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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
Q

most common site of intracranial aneurysm

A

Anterior communicating artery

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26
Q

what does Anterior cerebral artery supply

A

medial and superior surfaces of frontal lobes

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27
Q

what does middle cerebral artery supply

A

lateral surfaces temporal lobe

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28
Q

what does posterior cerebral artery supply

A

inferior surface and occipital lobe

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29
Q

what area does basilar artery supply

A

midbrain, pons

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30
Q

what area does anterior inferior cerebellar artery supply

A

pons and parts of cerebellum

31
Q

what does posterior inferior cerebellar artery supply;

A

medulla and parts of cerebellum

32
Q

Dorsal column: Location, first order neuron, second order neuron function

A

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
Q

Spinothalamic tract Location, first order neuron, second order neuron function

A

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
Q

corticospinal tract Location, first order neuron, second order neuron function

A

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
Q

ALS tracts affected and sx

A

Corticospinal tract, ventral horn

spastic and flaccid paralyses

36
Q

polio tracts affected and sx

A

ventral horn

flaccid paralysis

37
Q

tabes dorsalis - syphylis tracts affected and sx

A

dorsal column, impaired proprioception

38
Q

Spinal artery syndrome tracts affected and sx

A

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
Q

B12 tracts affected and sx

A

dorsal could , corticospinal

bilateral loss of proprioception and 2 point discrimination, bilateral spastic paresis affecting legs before arms

40
Q

syringomyella tracts affected and sx

A

ventral horn and ventral white commissure

bilat loss of pain nd temp bilateral flaccid paralysis

41
Q

Brown squared syndrome sx

A

Ipsialteral loss of vibration and 2 point discrimination, ipsilateral spastic paralysis, contralateral loss of pain and temp

42
Q

Cranial nerve 1 function olfactory

A

smell

43
Q

Cranial nerve 2 function optic

A

sight

44
Q

Cranial nerve 3 function oculomotor

A

medial, superior, inferior rectus, inferior oblique, colliery muscle,

45
Q

Cranial nerve 4 function trochlear

A

superior oblique

46
Q

Cranial nerve 5 function trigeminal

A

sensation of face, muscles of mastication

47
Q

Cranial nerve 6 function abducens

A

lateral rectus

48
Q

Cranial nerve 7 function facial

A

taste anterior 2/3, muscles of facial expression, stapedius,stylohyoid, lacrimal gland, submandibular gland , sublingual gland

49
Q

Cranial nerve 8 function vestibulocochlear

A

hearing and balance

50
Q

Cranial nerve 9 function glossopharyngeal

A

taste, posterior 1/3, pharyngeal sensation, stylopharngeus muscle, parrotd gland

51
Q

Cranial nerve 10 function vagus

A

sensation of trachea and esophagus, laryngeal and pharyngeal musculature, visceral autonomics

52
Q

Cranial nerve 11 function accessory

A

sternocleidomastoid and trapezius

53
Q

Cranial nerve 12 function hypoglossal

A

tongue

54
Q

meningitis prophylaxis

A

rifampin or ciprofloxacin

55
Q

most common meningitis new born

A

group b strep
e.coli
listeria
H flu

56
Q

most common meningitis 1mo - 2years

A 
strep pneuma
neisseria meningitis 
group b strep
listeria 
h flu
57
Q

most common meningitis2-18 years

A

neisseria meningitis
s pneumo
listeria

58
Q

most common meningitis 18-60

A

S. pneumo
listeria
neisseria meningitis

59
Q

most common meningitis 60+

A

S. pneumo
listeria
gram negative rods

60
Q

bacterial meningitis tap

A

WBC: ⬆️ PMN
Pressure: ⬆️
Glucose:⬇️
Protein:⬆️

61
Q

fungal/ TB meningitis tap

A

WBC: ⬆️ lymphos
Pressure: ⬆️
Glucose:⬇️
Protein:⬆️

62
Q

viral meningitis tap

A

WBC: ⬆️ lymphos
Pressure: ⬆️
Glucose:normal
Protein:nomal

63
Q

EBV tap

A

WBC: normal
Pressure: normla
Glucose:normal
Protein:⬆️

64
Q

most common site of embolic ischemic stroke

A

middle cerebral artery

65
Q

ACA stroke signa

A

contralateral lower extremity and trunk weakness

66
Q

MCA stroke signs

A 
contralateral face and upper extremity weakness
decreased sensation
visual abnormalites
aphasia 
neglect
67
Q

PCA stroke signs

A

contralateral vision loss, or blindness

68
Q

lacunar arteries

A

focal motor or sensory deficits , loss of coordination , difficulty speaking

69
Q

basilar artery stroke

A 
cranial nerve abnormalities
contralateral full body weakness and decreased sensation
vertigo
loss of coordination
difficulty speaking 
visual abnormalities
coma
70
Q

what is Argyll Robertson and cause

A

accommodates doesn’t react to light

71
Q

What is Marcus Gunn Pupil

A

light in affected doesn’t constrict, regular eye constricts both

72
Q

horners syndrome

A

ptosis, mitosis, anhidrosis

73
Q

retinal artery occlusion findings

A

sudden loss of visions

cherry red spots

74
Q

retinal vein occlusion findings

A

cotton wool spots

retinal hemorrhages

step 2 (53 decks)

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