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Question 1

what do u give for arsenic poisoning (garlic breath)

Answer 1

DIMERCAPROL/succimer

Question 2

what cells are effected first in radiation exposure

Answer 2

rapidly dividing cells (GI, HAIR, NAILS, BM)

Question 3

what’s the primary goal in treating acute aortic dissection

Answer 3

to reduce aortic wall shear by minimizing aortic BP(dP/dt)

Question 4

what drug can u use for aortic dissection

Answer 4

b-blkr/Esmolol decrease LV contaction VELOCITY & HR to reduce dP/dt

Question 5

how do you determine acute interstitial nephritis due to drugs(ampicilin)

Answer 5

rash/eosinophils. Involves renal INTERSTITIUM I& IV hypersensitivity

Question 6

Renal metabolism of what AA is important for maximizing acid secretion

Answer 6

GLUTAMINE

Question 7

Acidosis stimulate what in the kidneys

Answer 7

renal ammoniagenesis(renal tubular cells uses glutamine–glutamate to cause NH4 to be secreted in urine.

Question 8

what nerve passes by the eso hiatus/when can it be effected/

Answer 8

VAGUS/during eso hiatal hernia repair/ effects delayed gastric emptying & hypochlorhydria

Question 9

damage below the red nucleus(PONS)/red nucleus show what type of posturing

Answer 9

DECEREBRATE(extensor) posturing

Question 10

damage ABOVE the red nucleus(PONS)/red nucleus show what type of posturing

Answer 10

deCORticate(flexor) problem @ cerebral hem, internal capsule

Question 11

what’s Romana sign/what is it specific 4?

Answer 11

Unilateral Periorbital swelling. Chagas(kissing bug/ stains w/Giemsa dye

Question 12

what drug is used to prevent complications of chagas diz

Answer 12

Benznidazole/nifurtimox (dialated cardio,megaeso, megacolon

Question 13

what bacteria MC causes pyogenic liver abscess in ADULTS/ what’s responsible for the green color

Answer 13

E.coli, Klebsiella/neutrophils(myeloperoxidase)

Question 14

what bacteria is the MC liver abscess in kids

Answer 14

staph aureus

Question 15

what is esotropia

Answer 15

inward deviation of lft eye

Question 16

what CN cause estropia

Answer 16

CN VI

Question 17

what’s the MC nerve effected in fracture of the spenoid bone

Answer 17

CN VI

Question 18

what leads will you see ST elevations in acute INFERIOR MI

Answer 18

II, III, aVf

Question 19

what art will u find below L2(renal art) & what does it supply

Answer 19

ovarian/testicular art. supplies ovaries(passes thru infundibulopevic lig)

Question 20

what heart problems do williams syndrome(7) hv

Answer 20

SUPRAVALVULAR AORTIC STENOSIS

Question 21

what structural gene encodes gp41(fusion) Gp120(attachment)

Answer 21

env

Question 22

pol gene encodes for what

Answer 22

Reverse transcriptase(convert viral RNA to DNA)

Question 23

whorled pattern of cells are found in what tumor

Answer 23

Meningiomma(psammoma bodies) mostly Females cuz estrogen

Question 24

what CNS tumor has fried egg appearance

Answer 24

oligodendricyte(frontal lobe)

Question 25

what's MC CNS tumor in kids

Answer 25

Pilocytic Astrocytoma(cerebellum below tentorium)

Question 26

what tumor do you find rosenthal fibers

Answer 26

Pilocytic astrocytoma

Question 27

what CNS tumor is ass w/ sml blue cells hormer-wright rosette

Answer 27

Medulloblastoma(neuro ectoderm)

Question 28

SE/MOA AMLODIPINE

Answer 28

Ca+ blkr(NON) Edema, dizziness, flushing, gingival hyperplasia

Question 29

MEN 2A

Answer 29

pheo, primary hyperparathyroidism(PTH), Medullary Thyroid carcinoma

Question 30

bacteria w/no cell wall

Answer 30

ureaPLASMA, mycoPLASMA

Question 31

which enzyme is deficient in CAH that causes precocious puberty

Answer 31

21B-hydroxylase

Question 32

what's the BP for late onset(6yr old) CAH

Answer 32

NORMAL w/precocious puberty

Question 33

what causes the increase in HR as far as Ca+ goes

Answer 33

u nd a rapid cycling of Ca+, & COORDINATED(T-TUBULES) excitiation contraction coupling of myocytes.

Question 34

where is Ca+ stored

Answer 34

SR

Question 35

what are foam cells

Answer 35

macro filled w/lipids found in atherosclerosis/Niemen-pick

Question 36

what type of hypersensitivity is myasthenia, graves, pemphigus vulgaris

Answer 36

II

Question 37

what causes the pruitic, brown rash in people wchronic venous diz(varicose veins, standing for a long X etc)

Answer 37

HEMOSIDERIN(storage of Fe+ by macro from RBC breakdown)

Question 38

diff btwn serum sickness vs an allergic RXN to a drug

Answer 38

serum sickness(Type III) accours days VS drug RXN occurs mins to hrs (tye1)

Question 39

how do we repair DNA

Answer 39

thru base excision repair(Base specific glycosylase, AP endonuclease, AP lyase, DNA polymerase-B Ligase (BAADL)

Question 40

what is spared in Syringomyelia(C8-T1)

Answer 40

dorsal column(fine touch/perception

Question 41

where will you hv lost of pain in temp in syringo

Answer 41

upper extremities but motor LOWER extremeties

Question 42

describe ash leaf spots/ass w/?

Answer 42

HYPOpigmentation, Tuberous sclerosis

Question 43

what are the deficit in Ant. cord syndrome/what art.

Answer 43

ANT. SPINAL ART. everything except dorsal column

Question 44

doc for bipolar w/kidney problems

Answer 44

VALPROATE

Question 45

DOC for bipolar w/OUT kidney problems

Answer 45

Lithium

Question 46

NF22 is ass w/ what tumors

Answer 46

schwannoma, VIII MENINGIOMA