Last min Add-ons Flashcards

1
Q

What blocks Kidney accent = Horseshoe kidney

A

INFERIOR MESENTERIC ARTERY

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2
Q

MS and bladder issues

A

Urinary urge = Inability to contract bladder (Detrusor) properly

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3
Q

Anterior portion of the pinform aperture

A

internal nasal valve
1. narrowest point of the cavity
2. highest airflow resistance

Septoplasty = increase airflow

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4
Q

Sphenoid sinus drains into

A

sphenoid sinus = superior + posterior (superior nasal concha)

sphenoethmoid recess = pituitary gland surgery

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5
Q

Acute otitis media MOA

A

eustanchian tube anterior to TORUS TABARIUS

nasopharynx connection to the middle ear

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6
Q

COPD tx

A
  1. B-agonist
  2. GC
  3. Muscarinic antagonist
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7
Q

Lenticulostraite Artery Stroke location

A

internal capsule = Striatum

Pure motor sx = unmanaged HTN

C/L

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8
Q

Anterior Spinal artery stroke location

A

Corticospinal = medial lemniscus (C/L paralysis UE)
Causal medulla = hypoglossal (tongue ipsilateral)

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9
Q

enzyme - Von Gierke

A

Glucose - 6 phosphatase

Smooth ER = Cytosol

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10
Q

enzyme - Pompe

A

a1,4 glucosidase = Lysosomal debranching

Cardiomyopathy

*p is the 1st & 4th letter

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11
Q

enzyme - Cori

A

debranching
- 1,6 glucoside
- transferase

normal lactate levels

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12
Q

enzyme - Anderson

A

glycogen-branching enzyme

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13
Q

enzyme - McArdle

A

myophosphorylase

muscle glycogen phosphorylase

exercise –> sx

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14
Q

corticosteroid (Cortisol) mediated what in bones

A

upregulation of RANKL expression = increase Osteoclast activation

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15
Q

NAVL

above the pectinate line

A

N = Inferior hypogastric (T12-L2) ** painless (visceral)

A = Superior rectal - IMA

V = Superior rectal vein –> IMV –> Spleen –> portal vein –> IVC

L = Internal iliac

Internal hemorrhoids

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16
Q

NAVL

below the pectinate live

A

N = Pudendal (S2-S4) ***Painful

A = Inferior rectal - Internal pudendal artery

V = Inferior rectal vein –> Internal pudendal vein –> internal iliac –> common iliac vein –> IVC

L = Superficial inguinal

External hemorrhoids

17
Q

Adenomyosis

A

Painful periods

Increase uterus size

Gland & stroma w/n myometriam

18
Q

Neural Crest Cells

ELMO

PASSES

A

PASSES

PNS: Schwann cells; pia & arachnoid mater
Aorticopulmonary septum & endocardial cushions
Branchial arches (bones & cartilage)
Skull bones
Melanocytes

Adrenal - Cortex = mesoderm & Medulla = Crest

19
Q

Skin eruptions

cerebellar ataxia

A

pellagra-like = Hartnup disease

impaired transport of neutral amino acids = SI (DJI) + PCT (kidney)

Dx: excessive neutral amino acids in the urine

20
Q

Peripheral neuropathy Tx

A

TCA = inhibits 5-HT & NE reuptake
Gabapentin = decrease Ca++
Carbamazepine = block Na++

21
Q

Causes Succinylcholine to last longer than normal

Pseudocholinesterase deficiency

A

Decrease plasma hemolysis

  • Heterozygotes = 2x the normal duration of paralysis
  • Homozygotes = persistent paralysis for several hours
22
Q

5-14 days after exposure pt

  • fever
  • urticarial rash
  • arthralgia

Serum sickness

A

type III hypersensitivity rxn = immune complex–mediated –> the immune complexes are cleared by the mononuclear phagocyte system

resolve spontaneously over days

23
Q

Obain preoperative CEA lab vaules

Pathology = adenocarcinoma

A

failure to normalize CEA levels = poor prognosis –> residual disease

24
Q

Blood supply

femoral head and neck

A

Medial circumflex femoral

minor contributions = Lateral circumflex +inferior gluteal

25
Shoulder pain Smoking history Ptosis Pupil asymmetric in dim light = anisocoria ↓ deep tendon reflexes
Pancoast tumor | Autonomic ganglion compression ## Footnote Note: anisocoria you should think that there is something going on w/ SANS
26
# Prego mom P57+
Partial mole 69XXX | Partial = Parts = high number (69) ## Footnote Uterine size does not change
27
# Painful erection lasting 4+ hours Rx causes
Ischemic priapism Sildenafil Trazodone | blocks venous drainage = corpus cacernosum
28
# Immunohistochemical stain Keratin
Epithelium
29
# Immunohistochemical stain Vimentin
Mesenchyme
30
# Immunohistochemical stain Desmin
Muscle
31
# Immunohistochemical stain GFAP
Neuroglia
32
# Immunohistochemical stain Neurofilament
Neurons
33
# Immunohistochemical stain PSA
Prostatic epithelium
34
# Immunohistochemical stain ER
Breast epithelium
35
# Immunohistochemical stain Thyroglobulin
Thyroid follicular cells
36
# Immunohistochemical stain Chromogranin
Neuroendocrine cells = SCC & Carcinoid
37
# Immunohistochemical stain S-100
Melanoma schwannoma langerhans cell histiocytosis
38
# Immunohistochemical stain AFP
Yolk sac
39
# Low Ca++ & Phosphate levels High PTH
Vit. D defiency | Osteomalacia (Adults) + Rickets (Children) ## Footnote Note: if Ca++ are high then it is Primary Hyperparathyroidism hormone if Phosphate levels are high then its Secondary Hyperparathyroidism = think of CKD