Test 51 Flashcards

(43 cards)

1
Q

increases cholesterol solubility and decreases risk of gallstones

A

HIGH BS and phosphatidylcholine levels

LOW cholesterol levels

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2
Q

most aggressive type of lung cancer

A

small cell carcinoma (most have distant mets at time of dx)

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3
Q

tx for small cell carcinoma

A

surgery usually not an option

chemo and radiation

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4
Q

best long term tx choice for chronic tophaceous gout

A

allopurinol- XO inhibitor

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5
Q

febuxostat

A

new XO that is safer in pts w/ renal dysfxn

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6
Q

what happens to the pancreas in pt w/ CF

A

fills w/ mucous plugs

inability to secrete pancreatic enzymes> steatorrhea

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7
Q

hypoglycemia in a setting of HIGH intracellular NADH

A

Metabollic fuel other than glucose is present (ample metabolic energy supply)

Hepatic ethanol catabolism produces NADH nad inhibits gluconeogenesis

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8
Q

how does cocaine affect blood sugar

A

hyperglycemia d/t adrenergic activity

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9
Q

acute onset neuro abnormalities, hypoxemia, petechial rash following severe long bone/pelvic fxs

A

fat embolism syndrome

*occlusion of pulmonary microvessals by fat globules

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10
Q

work of breathing in pt w/ pulmonary fibrosis

A

minimized d/t increased elastic resistance when RR is HIGH and tidal volume is low

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11
Q

work of breathing in pts w/ increased airflow resistance

A

asthma/COPD

breather at a lower rate/higher tidal volume (slow deep breaths) to minimize work of breathing

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12
Q

stap injury above the clavicle between the midclavicular and lateral sternal lines

A

lung pleura

lung apices extend above the level of hte clavicle and fisrt rib through the superior thoracic aperture

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13
Q

penetrating injury between clavicle and first rib

A

pntx

tension pntx

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14
Q

penetrating injury between clavicle and first rib

A

pntx

tension pntx

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15
Q

what traps the rise of a horseshoe kidney

A

IMA

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16
Q

where are lipids digested and absorbed

A

digested in the duodenum

absorbed in teh jejunum

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17
Q

does cholecystectomy effect lipid digsetion and absorption?

A

no

pts may find it difficult to eat a large fatty meal

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18
Q

green color of PUS

A

MPO release from neutrohil azurophilic granules

MPO is a heme containing pigmented molecule

19
Q

MC neurological complication of VZV infection

A

post herpetic neuralgia

20
Q

MC neurological complication of VZV infection

A

post herpetic neuralgia

21
Q

Major factor in determining coronary blood flow

A

blood supply to the heart occurs during DIASTOLE so LENGTH of diastole is critical

22
Q

cause of ghon foci in lower lungs

23
Q

secondary TB

A

reactivation TB most often in immunosuppressed pts

characterized by apical cavitary lesions and hemoptysis

24
Q

SE of L-Dopa (adding carbidopa inhibits peripheral conversion of L Dopa making it more available)

A

Anxiety and agitation d/t increased Da

25
commonly used to prevent primary and secondary coronary events after TIAs
low dose aspirin
26
MC SE of aspirin
increased GI blood loss
27
drugs w/ highest risk of causing drug induced lupus
Procainamide hydralazine isoniazid
28
lupus like sxs + positive ANA and anti-histone antibodies, but anti-dsDNA not seen
DILE
29
RR
A/A+B divided by C/C+D
30
cause of intestinal atresia distal to duodenum
vascular accidnets in utero
31
apple peel atresia
SMA is obstructed> blind ending proximal jejunum> terminal ileum distal to atresia assumes a SPIRAL configuraiton around ileocolic vessel
32
infant w/ constipation mild weakenss letheragy poor feeding
infant botulism honey consumption dx stool for bacterial toxins
33
low absorption of B12 not correctable by IF (schilling test) is indicative of....
ileal disease pancreatic insufficiency bacterial overgrowth
34
probability that a F sibling of a male affected by an X linked recessive disease will give birth to an affected child
1/8 .5X.5X.5
35
probability that a F sibling of a male affected by an X linked recessive disease will give birth to an affected child
1/8 .5X.5X.5
36
eyes that get tired easily later in the day and anterior mediastinal mass
MG + thymomoa/thyic hyperplasia
37
cause MG
circulating Abs against ACh receptors of NMJ
38
cause MG
circulating Abs against ACh receptors of NMJ
39
used to prevent nephrotoxicity in pts receiving platinum based chemo regimen
aggressive hydraiton | amifostine (decreases risk of nephrotoxicity)
40
tx of MTX overdose
leucovorin
41
Filgrastim
GCSF analog used to stimulae prolif/diff of granulocytes
42
fomepizole
antidote to methanol/ethylene glycol poisoning
43
prevents anthryacylcine (doxorubicin) cardiotoxicity
dexrazoxane (irone chelating agent)