Test 61: all

Question 1

3 year old, has: intellectual disability, gait or posture abnormality, eczema, and musty body odor

Answer 1

phenylketonuria

Question 2

What is X-linked (Bruton) agammaglobulinemia ? mutation in what

Answer 2

defect in B cell maturation

- Burton tyrosine kinase gene

Question 3

Staph. aureus in an IV drug user hurts what valve

Answer 3

tricuspid valve

Question 4

Absolute risk reduction equation

Answer 4

event rate in the central group - event rate in treatment group

Question 5

patient presenting with skeletal abnormalities, lens dislocation, intellectual deficits, vascular thrombosis and genetic defect in cystathionine beta-synthase enzyme

Answer 5

Homocystinuria

Question 6

Pleiotrophy

Answer 6

multiple phenotypic manifestations result from single genetic mutation

Question 7

When do children develop an understanding of concept of gender

Answer 7

age 3-4

Question 8

first line therapy for Lyme disease? contraindications?

Answer 8

Doxycycline - contraindicated in pregnancy due to tooth discoloration
- give Amoxicillin

Question 9

Burkitt lymphoma and nasopharyngeal carcinoma is related to what virus

Answer 9

EBV

Question 10

Postauricular and occipital lymphadenopathy is common in what virus

Answer 10

rubella, togavirus

Question 11

What does pyruvate kinase convert

Answer 11

Phosphoenolpyruvate to pyruvate

- generate ATP

Question 12

Role of splenic red pulp

Answer 12

remove damaged RBC

Question 13

what values are changed due to sickling episodes that result in hemolysis

Answer 13

• increase indirect bilirubin and lactate dehydrogenase

- decrease levels of haptoglobin

Question 14

Where are dietary lipids digested

Answer 14

duodenum

Question 15

where are fatty acids passively absorbed

Answer 15

jejunum

Question 16

SLE impact on complement

Answer 16

reduce rerum complement levels

Question 17

Anti-cyclic citrullinated peptide antibodies are found in what

Answer 17

rheumatoid artheritis

Question 18

About half is sudden infant death syndrome is due to what

Answer 18

tobacco exposure

Question 19

What runs through the hepatoduodenal ligament

Answer 19

portal triad

Question 20

Pringle maneuver: occlusion of portal triad to distinguish the source of right upper quadrant bleeding. If bleeding persists, what is the source of blood

Answer 20

1. inferior vena cava or hepatic veins

Question 21

LH stimulates what in the ovaries

Answer 21

-theca internal cells, produce androgens

Question 22

What does FSH do in ovaries

Answer 22

converts androgen to estrogen via aromatase

Question 23

What type of drug is Buspirone and MOA

Answer 23

• nonbenzodiazepine anxiolytic

- stimulates 5-HT1a receptors

Question 24

How long does it take for Buspirone to work

Answer 24

slow onset

Question 25

Location of Wernicke area and what supplies it

Answer 25

superior temporal gyrus of temporal lobe | - middle meningeal artery

Question 26

viridans streptococci dextrans adhere to what molecule

Answer 26

fibrin-platelet aggregates

Question 27

If the patient cannot make a decision and has not prepared an advance directive, who do you listen to

Answer 27

1. spouse 2. adult children 3. parents 4. adult siblings

Question 28

Goodpasture has antibodies against what

Answer 28

collagen type IV in lung or kidney

Question 29

drug that causes arteriolar dilation, improves renal perfusion, and increases natriuresis in the case of hypertension

Answer 29

Fenoldapam

Question 30

MOA of Fenoldapam

Answer 30

dopamine-1 receptor agonist

Question 31

most gastric ulcers occur where in stomach

Answer 31

lesser curvature of stomach

Question 32

what artery runs along the lesser curvature of stomach

Answer 32

left and right gastric arteries

Question 33

damage to what pleura can cause phrenic nerve irriation

Answer 33

diaphragmatic pleura and mediastinal pleura

Question 34

familial dysbetalipoproteinemia have what serum levels

Answer 34

increase cholesterol and triglyceride levels

Question 35

What is defected in dysbetalipoproteinemia

Answer 35

ApoE3 and ApoD4 levels

Question 36

Communicating hydroceles and indirect hernias are caused by what

Answer 36

incomplete obliteration of processus vaginalis

Question 37

What is the homophiles influenza's capsule made out of

Answer 37

polyribosylribitol phosphate

Question 38

Side effects of Ethambutol

Answer 38

optic neuropathy: color blindess, central scotoma, and decreased visual acuity

Question 39

which side is the inferior vena cava to the vertebra

Answer 39

right to the vertebral body

Question 40

At what level do the renal veins join in the IVC

Answer 40

L1/L2

Question 41

at what level do the common iliac veins merge with IVD

Answer 41

level of L4