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4/24 Flashcards

1
Q

Guillain Barre stable patient next step

A

spirometry

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2
Q

sickle cell trait complications

A

hematuria

hyposthenuria

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3
Q

wiskott aldrich syndrome pathophys

A

cytoskeleton regulation

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4
Q

wiskott aldrich syndrome inheritance

A

x linked recessive

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5
Q

clinical manifestations of rickets

A 
frontal bossing
costochondral joint enlargement
enlarged epiphyses
short stature
bowing of femur and tibia ons die worse than the other.
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6
Q

marfan gene

A

FBN-1

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7
Q

storage weber syndrome

A 
port wine stain
leptealomeningeal venous malformation
seizures, sometimes hemiparesis
ID
Visual Field Defects
glaucoma
tx:laser, antiepilectic meds, intraocular pressure reduction
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8
Q

TB precaution

A

airborne

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9
Q

Varicella precaution

A

airborne

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10
Q

measles precaution s

A

airborne

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11
Q

Neisseria meningitides precautions

A

droplet

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12
Q

MSRA/VRE precatuons

A

contact

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13
Q

C.diff, e.cli o157:H7 precaution

A

contact

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14
Q

influenza/adenovirus precations

A

droplet

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15
Q

parasite precautions(scabies)

A

contact

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16
Q

rsv precautions

A

contact

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17
Q

H flu precations

A

droplet

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18
Q

mycoplasma precations

A

contact

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19
Q

Fanconi anemia MOA

A

DNA repair defect

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20
Q

Diamond Blackman anemia thumb abnormality

A

triphalangeal

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21
Q

ITP only cutaneous sx tx

A

observation

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22
Q

ITP tx if bleeding or platelets less than 30,000

A

IVIG, steroids, anti d if bleeding

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23
Q

motor deficit common in collet fracture

A

thumb abduction-median nerve

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24
Q

what are low levels of 5-hydroxyindoleacetic acid

A

depression/suicide

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25
most common site of intracranial aneurysm
Anterior communicating artery
26
what does Anterior cerebral artery supply
medial and superior surfaces of frontal lobes
27
what does middle cerebral artery supply
lateral surfaces temporal lobe
28
what does posterior cerebral artery supply
inferior surface and occipital lobe
29
what area does basilar artery supply
midbrain, pons
30
what area does anterior inferior cerebellar artery supply
pons and parts of cerebellum
31
what does posterior inferior cerebellar artery supply;
medulla and parts of cerebellum
32
Dorsal column: Location, first order neuron, second order neuron function
location: posterior spinal cord first order neuron: enters at ipsi dorsal horn, ascends in fascicles gracilis and cutaneous, synapses in nucleus gracilis and cutaneous secondary order neuron: Decussates at medulla , ascends as medial leminiscus function:Two pont discrimination, vibration and proprioception
33
Spinothalamic tract Location, first order neuron, second order neuron function
location: Anterior spinal cord first order neuron:orignates in dorsal root ganglion, synapse in dorsolateral tract of lissauer secondary order neuron:decussate in ventral white commissure, ascends in lateral spinothalamic tract function: senses pain and temp
34
corticospinal tract Location, first order neuron, second order neuron function
location: lateral spinal cord first order neuron: descends from internal capsule and mid brain, decussates in medullary pyramids, descends in corticospinal tract, synapse in ventral horn through interneurons secondary order neuron: exit cord through ventral horn function: voluntary muscle
35
ALS tracts affected and sx
Corticospinal tract, ventral horn | spastic and flaccid paralyses
36
polio tracts affected and sx
ventral horn | flaccid paralysis
37
tabes dorsalis - syphylis tracts affected and sx
dorsal column, impaired proprioception
38
Spinal artery syndrome tracts affected and sx
corticospinal, spinothalamic, ventral horn, lateral grey matter (dorsal column spread) bilateral loss of pain temp 1 level below lesion, bilateral spastic paresis, bilateral flaccid parlysis
39
B12 tracts affected and sx
dorsal could , corticospinal | bilateral loss of proprioception and 2 point discrimination, bilateral spastic paresis affecting legs before arms
40
syringomyella tracts affected and sx
ventral horn and ventral white commissure | bilat loss of pain nd temp bilateral flaccid paralysis
41
Brown squared syndrome sx
Ipsialteral loss of vibration and 2 point discrimination, ipsilateral spastic paralysis, contralateral loss of pain and temp
42
Cranial nerve 1 function olfactory
smell
43
Cranial nerve 2 function optic
sight
44
Cranial nerve 3 function oculomotor
medial, superior, inferior rectus, inferior oblique, colliery muscle,
45
Cranial nerve 4 function trochlear
superior oblique
46
Cranial nerve 5 function trigeminal
sensation of face, muscles of mastication
47
Cranial nerve 6 function abducens
lateral rectus
48
Cranial nerve 7 function facial
taste anterior 2/3, muscles of facial expression, stapedius,stylohyoid, lacrimal gland, submandibular gland , sublingual gland
49
Cranial nerve 8 function vestibulocochlear
hearing and balance
50
Cranial nerve 9 function glossopharyngeal
taste, posterior 1/3, pharyngeal sensation, stylopharngeus muscle, parrotd gland
51
Cranial nerve 10 function vagus
sensation of trachea and esophagus, laryngeal and pharyngeal musculature, visceral autonomics
52
Cranial nerve 11 function accessory
sternocleidomastoid and trapezius
53
Cranial nerve 12 function hypoglossal
tongue
54
meningitis prophylaxis
rifampin or ciprofloxacin
55
most common meningitis new born
group b strep e.coli listeria H flu
56
most common meningitis 1mo - 2years
``` strep pneuma neisseria meningitis group b strep listeria h flu ```
57
most common meningitis2-18 years
neisseria meningitis s pneumo listeria
58
most common meningitis 18-60
S. pneumo listeria neisseria meningitis
59
most common meningitis 60+
S. pneumo listeria gram negative rods
60
bacterial meningitis tap
WBC: ⬆️ PMN Pressure: ⬆️ Glucose:⬇️ Protein:⬆️
61
fungal/ TB meningitis tap
WBC: ⬆️ lymphos Pressure: ⬆️ Glucose:⬇️ Protein:⬆️
62
viral meningitis tap
WBC: ⬆️ lymphos Pressure: ⬆️ Glucose:normal Protein:nomal
63
EBV tap
WBC: normal Pressure: normla Glucose:normal Protein:⬆️
64
most common site of embolic ischemic stroke
middle cerebral artery
65
ACA stroke signa
contralateral lower extremity and trunk weakness
66
MCA stroke signs
``` contralateral face and upper extremity weakness decreased sensation visual abnormalites aphasia neglect ```
67
PCA stroke signs
contralateral vision loss, or blindness
68
lacunar arteries
focal motor or sensory deficits , loss of coordination , difficulty speaking
69
basilar artery stroke
``` cranial nerve abnormalities contralateral full body weakness and decreased sensation vertigo loss of coordination difficulty speaking visual abnormalities coma ```
70
what is Argyll Robertson and cause
accommodates doesn't react to light
71
What is Marcus Gunn Pupil
light in affected doesn't constrict, regular eye constricts both
72
horners syndrome
ptosis, mitosis, anhidrosis
73
retinal artery occlusion findings
sudden loss of visions | cherry red spots
74
retinal vein occlusion findings
cotton wool spots | retinal hemorrhages

step 2 (53 decks)

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