drug for UC/Crohns - Answer- sulfasalazine
pulmonary effects of CF - Answer- chronic bronchitis an dbronchiectasis
osteoporosis affects what parts of bone? - Answer- (spongy and ) trabecular bone
mass loss
imipramine - Answer- TCA
SE: Tri-Cs
convulsions
coma
cardiotox
antichol 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
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
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
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
choriocarcinoma affecst what age group - Answer- 15-35
yolk sac tumor affects what population - Answer- infants and children 1-2 years
Sensourineural hearing loss, tinnitus, paralysis of facial muslces, loss of corneal
reflex - Answer- Cerebellopontine angle tumor - between cerebellum and lateral
pons -- CNs 5, 7, 9