cvs 18

Question 1

bithermal antibidy

Answer 1

IgG

Question 2

mycoplasma and mononucleosis have these antibodies

Answer 2

IgM

Question 3

which drugs can cause AIHA with IgG DONETH LANDSTEIN ab

Answer 3

pennicillin
2/3 penicillin
methyldopa
quinidine

Question 4

antibodies against GP IIb IIIA

Answer 4

ITP

Question 5

decrease exp of GP IIB IIIA

Answer 5

glanzman thrombocytopenia

Question 6

direct combs test

Answer 6

antibody + RBC

Question 7

indirect comb

Answer 7

normal RBC mix with serum of pt (AB)

Question 8

RSV is most common cause of

Answer 8

bronchiolitis in babies

Question 9

mannifestation and RF of bronchiolitis

Answer 9

nasal cong/distress/ flaring
tachypnea
wheezes/ crackles
RF——- prematurity —- resp failure

Question 10

prophylaxiis for RSV

Answer 10

palivizumab —- fusion protein inhibtor

ribavirin (CHAIR mnemonic)

Question 11

CLL mnemonic

Answer 11

HATS
Hypogammaglobulinemia
AIHA
Transf to DLBL
Small lymphocytic lymph

SMUDGE CELLS —- CD5 CD20

Question 12

mechanism of Denosumab

Answer 12

mimics osteoprotegrin !! — acivates clast

Question 13

TNF alpha can activate

Answer 13

Caspase

Question 14

Measles mannifestation

Answer 14

rubeola
conjunctivitis
cough
coryza

RASH –maculopapular starts at head SPARES HANDS AND SOLES —- spreads down

Question 15

rash taht includes palms soles

Answer 15

CARS
Coxsackie
A
Rickestia ricketsie
Syphilus

Question 16

Sub acute sclerosing panecephalitis

Answer 16

myoclonus
caused by mutated or absent measles matrix protein —- prevents mature enveloped virion particle formation—- virus continously replicates

intranuclear inclusions in the oligodendrocytes
increased measles antibodies oligoclonal bands
dementia

Question 17

what other conditions present wtih myoclonus

Answer 17

myoclonic epilepsy
SSPE
prion disease
opsoclonus myoclonus synd (neuroblastoma in children and SCLC in adults)

Question 18

what type of lymphocytes are seen in encephalitis caused by measles

Answer 18

warthin finkeldey Giant cells — fused aggregated lymphocytes
immunocomp —- increased giant cell pneumonia

Question 19

prophylaxis of measles

Answer 19

vit A

acute infection uses up vitamin A stores —- risk of keratitis and corneal ulceration

Question 20

mumps (paramyxo)

Answer 20

POMPS
parotitis
orchitis---- sterility
meningitis----- aseptic meningitis
pancreatitis

Question 21

RF of suppurative parotitis

Answer 21

obstruction —- calculus stone or tumors

sialolithiasis — stone in salivary duct

Question 22

Parotid/ submandibular / sublingual nerves

Answer 22

977

Question 23

nerves that have parasymp functionn

Answer 23

3 7 9 10

Question 24

submandibular duct mostly has — stones

Answer 24

single stone —wharton duct

PAIN — pre post prandial

Question 25

R/F for silolithiasis

Answer 25

dehydration diurects trauma

Question 26

treatment for silolithiasis

Answer 26

warm compressions NSAIDS massage sour candies

Question 27

salivary gland tumors involves which salivary gland

Answer 27

PAROTID ---- benign mostly swelling and painless painful wen involve facial nerve ( malignant)

Question 28

less common tumors

Answer 28

sub mandibular and sublingual ---- malignant

Question 29

most common benign salivary gland tumor 1

Answer 29

PLEOMORPHIC ADENOMA mixed tumor stromal tissue - cartilage ( chondromyxoid) epithelial tissue angle of jaw reover despite ressection --- extend to capsule

Question 30

most common benign SGT 2

Answer 30

warthin tumor psammoma bodies --- papilary cystadenoma lymphomatosum benign cystic tumor with lymphocytes germinal centers can be bilateral too in 10%

Question 31

smokers at risk for which salivary gland tumor

Answer 31

warthin

Question 32

malignant SGT

Answer 32

mucoepidermal carcinoma mucinous /squamous involves facial nerve

Question 33

other causes of suppurative parotitis

Answer 33

anticholinergic meds intubation post surgery sjogern

Question 34

pathogen for parotitis

Answer 34

staph a | anaerobes

Question 35

choice of investigation parotitis

Answer 35

US/CT aspiration increased AMYLASE

Question 36

Reo virus

Answer 36

12 segments Ds RNA virus colti --- colarado tick rota

Question 37

rota virus infects what

Answer 37

enterocytes villi of duodenum and prox jejunum ---- BLUNTING OF VILLI secretary crypt cells start prolif --- na/k lost brush border enzyme lost --- disaccharide test

Question 38

diarrhea in rota virus

Answer 38

non inflammatory | no leukocytes no RBCs

Question 39

when to avoid rota virus vaccine

Answer 39

intussusception | SCID pts