COMSAE 107:- QUESTIONS AND ANSWERS (Graded A+)
DMARD drug for UC/Crohns/RA Correct Ans - sulfasalazine Pulmonary effects of CF Correct Ans - chronic bronchitis and bronchiectasis Osteoporosis affects what parts of bone? Correct Ans - (spongy and ) trabecular bone mass loss Imipramine Correct Ans - TCA
SE: Tri-Cs
convulsions coma cardiotox antichlor effects- confusion in elderly; (acute glaucoma and orthostatic hypotension- block alpha1) viscerosomatic Correct Ans - visceral disease --> somatic finding loratidine vs ranitidine Correct Ans - loratidine: 2nd gen H1 blocker, doesnt cross BBB --> less sedating
ranitidine: H2 receptor antagonist (like cimetidine)
cells w RBCs inside Correct Ans - entaemoba histolytica which type of pneumothorax causes tracheal deviation to the contra side?Correct Ans - tension intracerebral hemorrhage adjacent to a lesion that contains a tangle of numerous tortuous vessels Correct Ans - AVM arteriovenous malformation cavernous hemangioma Correct Ans - benign tumor of liver, A/W VHL 1 / 4
Anti-HepB surface antibody is only present in what pop Correct Ans - recovered or immunized not in chronic or proctalgia fugax Correct Ans - levator ani syndrome fasciculus is UMN or LMN lesion? Correct Ans - LMN ectopic gastric tissue Correct Ans - meckels diverticulum can also have ectopic pancreatic tissue remnant of vitelline duct Antibodies in hashimotos attacks Correct Ans - thyroid peroxidase or antithyroglobulin Enlarged non tender thyroid
- factors that influence starling curve Correct Ans - x axis- preload (EDV)
- also inhibits secretion of PCN
- can ppt uric acid calculi
- causes of SCID Correct Ans - ADA deficiency 2 / 4
y axis- stroke volume or CO treatment for fibromyalgia Correct Ans - TCA, SNRIs anticonvulsants what blocks NE reuptake? Correct Ans - TCA or SNRIs possible complication of pagets bone disease Correct Ans - osteocarcoma what does Hct tell you? Correct Ans - ratio of volume of RBCs compared to total blood volume probenecid Correct Ans - inhibits reabsoprtion of uric acid in PCT
(adenosine deaminase required for degradation of adenosim and deoxyadenosine
- in ADA deficiency, high levels of dATP --> toxicity in lymphocytes --> SCID
hypoplastic thymus lithiums effects on urination Correct Ans - inhibits vasopression/ADH -- > increased urinary frequency infertility drug that can result in multiple fetuses Correct Ans - clomiphene (clones- multiple babies) antagonist at estrogen R in hypothalamus (thus inhibits normal negative feedback) upregulates LH and FSH release from pituitary --> ovulation used to treat PCOS but can cause ovarian enlargement, multiple fetuses AFP levels in down syndrome Correct Ans - low GI malformation A/W down syndrome Correct Ans - Hirschprungs- congenital aganglionic megacolon defective relaxation and peristalsis of rectum and distal sigmoid colon failure to pass meconium, empty rectal vault, megacolon myasthenia gravis associations Correct Ans - thymoma, thymic hyperplasia ptosis, diplopia, can affect chewing, swallowing, speaking, shoulders, respiration tx for tinea Correct Ans - azoles beta blockers for asthma Correct Ans - none- even beta 1s can be nonselective at higher doses 3 / 4
what kind of teratogenic effects are seen w ACE/ARBs Correct Ans - fetal renal agenesis stones bones groans moans psych overtones Correct Ans - high Ca or PTH PTH is made by what cells? Correct Ans - chief cells of parathyroid gland PTH inhibits reabsorption of phosphate where? increases calcium resorption where? Correct Ans - PO4- proximal tubule ca- DCT anterior innominate rotation means tight hip flexors or extensors?Correct Ans - extensor- hamstrings thoracic CS Correct Ans - E SaRa most common cause of cellultis Correct Ans - staph aureus, strep pyogenes FPR- direct or indirect? active or passive? Correct Ans - indirect- place them in position of diagnosis passive cant treat kid w tetracycline so what do you give? Correct Ans - amoxicillin which Heps are there currently vaccines for? Correct Ans - A and B (and so by virtue, also D) why does Hep D need Hep B? Correct Ans - Hep D utilizes the HBV surface antigen as its envelope?most common hepatitis A/W IVDA in the US Correct Ans - hep c roseola Correct Ans - 4 day high fever then rash on the trunk (spares face) affects babies up to 2 years
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