Other missed questions

Question 1

What is the mechanism of liver injury in someone with Hep B infection?

Answer 1

Anitgens that acitvate CD8+ Cytotoxic T cells.

Question 2

What are the 3 STOP codon?

Answer 2

UAA, UAG, UGA

Question 3

What characterizes a TCA overdose? How do treat?

Answer 3

Delerium, Seizures, Arrythmias/LongQT/Tachy, Severe Hypotension, and Signs of Anticholnergic toxicity.

Treat with NaHCO3

Question 4

A Ketogenic Diet is recommended for pts with Pyruvate Dehydrogenase Deficiency. What Amino Acids are exclusively ketogenic?

Answer 4

Lysine and Leucine. Beak down does NOT lead to formation of glucose (ie not Glucogenic), which helps prevent build up of lactate acid in these pts.

Question 5

Calculate Negative Predictive Value

Answer 5

ALL THESE CAN BE SOLVED WITH 4X4 TABLE.

NPV= True Negs / (True Negs + False Negs)

Question 6

What is the major Ammonia Acceptor, in Aminotransferase Reactions?

Answer 6

a-Ketogluterate

Question 7

Topography of Lung

Answer 7

http://images.slideplayer.com/13/3863070/slides/slide_3.jpg

Question 8

describe Klebsiella

Answer 8

Gram - rod, lactose fermenting, encapsulated

Question 9

Somebody with cough, lower lobe pneumonia, and pain in their neck/shoulder….The pain signal is carried from what nerve?

Answer 9

Phrenic (C3-C5). Phrenic nerve carries PAIN signal from diaphragm and mediastinum, and is REFERRED to cervical distribution C3-C5 of neck and shoulder.

Pain from remiander of pleura carried by INtercostal nerves, and is more localized to the site of irritation.

Question 10

Describe Nocardia/Nocardiosis?

Answer 10

Gram + rod, grows in beads/ branched, partially acid fast,, catalase positive, aerobe.

Affects, lungs (pneumo, nodules), Brain (Abcess), and Skin

Question 11

What antibiotic used for Mycobacterium Avium Complex (MAC)?

Answer 11

Azithromycin

Question 12

What is the precursor for Serotonin…..?

Answer 12

Tryptophan

Question 13

Cryptoheptadine is an anitdote for…?

Answer 13

Serotonin Syndrome….it is 1st gen antihistamine with nonspecific 5-ht1/5ht2 antagonism

Question 14

ACH causes what in Lungs?

How does Ipratropium work?

Answer 14

ACH cause bronchconstriction (why?)

Iptratrop causes bronchodilation by blocking ACH at M3 receptors.

Question 15

WHich vitamin contraindicated in pregnancy ?

Answer 15

Vit A. Very teratogenic. Can lead to microcephaly, growth retardation, abortion, heart anomalies

Question 16

Genetic mutation/disease identified in children, but absent in parents. Example of what? Give an example of a genetic illness…

Answer 16

germline mosaicism. mutation that occurs in first stages on development, in oocytes/sperm. Example: Osteogenesis Imperfecta.

Question 17

Review Key Defense Mechanisms, look at photo on pheon… What is sublimaiton?

Answer 17

Mature Defense mechanism… Involves channeling impulses into a social acceptable behavior

Question 18

Review Differential diagnosis of pyschotic disorders, pic on phone… What is Schizophreniform?

Answer 18

All the symp of schizophrenia, but for LESS than 6 months (but for greater than 1 month)

Question 19

Androgenetic Alopecia (Male Pattern Baldness), what type of inheritance?

Answer 19

Polygenic