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