Test 87

Question 1

Small bowel mucosa in pts w/ lactase def

Answer 1

NORMAL (often in NA and AA)

Question 2

marked atrophy of intestinal villi

Answer 2

celiac disease

Question 3

distended mphages in intestinal lamina propria

Answer 3

Whipple disease

Question 4

collections of NEUTROPHILS in crypt lumina

Answer 4

UC

Question 5

intestinal inflammation w/ scattered noncaseating granulomas

Answer 5

Crohn disease

Question 6

MASSIVE infiltration of LP w/ atypical lymphocytes

Answer 6

GI lymphomas

Question 7

Clinical tests to assess attention/concentration

Answer 7

counting down from 100 by intervals of 3/7
reciting mos of year in reverse order
spelling world backwards

Question 8

following a multistep comma]nd

Answer 8

comprehension

Question 9

ask about details of significant life events

Answer 9

remote events

Question 10

What happens to mixed venous blood, arterial blood gas and arterial pH during AEROBIC exercise?

Answer 10

incresaed skeletal muscle CO2 production increases the PCO2 of mixed venous blood

homeostatic mechanisms maintain arterial blood gas levels and arterial pH near resting values

*arterial pH is norm in mod exercise but can decrease during strenuous d/t lactic acidosis

Question 11

decrease in vision in R eye that is narrowrer than left and directed more towards right

Answer 11

right nasal hemianopia

calcification or aneurysm of internal carotid artery impinging on uncrossed lateral retinal fibers

Question 12

Monocular scotoma

Answer 12

Macular degeneration

optic neuritis

Question 13

right anopia

Answer 13

retinal A or central retinal vein occlusion

Question 14

bitemporal hemianopia

Answer 14

pressure exerted by a pituitary tumor, craniopharyngioma, aneurysm of ACA

Question 15

left homonymous hemianopia

Answer 15

occlusion of anterior choroidal artery

occlusion of MCA or lesion invovling posterior limb of internal capsule

Question 16

homonymous superior quadrantanopia

Answer 16

pie in the sky

TEMPORAL

meyers loop

Question 17

honoymous inferior quadrantanopia

Answer 17

parietal

Question 18

protein released by eosinophils to kill helminths that can also contribute to bronchial epithelial damage in pts w/ atopic asthma

Answer 18

major basic protein

eosinophils= bilobed nuclei w/ large eosinophilic granules of univform size

Question 19

Nasty SE of Ampo B

Answer 19

RENAL TOXICITY

severe hypOkalemia and hypO magnesemia are commonly seen during therapy and require daily supplementation

Question 20

what type of calcification affects an aging aortic valve

Answer 20

dystrophic

*hallmark of cell injury/death that occurs in all types of necrosis in teh setting of NORMAL Ca levels

Question 21

intracellular hemosiderin accmulation

Answer 21

occurs in pts w/ hemolytic anemia or who undergo frequent blood transfusions

Question 22

occurs in OLD lung cavities (from TB, emyphysema, sarcoidosis) and does not invade lung tissue but forms FUNGUS BALL

Answer 22

Colonizing aspergillus fumigatus

Question 23

neck
torso
shoulder
pelvic girdle paina nd morning stiffness

Answer 23

PMR

Question 24

dyspnea
hypOTN
tachycardia soon after administration of B lactam antibiotics

Answer 24

Anaphylactic shock

tx w/ epinephrine

Question 25

cystic tumor in cerebellum of CHILD composed of SPINDLE cells ROSENTHAL FIBERS

Answer 25

Pilocytic astrocytoma

Question 26

Homer wright rossettes

Answer 26

Medulloblastoma

Question 27

trabecular thinning w/ fewer interconnections

Answer 27

osteoporosis

Question 28

subperiosteal resorption w/ cystic degeneration

Answer 28

hyperPTH increases osteoclastic activity> bone resorption taking Ca out of bone

Question 29

excessive unmineralized osteoid > low minearl density

Answer 29

vit D def Needed for bone MINERALIZATION! don't have vit C to mineralize osteoid

Question 30

persistance of primary unimineralized spongiosa in medullary canals

Answer 30

Osteopetrosis

Question 31

mosaic pattern of lamellar bone

Answer 31

pagets osteoCLAST followed by osteo BLAST leads to focal formation of abnormal bone

Question 32

reid index

Answer 32

ratio of thickness of mucous gland layer in bronchial wall submucosa to thickness of bronchial wall bewtreen respiratory epithelium and bronchial cartilage ABOVE 40% tell you the severity of chronic bronchitis

Question 33

delayed AV conduction

Answer 33

PR prolongation

Question 34

T wave

Answer 34

ventricular repolarization ischemia can cause inversion

Question 35

QRS

Answer 35

ventricular depolarization

Question 36

ST elevation

Answer 36

noted in MI

Question 37

Antiarrhtymics associated w/ ACQUIRED long QT

Answer 37

QUinidine | sotalol

Question 38

gingivostomatitis | intranuclear inclusions

Answer 38

HSV-1

Question 39

tx for AML

Answer 39

all trans retinoic acid> stimulates differentiation of myeloblasts into mature granulocytes and induces remission in about 90% of pts

Question 40

ulders in proximal duodenum associated w/ severe trauma/burns

Answer 40

curling ulcers

Question 41

ulcers in esophagus, stomach, duodneum in pts w/ high ICP are prone to perforation

Answer 41

Cushing ulcers

Question 42

coarce erythrocyte basophilic stippling and microcytic hypochromic anemia

Answer 42

lead poisoning

Question 43

ACE inhibition kidneys

Answer 43

efferent arteriole dilation

Question 44

recurrent thrombosis in pt under 50

Answer 44

often inherited factor V leiden mutation causes Va resistance to inactivation by acticated protein C

Question 45

most impt environmental risk factor for PANCREATIC CANCER

Answer 45

smoking

Question 46

palpable but nontender GB (Courvoisier sign), weight loss, osbstructive jaundice (dark urine/pale stools)

Answer 46

adenocarcinoma in head of hte pancreas