ectopic pancreatic tissue
remnant of vitelline duct
antibodies in hashimotos attacks - (ANSWER)thyroid peroxidase or antithyroglobulin
enlarged non tender thyroid
2 factors that influence starling curve - (ANSWER)x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia - (ANSWER)TCA, SNRIs anticonvulsants
what blocks NE reuptake? - (ANSWER)TCA or SNRIs
possible complication of pagets bone disease - (ANSWER)osteocarcoma
what does Hct tell you? - (ANSWER)ratio of volume of RBCs compared to total blood volume
probenecid - (ANSWER)inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID - (ANSWER)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 - (ANSWER)inhibits vasopression/ADH --> increased urinary
frequency
infertility drug that can result in multiple fetuses - (ANSWER)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 - (ANSWER)low
GI malformation A/W down syndrome - (ANSWER)Hirschprungs- congenital aganglionic
megacolon
Page | 2
,defective relaxation and peristalsis of rectum and distal sigmoid colon
failure to pass meconium, empty rectal vault, megacolon
myasthenia gravis associations - (ANSWER)thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
tx for tinea - (ANSWER)azoles
beta blockers for asthma - (ANSWER)none- even beta 1s can be nonselective at higher doses
what kind of teratogenic effects are seen w ACE/ARBs - (ANSWER)fetal renal agenesis
stones bones groans moans psych overtones - (ANSWER)high Ca or PTH
PTH is made by what cells? - (ANSWER)chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
(ANSWER)PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors? - (ANSWER)extensor-
hamstrings
thoracic CS - (ANSWER)E SaRa
most common cause of cellultis - (ANSWER)staph aureus, strep pyogenes
FPR- direct or indirect? active or passive? - (ANSWER)indirect- place them in position of
diagnosis
passive
cant treat kid w tetracycline so what do you give? - (ANSWER)amoxicillin
which Heps are there currently vaccines for? - (ANSWER)A and B (and so by virtue, also D)
why does Hep D need Hep B? - (ANSWER)Hep D utilizes the HBV surface antigen as its
envelope?
most common hepatitis A/W IVDA in the US - (ANSWER)hep c
roseola - (ANSWER)4 day high fever
then rash on the trunk (spares face)
affects babies up to 2 years
Page | 3
, HHV6- affects CD4 helper cells and kills them off
erythema infectiosum - (ANSWER)slapped cheek
parvovirus B19
nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash appears on arms and
spreads to trunk/legs
rash can worsen w fever and sun exposure
TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
most common STD - (ANSWER)chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies - (ANSWER)candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
hip restricted in internal rotation
dx? - (ANSWER)innom outflare
immune complex in glomerular mesangium 2 days after URI
berger or PSGN? - (ANSWER)berger
PSGN is 2 wks post URI
kidney ureter viscerosomatic innervation - (ANSWER)T10-11
college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates - (ANSWER)myco PNA
test for trichomonas - (ANSWER)nucleic acid amplification
painless enlarging tumor in left testis 75 yo - (ANSWER)diffuse large B cell lymphoma
most common in 70-80s
Page | 4
DMARD drug for UC/Crohns/RA - (ANSWER)sulfasalazine
pulmonary effects of CF - (ANSWER)chronic bronchitis and bronchiectasis
osteoporosis affects what parts of bone? - (ANSWER)(spongy and ) trabecular bone mass loss
imipramine - (ANSWER)TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichlor effects- confusion in elderly; (acute glaucoma and orthostatic hypotension- block
alpha1)
viscerosomatic - (ANSWER)visceral disease --> somatic finding
loratidine vs ranitidine - (ANSWER)loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less
sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside - (ANSWER)entaemoba histolytica
which type of pneumothorax causes tracheal deviation to the contra side? - (ANSWER)tension
intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous tortuous vessels
- (ANSWER)AVM arteriovenous malformation
cavernous hemangioma - (ANSWER)benign tumor of liver, A/W VHL
anti-HepB surface antibody is only present in what pop - (ANSWER)recovered or immunized
not in chronic or
proctalgia fugax - (ANSWER)levator ani syndrome
fasciculus is UMN or LMN lesion? - (ANSWER)LMN
ectopic gastric tissue - (ANSWER)meckels diverticulum
Page | 1
,can also have ectopic pancreatic tissue
remnant of vitelline duct
antibodies in hashimotos attacks - (ANSWER)thyroid peroxidase or antithyroglobulin
enlarged non tender thyroid
2 factors that influence starling curve - (ANSWER)x axis- preload (EDV)
y axis- stroke volume or CO
treatment for fibromyalgia - (ANSWER)TCA, SNRIs anticonvulsants
what blocks NE reuptake? - (ANSWER)TCA or SNRIs
possible complication of pagets bone disease - (ANSWER)osteocarcoma
what does Hct tell you? - (ANSWER)ratio of volume of RBCs compared to total blood volume
probenecid - (ANSWER)inhibits reabsoprtion of uric acid in PCT
- also inhibits secretion of PCN
- can ppt uric acid calculi
2 causes of SCID - (ANSWER)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 - (ANSWER)inhibits vasopression/ADH --> increased urinary
frequency
infertility drug that can result in multiple fetuses - (ANSWER)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 - (ANSWER)low
GI malformation A/W down syndrome - (ANSWER)Hirschprungs- congenital aganglionic
megacolon
Page | 2
,defective relaxation and peristalsis of rectum and distal sigmoid colon
failure to pass meconium, empty rectal vault, megacolon
myasthenia gravis associations - (ANSWER)thymoma, thymic hyperplasia
ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration
tx for tinea - (ANSWER)azoles
beta blockers for asthma - (ANSWER)none- even beta 1s can be nonselective at higher doses
what kind of teratogenic effects are seen w ACE/ARBs - (ANSWER)fetal renal agenesis
stones bones groans moans psych overtones - (ANSWER)high Ca or PTH
PTH is made by what cells? - (ANSWER)chief cells of parathyroid gland
PTH inhibits reabsorption of phosphate where? increases calcium resorption where? -
(ANSWER)PO4- proximal tubule
ca- DCT
anterior innominate rotation means tight hip flexors or extensors? - (ANSWER)extensor-
hamstrings
thoracic CS - (ANSWER)E SaRa
most common cause of cellultis - (ANSWER)staph aureus, strep pyogenes
FPR- direct or indirect? active or passive? - (ANSWER)indirect- place them in position of
diagnosis
passive
cant treat kid w tetracycline so what do you give? - (ANSWER)amoxicillin
which Heps are there currently vaccines for? - (ANSWER)A and B (and so by virtue, also D)
why does Hep D need Hep B? - (ANSWER)Hep D utilizes the HBV surface antigen as its
envelope?
most common hepatitis A/W IVDA in the US - (ANSWER)hep c
roseola - (ANSWER)4 day high fever
then rash on the trunk (spares face)
affects babies up to 2 years
Page | 3
, HHV6- affects CD4 helper cells and kills them off
erythema infectiosum - (ANSWER)slapped cheek
parvovirus B19
nonspecific fever/prodrome then slapp cheek rash 5 days later, then rash appears on arms and
spreads to trunk/legs
rash can worsen w fever and sun exposure
TORCH infxn so baby in womb that is exposed can lead to hydrops fetalis
most common STD - (ANSWER)chlamydia
sxs similar to STI plus discharge
will have high neutrophil count
dimorphic- butterflies - (ANSWER)candida, histo, cocci, paracocci, blasto, sporothrix,
butterflies huge pair of cocc catching stamp
hip restricted in internal rotation
dx? - (ANSWER)innom outflare
immune complex in glomerular mesangium 2 days after URI
berger or PSGN? - (ANSWER)berger
PSGN is 2 wks post URI
kidney ureter viscerosomatic innervation - (ANSWER)T10-11
college student w nonspecific symptoms
nonproductive cough, sore throat
CXR- diffuse infiltrates - (ANSWER)myco PNA
test for trichomonas - (ANSWER)nucleic acid amplification
painless enlarging tumor in left testis 75 yo - (ANSWER)diffuse large B cell lymphoma
most common in 70-80s
Page | 4
